HomeMy WebLinkAboutPV2019-148 - Permitsnwera�;, City of Newport Beach - Building Divistion
PO Box 1768 Newport Beach, California 92658-8915
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Job Address: 16 ROCKY POINT RD NB
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 37 PANELS 10 kw
Inspector Area: 4
Owner: LANGE ALISHA & BILL
Address: 16 ROCKY POINT RD
CORONA DEL MAR CA 92625
Phone:
Applicant:
ROMERO NYDIA
Address:
202 S LAKE AVE STE 300
Occupancy Group:
PASADENA, CA 91101
Phone:
626.851-0008
Code Edit:
2016
Type of Construction:
V -B -SPR
Occupancy Group:
R3/U
No of Stories:
2
Use Zone:
Bldg Height: 0
Legal Desc.: N TR 7386 LOT 87
SOLAR Permit: PV2019-148
Permit Counter Telephone (949)644-3288
Inspection Requests/ Telephone (949)644-3255
Contractor:
MARC ELECTRIC
Address:
6309 LINDELL AVENUE
PICO RIVERA CA 90660
Phone:
626.831-3199
Con State Lie:
922591
Lie Expire:
09/30/2020
Bus Lie:
BT30069933
Lie Exp Date:
11/3012020
Worker's Compensation Insurance
Carrier:
STATE COMP. INS
Policy No:
9133252
Expire:
05/2612020
Building Setbacks Rear:
Front:
Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
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Project No : 2389-2019
Date : 11/25/2019
State Lic:
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(EN117 IS NOT ALLOWCD VOR
EXTER90Ft APPLICATIONS
I PEC -TOR
Valutaion: $60,000.00
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: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: , PLAN CHECK BY:
GRADING APPROVAL: .o• •o• oo•
APPROVAL TO ISSUE:
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0 o moa °o 0
PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VER1FoY,SM,OKEAND..CARBONWGNOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 A 315.2
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DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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 for 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
improvements 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).
❑ 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
apply 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).
❑ 1 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 legally
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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/ca[aw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I 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 Prof sie,� ons Code, and my license is in full force
and effect.
License Class License No Dat 2- Contractor SignaturA
WORKERS' COMPENSATION DECLARATION L7T— 11
NARNING: 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 ($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.
Ihereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 the
s@rfpnnance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
me of Agent —rnone 1;
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 agree
I, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of ApplicanQ Date
CLARATION REGKROfNG CONSTRUCTION LENDING AGENCY
areby 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, Civ 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.
Iagree to comply with all applicable city and county ordinances and state laws relating to building construction. t
I authorize representatives of this city or countyenter t - e abov dentified property for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY UZLLArc JFIsrr Vr wmruAIVa. rnr, n 1.Ur
FEDERAL REGULATIONS P4ZRT(iTITH40AND .� •,•
/ AQMDRULE1403.
PERMITEXPLRED ❑ I SUBMITTED ASBESTOS NQ1:F1CATIQ&TO:.
PERMfT CANCELLED ❑ EPA
PERW EXTENDED ❑ AQMD
El ASBESTOS NOTIRrA71ONIS NOTAPPLICABLE TO
PERMIT FINAL PROPOSED DEMOLITION. • ; • • • • • • • • • • • .
• . • • . .
CCCUPAATEOF SIGNATURE.
OCCUPANCYISSUED •.• •• ••• : :._ __•
Date
USEONLY