HomeMy WebLinkAboutPV2018-097 - Permits (4)ahoFr City of Newport Beach - Building Divistion
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I- PO Box 1768 Newport Beach, California 92658-8915
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SOLAR Permit: PV2018-097
Permit Counter Telephone (949)644-3288
Inspection RequestsrTelephone (949)644-3255
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Project No : 1964-2018
Job Address: 2639 BLACKTHORN ST NB
Issued Date : 08120/2018
Description:SFR SOLAR 6.67kw (23) ROOF MOUNTED
PANELS
Inspector Area: 8
Legal Desc.: N TR 4892 LOT 70
Owner: REID SHAUNIMANALO DANIELLE
Contractor:
SUNRUN INSTALLATION SERV
Architect:,F
Address: 2639 BLACKTHORN ST
Address:
775 FIERO LANE #200
Address:
&air+'-�''a�
NEWPORT BEACH, CA 92660
SAN LUIS OBISPO, CA 93401{E-'.:.�
Phone:
Phone:
888-657-6527
Phone:
State Lie:
Applicant: KARESSAISUNRUN
Con State Lie:
750184
Engineer:
LOPEZ SAGE
Address: 20512 CRESCENT BAY
Lie Expire:
0613012020
Address:
133 TECHNOLOGY WAY
LAKE FOREST CA 92630
Bus Lie:
BT30049205
IRVINE CA 92618
Phone: 949-609-9895
Lie Exp Date:
0313112019
Phone:
949-3863-0993 State Lic:C-075870
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
ZURICH AMERICAN INS CO
Address:
Occupancy Group: R31U
Policy No:
WC013696003
No of Stories: 2
Expire:
101011,2018
Phone:
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Valutaion -. $40,020.00
Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00
Plan Check Fee : $210.00 Record Management (Plans) $0.00
TOTAL FEE: $450.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $450.00
PROCESSED BY: s - PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: / lJ
GRADING APPROVAL: APPROVAL TO ISSUE: Vry
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKF 4NR CARRON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
LDER 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
IS 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 d0 U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
mproved for the purpose of sale).
1 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
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:
ly1my 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 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICIENSED CONTRACTOR'S DECLARATION
herglay affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing withSection
77000) of Division 3 of the Business and Professions Code, a my license is in full force
sic eTfect. Cl ScJ b `'` Date g I
ind di a Class i G� (] License No (" l ' Contractor Si nature
VORKERS' COMPENSATION DECLARATION
IARNING:,FAILU6E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 th
iirformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier aTvipgpcy number ere
Date
of Agent
certify that, in the performance of the work for yl6kch 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 agree
t, if I should becom s bje t to the workers' co pe sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. „ C
nature of Applicant Da, (
Cl ARATION REG DING CONSIRUCTION LENDING AGENCY
ereby affirm under Denalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
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 sta relating to building construction.
I authorize representatives of this city or count t e e a ve-idenKiegdpApedy for inspection purposes. �. A/
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's M
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FEDERAL REGULATIONS PART 61 OF TIILE40 AND _
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PERMIT EXPIRED
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