HomeMy WebLinkAboutPV2018-074 - Permits (3)City of Newport Beach - Building Divistion
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PO Box 1768 Newport Beach, California 92658-8915
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Job Address: 15 CRESTWOOD DR NB
Description:SFR - SOLAR VOLTAIC 26 PANELS 7.67 kW
Inspector Area: 4 Legal De
Owner: NGUYEN TOM
Address: 15 CRESTWOOD DR
NEWPORT BEACH, CA 92660
Phone: 714-330-4738
Applicant: YE BOBBY
Address: 3080 12TH ST
RIVERSIDE CA 92507
Phone: 951-300-0773
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R3/U
No of Stories: 2
Use Zone.
Bldg Height: 0
Building Permit Fee $240.00
Plan Check Fee : $210.00
TOTAL FEE : $450.00
PROCESSED BY:
ZONING APPROVAL:
SOLAR Permit: PV2018-074
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
c.: N TR 9860 LOT 31
Contractor:
SOLARMAX RENEWABLE ENERGY
Architect:
Address:
3080 12TH ST
Address:
RIVERSIDE CA 92607
Phone:
951-300-0768
Phone:
Con State Lic:
972048
Engineer:
Lic Expire:
0413012020
Address:
Bus Lic:
BT30063779
Lic Exp Date:
0713112019
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
STATE COMP
Address:
Policy No:
9070313
Expire:
0410112019
Phone:
Building Setbacks
Rear:
Front:
Left:
Right:
Plan Check Fee : $0.00
PUBLIC WORKS
PLAN CHECK BY
GRADING APPROVAL: APPROVAL TO I:
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Project No : 1622-2018
Issued Date : 07/1012018
TOR
State Lic:
State Lic:
YE BOBBY
3080 12TH ST
RIVERSIDE CA 92507
951-300-0773
Record Management (81/2 X 11)
Record Management (Plans) :
Fee Due at Permit Issuance
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
$450.00
OWNER -BUILDER DECLARATION
1 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
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).
❑ I, 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 far 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
improverpepts 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).
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
apply to an owner of property who butdae or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 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 one year prior to completion of the improvements covered by this permit, I cannot legalh
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
rr]`33zbns Coee, is svailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Prep=rty Owner or Authorized Agent Date
I ICENRED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of erjury that I am licensed under provisions of Chapter 9 (commencing w h Section 700 of ivision 3 of the Business and Professions Code, and my license is in full force
arJ effact p y=Q 0_e�
I icer„� Class O+ C l License No 7 ! Y' Date Contractor Signature
"Z;FKERS'C0MPENI6ATION DECLARATION
l.l.I.LAj: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDR O THOUSAND 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.
neieby'affirm Under penalty of perjury one of the following declarations:
' 'tree 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
6ef ante of !tie worts for which this permit is issued. Policy No.
d.ff ha a and will maintain workers' compensatien insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
nsur ce c rrier— n�olicy ber are: /� +� 2 �e ,
rrier ��� _ Policy Number 1�/ a✓l��/� Expiration Date �-r`' (��
Name of Agent Phone #
certify that, in the performance of theork fqr 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,
, if I should become subject to the workwe ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �}
iature of Applicant%O
)reby 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).
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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the ove-identified property for inspection purposes.
nature of Property Owner or Authorized Agent _ — Print Property Owner's or Authorized Agent's Name
r > >
ACTION
DATE
C RY
DECLARATION OF COMPLIANCE IMTH CODE OF
IFOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITL.E40AND
AQMO RULE 1403.
PERMiTEXPIRED
❑ I SLIBMITTEDASBESTOS AmTdFICATION TOE
❑ EPA
❑ AQMD
PERMtTCANCELLED
PERMIT EXTENDED
❑ ASB P €STOS NORCATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
SIGNATURE"