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Home My WebLink AboutPV2021-215 - Permits�µy,ry� City of Newport Beach - Building Divistion SOLAR Permit : PV2021-215 `PV2021-215' s i.:n PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 s� 1ek � Inspection Requests/Teiephone (949)644-3255 Project No : 2584-2021 �'��rrlitiN�a. Job Address: 4801 SURREY DR NB Descripticn:SFR ROOF MOUNTED SOLAR 3.6 KW (10) PANELS (X2021-0565) �4r�, r Issued Date : 12/0212021 Inspector Area: 5 Legal Desc.: N TR 3519 LOT 43 Owner: OUZOUNIAN NOUBAR/TRACY Contractor: DEPINHO ROOFING INC Architect: Address: 453 SEAWARD RD Address: 2832 N OLIVE AVE Address: CORONA DEL DEL MAR, CA 92625 ORANGE CA 92865 ,q ''_ ,,..)IS NOT AL.LOVVC�1^ P 47 Phone: Phone: 714-632-7663 Phone: State Lie: Applicant: KOEPP GUILHERME Can State Lic: 683894 Engineer: ,s1 EXTERIOR APPL`C I t)j' A. ^ Address: 2832 N OLIVE AVE Lie Expire: 0212812022 Address: ° - ORANGE CA 92865 Bus Lie: BT30009054 Phone: 9511281-9557 Lie Exp Date: 05/31/2022 Phone: State Lie: - Code Edit: 2019 Worker's Compensation Insurance Designer: KOEPP GUILHERME ° ° ° Type of Construction: V-B-SPR Carrier: TRANSVERSE INS Address: 2832 N OLIVE AVE Occupancy Group: R3/U Policy No: FORWC0000000140 ORANGE CA 92865 No of Stories: 1 Expire: 12/1412021 Phone: Building Setbacks Rear: e oc Use Zone: Front Bldg Height: 0 Left: - Right: Valutaion : $21,600.00 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 )WNER-BUILDER DECLARATION 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 ie 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 'rofessions 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 of 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 L) 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 nproved for the purpose of sale). 1, 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 pply to an owner of property 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 from Iicensure under the Contractors' State License Law for the following reason: ly my signatur_ belcw 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 Iegall) ell 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 'rofe:.sions Code, is available upon request when this application is submitted of at the following Web site:http://www.leginfo.ca.gov/calaw.html. Iigna'ure of fropurty-Owner or Authorized Agent Date .ICFNSED CONTRACTOR'S DECLARATION UPr?Dy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions de, and qyy-license is in full force not effect. .enE3 Class License No Dateq Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE rO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Os rOF COMPENSPTION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he,ebv affirm under renalty of perjury one of the following declarations: I have and wl1 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 th erfWmance of :.`le wc,k for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance Of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number of Agent Date I certify that, in the performance 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 agre hat, if I should becomerssuubject to� thhe�w�orkers' co pL�sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � � / � Signature of Applicant /� / i' �� Datkl C. / GZ21 )ECLARATION REGA DIN C STRUCTION LENDING AGENCY — 7 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 ty 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or count o enter t e- bovi Ified pro erty for inspection purposes. tp� // /- II / Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name'X C v, l GL £JZ.� ACTION DATE BY DECLARATION OF COMPLIANCE LNITN COOEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 6f OF 77TLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ I SUBMITTEDASBESTOS N071FICATION TOt ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENOEO ESTOS NOTIFICA71ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOf SIGNATURE: OCCUPANCYISSUED