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HomeMy WebLinkAboutPV2020-071 - Permitss ., City of Newport Beach - Building Divistion SOLAR Permit: PV2020-071 �`, PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 �.. a �i Inspection Requests/Telephone (949)644-3255 rue*�fr Job Address: 446 OLD NEWPORT BLVD NB Description:COMM SOLAR PHOTOVOLTAIC SYSTEM 67 PANELS 22.322 kw Inspector Area: 7 Legal Desc.: TR 27 LOTS 13116 BILK 8 Owner: SHOHET ENTRPRS LLC Address: 446 OLD NEWPORT BLVD NEWPORT BEACH, CA 92663 Phone: Applicant: MORAN DIEGO Address: 7471 PALAYS RD STANTON, CA 9680 Phone: 714499-4661 Code Edit: Type of Construction: Occupancy Group: No of Stories: Use Zone: Bldg Height: Contractor: GREEN WAVE ELECTRICAL Address: 7471 PALAIS RD STANTON CA 90680 Phone: 714-319-8474 Con State Lie: 1003996 Lie Expire: 03/31/2022 Bus Lie: BT30073290 Lie Exp Date: 10131/2021 2019 Worker's Compensation Insurance V-B Carrier: STATE COMP B Policy No: 9265303 1 Expire: 10/11/2021 Building Setbacks Rear: Front: 0 Left: Right: IIIIIIPII�II2��u���Il�u��I�V���III II Project No : 0882-2020 Issued Date : 10/21/2020 I PEC1® Architect: Address: oo••m• e Phone: State Lie: `l••• Engineer: VINCI RICHARD JAMES '' Address: 175 E WILBUR RD #103 THOUSAND OAKS CA 91360 m m m Phone: 805-496-2100 State Lic:S-004411 Designer: Address: ° Phone: o• e m m m ELECTRICALMETALLIC TUB1110° ° (EMT) IS NOTALLOWEU FOR EXTERIOIJ APPLICN1EO' jS Building Permit Fee $680.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fee : $420.00 Record Management (Plans) : $0.00 TOTAL FEE : $1,000.00 Plan Check Fee: $420.00 Fee Due at Permit Issuance : $580.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: �/ PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: PERMITS EXPIRE 188 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. • o e•ueo 0 0 e••oo m memoo ommm¢o m m o m o ememeo 0 0 emm. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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 the 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 Professions 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 not more than five hundred dollars ($500). .11 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). ❑ I, as owner of 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature tlplop l 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 sell a structure that I have 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 ircfessions Code. Is.auailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html. 5lgnaturO of ProDgay 9l4ner or Authorized Agent Date L jef NgED CONJRACTOR'S DECLARATION 141ereby affirm under pe. alty of perjury that I am licensed under provisions of Chapter 9 (commencing ith ection 7000) of Division 3 of the Business P f ssio s Code, and my license is in full force and effect. ZoZ O Qc6lip Class " ' License No Date Contractor Signature WORKERS' CCWPENSATION DECLARATION WARNIN : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU QNO DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ...... Iilreneby of iirm uederpee alty of perjury one of the following declarations: Cyl,bave and wiMmaiRtain 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 IN Er r"Ace of thO V&%for which this permit is issued. Policy No. .. ave and will.ma.intain 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 sur ce carrier and policy number are: - 'vier Policy Number Expiration Date TIe of Agent Phone # certify that, in the p rmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrer t, if I should becom 'ect to t e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date V ^ ✓�'� �' CLARATION At DIN UCTION LENDING AGENCY :reby affirm under penalty of perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ' Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am.the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and coun q�0 rnanc s and state laws relating to building construction. I authorize representatives of this city or count en�t r e eve -identified property for inspection purposes. ���(((''' p 1 M n (t. / nature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's Na �i r 11V ' ` `U -k a ACTION DATE - B DECLA TlONOFCOMPLIANCEWITNCO➢EOF - FOR OFFICE USEONt FEDERAL REGULATIONS PART 61 OF FITL.E40 AND AQMDRULE1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQM➢ PERMfTCAIVCELLED P€RMITEXTENDED PROPOSED DEMOLITION. UONIS NOT APPLICABLE TO PERMITFINAL (- I/ ' p 1 F4 Aov_ GS CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: