HomeMy WebLinkAboutPV2019-120 - Permits.1 City of Newport Beach - Building Divistion
SOLAR Permit: PV2019-120 IIIIIIII�IIII'IIIIIIIII�IIIIIIII
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' -PO Box 1768 Newport Beach, California 92658-8915
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Permit Counter Telephone (949)644-3288
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Inspection Requests/Telephone (949)644-3255
Project No i 2074-2019
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Job Address: 119 41ST ST NB
Issued Date'. 1011412019
Description:SFR SOLAR PV SYSTEM. 32 MODULES 11.20 KW
Inspector Area: 1.
Legal Desc.:
Owner: TAYLOR PAUL
Contractor:
PEAK POWER SOLUTIONS INC Architect:
Address: 119 41ST ST
Address:
151KALMUS DR #L2 Address:
' NEWPORT BEACH CA 92663.
COSTA MESA CA 92626
Phone:
Phone:
800-265-6357 Phone: State Lic:
Applicant: I TOOMAY SEAN
Con State Lic:
973253 -.. .Engineer: VINCI RICHARD JAMES
Address: 151 KALMUS DR
Lic. Expire:..
05/3112020 Address:. 175 E WILBUR RD #103
- COSTA MESA CA 92626 Bus Lic:
BT30063975 THOUSAND OAKS CA 91360
Phone:
Lic Exp Date:.
02/28/2020 Phone: 805-496-2100 State Lic:S-004411
Code Edit: 2016
Worker's Compensation Insurance Designer. -
Type of Construction: V-B
Carrier:
STATE FUND Address:
Occupancy Group: R31U
Policy No:
9204002
No of Stories: 2
Expire:
02101/2020 Phone:
Building Setbacks
Rear:
Use Zone:
Front:.
Bldg Height: 0
Left:
Right
INSPECTOR
Valutaion: $30,000.00
Building Permit Fee
.$240.00
Record Management (8 1/2X 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:
- PUBLIC WORKS APPROVAL:
MIry
ZONING APPROVAL:
PLAN CHECK. BY:
GRADING APPROVAL:
APPROVAL TO ISSUEoc•
e® epe
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
-
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE E)(ISVNG•PF•R CRCR 314.1 & 315.2
cc. oc o c 'o • -
)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.ffl%_m(sj',
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
he 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
Irofessions 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
at 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 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
Tiprovements 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 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 doe* Iwt
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).
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 impro ants covered by t s 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 applica I�i law, Section 7044 f the Business and
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent / Date
.ICENSED CONTRACTOR'S DECLARATION
hereby 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 Pro ssions Code, In, my license is in full force
nd effect. �)/ > �— f
!cense Class License No v( � / 5 Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (00,0001, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 thr
mance of the work for which this permit is issued. Policy No.
fve 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' compensatior
nce carrier an III
oAlic.y number are:
.r (�-L Policy Number �'%Db Q Expiration Date
I of Agent Phone #
certify that, in the performance �4the work for whichllthis 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
if I should become subject tot workers' compen ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iignature of Applican WW G�_
IECLARATION REGAR CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lendir
Ender's Name i
ly my signature below, I certify to each of the followin :
I am the property owner or authorized to act on th property owner's
I have read this application and the information 1 hfive provided is cc
I agree to comply with all applicable city and countVordinances and'
I authorize representatives of this city or county tot nter the above -
of Property Owner or Authorized Agent 1I/ V,
ACTION GATE t
PERMITEXPIRED
CERTIFICATE OE
Dte D�l�-11
for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_ Lenders Address
3 to building construction.
for inspection purposes. r
_ Print Property Owner's or Authorized Agent's Nam 0 Date
Q lrrh fiTIrASBESTOS ND77FICATfON TO.
[] AQMB
El ASBESTOS NOTIFICATIONIS NOT APPUCABLE TO
PROPOSEDDEMOLITION.
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