HomeMy WebLinkAboutPV2019-076 - Permits,, City of Newport Beach -Building Divistion
PO Box 1768 Newport Beach, California 92658-8915
9Inspection
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SOLAR Permit: PV2019-076
Permit Counter Telephone (949)644-3288
Requests/Telephone (949)644-3255
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Project No :1327-2019
Job Address: 718 GOLDENROD AVE NB
Issued Date: 0 611 312 01 9
Description:SFR SOLAR PHOTOVOLTAIC 9 PANELS 2.61 kw
Inspector Area: 4
Legal Desc.: CORONA DEL MAR ELK 734 LOT 18
Owner: NIKHIL SIRISH PAKVASA
Contractor:
SUNRUN INSTALLATION SERV
Architect:
Address: 716 GOLDENROD AVE
Address:
775 FIERO LANE #200
Address:
NEWPORT BEACH, CA 92625
SAN LUIS OBISPO, CA 93401
x
Phone:
Phone:
888.657.6627
Phone:
State Lie:>"
Applicant: STANTON DEANA
Con State Lie:
750184.
Engineer:
Address: 20612 CRESCENT BAY #108
Lie Expire:
06/3012020
Address:
M
LAKE FOREST, CA 92630
Bus Lie:
BT30066837
Phone:: 949-460.3433
Lie Exp Date:
04130/2020
Phone:
State Lie:
Code Edit : 2016
Worker's Compensation Insurance
Designer'
BRANDON NGUYEN
Type of Construction: V -B
Carrier:.
ZURICH AMERICAN INS CO
Address:
20512 CRESCENT BAY #106
Occupancy Group: R3/U
Policy No:
WC013696003
LAKE FOREST, CA 92630
No of Stories: 2
Expire:
10/0112019
Phone:
Building Setbacks
Rear:
-
Use Zone:
Front:
Bldg Haight: 0
Left:
Right:
Valutaion : $15,660.00
Building Permit Fee $240.00 Record Management (6 1/2 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: . . APPR014AL TOJWR,UF',
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARSON MONOXIDE DFFECT.ORS ARE EXISTW.G EFR CRCR 314.1 & 315.2
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OWNER -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 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 legall)
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/calaw.htmi.
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 Businessan�fessiq ,and my license is in full force
and effect. ,�� // _ � ,(l
License Class License No Date`](- Contractor Signatur �r
WORKERS' COMPENSATION DECLARATION 7 `
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.
hereby affirm under penalty of perjury one of the following declarations:
111 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
pejprmance of the work for which this permit is issued. Policy No.
Z11 have and will al aln 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' compensatioi
insurance carrier anLIpoVcy number] -
Date
is of Agent " v rnone a
certify that, in the performance of the work for which this ermit 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D.
nature of Applicar........_.-...-_.-.... �.,.....,. ...�.,...,�
hereby 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).
ender's Name Lender's Address
iy 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 c rrect.
I agree to comply with all applicable city and county ordina ddis a state laws relating to building construction.
I authorize representatives of this city or county to a er t IS a -ide ' sed property for inspection purposes.
signature of Property Owner or Authorized Agent ' Print Property Owner's or Authorized Agent's Name O
AC77ON I DATE
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