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HomeMy WebLinkAboutPV2018-120 - Permits1� City of Newport Beach - Building Divistion H ; PO Box 1768 Newport Beach, California 92658-8915 er :atarntr�' SOLAR Permit: PV2018-120 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 43 SEA TERRACE NB Descripticn:SFR SOLAR PHOTOVOLTAIC 6.19kw (21) ROOF MOUNTED PANELS Inspector Area: 6 Legal Desc.: Owner: JAFAR MICHAEL Contractor: QUICK SYSTEMS INC Architect: Address: 43 SEA TERR Address: 5042 WILSHIRE BLVD, #28533 Address: NEWPORT COAST CA 92657 LOS ANGELES CA 90036 Phone: Phone: 888-416.1545 Phone: Applicant: HANDY PHILLIP Con State Lie: 997178 Engineer: Address: 450 N BRAND BLVD Lie Expire: 09/30/2020 Address: GELNDALE CA 91203 Bus Lie: BT30062608 Phone: 732.986-5419 Lie Exp Date: 03/31/2019 Phone: Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP INS Address: Occupancy Group: R31U Policy No: 9161665 No of Stories: 2 Expire: 0112712019 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Project No : 2336-2018 State Lie MARTIN LOYD 2510 W 237TH ST #206 TORRANCE CA 90505 310/534-1776 State Lic:C-058724 ipiiiiiiilllll ems'„>Y e e u Af' mu•oe �eA•, 'q � • mee o � • e o •• o ee•,�e '}�t ••eoo o di 14 •eaoo vi'-'o�o"ee•o00 meme�Ve o 0 •m ,e o e •,... eeoo em Valutaion: $37,140.00 Building Permit Fee $240.00 Record Management (8 112 X 11) $0.00 Plan Check Fee : $210.00 Record Management (Plans) $0.00 TOTAL FEE: $450.00 Plan Check Fee: $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for Te permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the.purpase of sale). I, asowner of of the the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply to an owner afproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt Tram licensure under the Contractors' State License Law for the following reason: ly.m'y signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell% structure fiat I Ipve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rrofessions Code,iwavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. tigRature of Property owner or Authorized Agent Date X&NSED C®N4TJ2ACTOR'S DECLARATION ,till affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000) of Division 3 of the Business and Pro salon �o nd my-11 c h e is i Lill force l�.gffect. • VI ZI / /� .Isense Class . . License No Date Contractor Signature 9 ...... VRfjF�ERS' COMPENSATION DECLARATION IARNINS: FAILURIPTOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMP YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE !&* EF COMPEA$QI "*DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the e rmance of the work for which this permit is issued. Policy No. Alwiuge and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior Isurance carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the pert rmance the for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker 'compensation laws of California, and agree tat, if I should become bjec t r ' c pens ti n prov' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % signature of Applicant te— lG/ /( /�g DECLARATION REG RD ON T CTION NDIN NCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code). tinder's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I h e provided is correct. I agree to comply with all applicable city and cou y ordinance d state laws relating to building construction. I authorize representatives of this city or coun INS-ide E title operty f Inspection purposes. sionature of Property Owner or Authorized Agent -rint Property Owner's or Authorized Agent's Name �• �/�� ate ACTION DATE BY DECLARATION OF COMPLIANCE INITNCODEOF FOR OFRCE USED Y FEDERAL REGULATIONS PART 61 OF T/TI_.E40AND AQMDROLE1401 PERMITEXPIRED I SUBUTFEDASBESTOS M071FICAT/ONTO: ❑ EPA ❑ AQMD ❑ ASBESTOS NORFTCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITCANCELLED PERMITEXTENDED PERMIT FINAL / _'so _ I 1 p,— DS C€RTIFICATEOF SIGNATURE: OCCUPANCYISSU€D