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Home My WebLink AboutPV2021-243 - Permitso City of Newport Beach - Building Divistion y •,'. PO Box 1768 Newport Beach, California 92658-8915 V Job Address: 80 LINDA ISLE NB Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 21 PANELS 7.14 kw Inspector Area: 2 Legal Desc.: N TR 4003 LOT 80 O FA SOLAR Permit: PV2021-243 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 wner. NTICOLA CHRISTIAN Contractor: INTEGRATED ENERGY SYSTEMS CA INC Address: 1422 EDINGER AVE Address: 747 N MAIN STREET Address: TUSTIN CA 92780 ORANGE CA 92868 Phone: 9491400-8777 Phone: 714-771-9098 Phone: Applicant: MELLUSI SCOTT Con State Lic: 925513 Engineer: Address: 747 N MAIN ST Lic Expire: 12131/2022 Address: ORANGE, CA 92868 Bus Lic: BT30077288 Phone: 949-295-5896 Lic Exp Date: 11/30/2022 Phone: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-BSPR Carrier: ZURICH Address: Occupancy Group: R3/U Policy No: WC256577302 No of Stories: 2 Expire: 01/01/2023 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion : $4 Building Permit Fee Plan Check Fee : $240.00 $210.00 II TOTAL FEE: $450.00 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $210.00 III�PuV 2I�I0 2I2I�I43IIIIIII Project No : 2808-2021 Issued Date : 03/17/2022 `L Architect: § `• i -- State Lic: ¢ o TRUONG PHONG •° ¢ s a0°PUo 20754 TIMBERLINE LN WALNUT CA 91789 949-254-2751 State Lic:C-070784 MELLUSI SCOTT ¢®¢ • ¢ ° ° O0 ' 747NMAIN ST • ¢ °°°°° ORANGE, CA 92868 949-295-5896 ° ¢ ¢¢ ¢ °¢ Record Management (8 1/2 X 11) Record Management (Plans) : Fee Due at Permit Issuance 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 $0.00 $0.00 $240.00 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throe improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section A apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least o sell a structure JtW I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Cp�V,i5 available upon request when this application is submitted or at the following Web site:http://www.1, S90 ature of Property Owner or Authorized Agent LICENSEdCOf1"GRACTOR'S DECLARATION I hereby affirm unr%r penalty of perjury that I am licensed under provisions of Chapter 9 (commencin wit Section 700 License No Date J �IIZKERS' COMPENSATION DECLARATION ° %NING: FAIVRf."SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ST.OF COMQWSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. $reby affirm ynder penalty of perjury one of the following declarations: �I-have ant[ vv(�iP. rlaintain a certificate of consent to self -insure for workers' compensation, issued by the Dire fiorr - ®fie work for which this permit is issued. Policy No. K Rave arld*wig%aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for nnc c r antl policy number are: mer �e ✓y't'� ✓� �n S.L'.^A�@—P Policy Number me of Agent I certify that, in the performs a of the work for which this permit is issued, I shall not employ any person in any it, if I should becom sub �o �0 f p sat' provisions of Section 3700 of the Labor Code, I shall Inatu re of AppllCan �— the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the pletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). e year prior to completion of the improvements covered by this permit, 1 cannot understand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business Contractor and my license is in full force TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the wor ers' compensation Iqws of California, and agre h comply with those provisions. X. 710S n , D )ECLARATION REC4110MG-CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name Lender's Address iy 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. v I have read this application and the information I have rovided is correct. I agree to comply with all applicable city and co my s and state laws relating to building construction. I authorize representatives of this city or co t tI ter ov '?eyGfia property for inspection purposes. ;ionature of Prooertv Owner or Authorized Agent Print Property Owner's or, Authorized Agent's Name zh�DaLl- y AC77ON DATE BY - DECLARATION OF COMPLIANCE RT MTH CODE OF DEDERRATIONAL FCOM COMPLIANCE 1 OF T17LE40 AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA El AQMD' ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE US€ONLY ' PERMlT EXPIRED PERMIT CANCELLED PERMLTEXTENOEt7 PERMITFRVAL i %/ CERTIFICATE OF OCCUPANC9ISSUED