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HomeMy WebLinkAboutPV2018-097 - Permits (4)ahoFr City of Newport Beach - Building Divistion 0 I- PO Box 1768 Newport Beach, California 92658-8915 > = SOLAR Permit: PV2018-097 Permit Counter Telephone (949)644-3288 Inspection RequestsrTelephone (949)644-3255 IIIIIIIIIIIIIIIIIIIIIIIIIIII 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 _ AQMD RULE 1403- PERMIT EXPIRED ISUBMITTED ASBESTOS NC,Th-IC4C1ON TO, ❑ EPA ❑ AOMIO PERMfTCANCELLED PERMITEXTENDED OPDSESTOSMDEMO7 ICAIION/S NOT APPLICABLE TO R� SIYATU T�—� PERMIT FINAL j 6 ) q CER77FICATEOF OCCUPANCYISSUED Civil Code).