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HomeMy WebLinkAboutPV2019-096 - PermitsCity of Newport Beach - Building Divistion PO Box 1768 Newport Beach, California 92658-8915 v, SOLAR Permit: PV2019-096 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 5201 LIDO SANDS DR NB Description:SFR SOLAR PV SYSTEM, 22 PANELS (7.26 KW) Inspector Area: 3 Legal Desc.: N TR 3162 LOT 69 Owner: MITCHELL NANCY Contractor: SOLAR OPTIMUM INC Architect: Address: 5201 LIDO SANDS DR Address: 501 WEST GLENOAKS BLVD #555 Address: NEWPORT BEACH, CA GLENDALE, CA 91202 IIIlliiiiiiliiiii91111 Project No : 1676-2019 Issued Date : 09113/2019 Phone: Phone: (818) 804-3122 Phone: State Lic: Applicant: FARHADIAN DRO Con State Lic: 972228 Engineer: MARTIN LOYD Address: 501 W GLENOAKS BLVD #555 Lic Expire: 04/30/2020 Address: 2510 W 237TH ST #206 GLENDALE CA 91202 Bus Lic: BT30063269 TORRANCE CA 90505 Phone: 818-804-3122 Lic Exp Date: 05/31/2020 Phone: 4553,4;l& r r,Sj�t� �y®��q� NOISE Code Edit : 2016 Worker's Compensation Insurance Designer: (� (� i�j ¢�. 4J Type of Construction: V -B Carrier: STATE COMP Address: Occupancy Group: R3/U Policy No: 9013440 No of Stories: 1 Expire: 05/18/2020 Phone: ON THE WEEIKEN® Building Setbacks Rear,. ELECTRICAL METALLIC TUBING Use Zone: Front Bldg Height: 0 Left: eEMT) IS NOT ALLOWED FOR °mmmm° Right: o 0 o om 000000 L:XTERIOR APPLICATIONS °°m°°° ° m 00 Valutaion : $43,560.00 moomeo 0 0 Building Permit Fee $240.00 Record Management (81/2X11) ° $0,00 Plan Check Fee : $210.00 Record Management (Plans) o0$0.oq TOTAL FEE: $450.00 Plan Check Fee: $210.00 Fee Due at Permit Issuance : $240.00 oom000 ° o m o m oeom PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: �T Q PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: (IA it PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 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 ie 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 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 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 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 n roved 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 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 I 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 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. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed underprovisions of Chapter 9 (commencing th Section 7000) of Division 3 of the us J w iness and re essions Code, and my license is in full force and effect. � .!cense Class Q License No \ I �1 d� D �"e 0 J Contrac Signature / _ VORKERS' COMPENSATION DECLARATION IARNING: 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 '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: 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 thr ance of the work for which this permit is issued. Policy No. .... I e and wlLmaiOfain 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 L?r carrier aq�d p�yl,ic4y number are: ier' '_-7J ""� :,r.� Policy Number "101,3 �P`YJ Expiration Date FJ�/�� lame Sf.Agent Phone # I ceT�ify that, in pe ormance 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 work rs' compensation laws of California, and agrer natt if Should co ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -n'I j tigaatwre �I' e hh�ej�b�Vp ffirm 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). (render sName . . Lender's Address Ay my slgnaturLP6dILV,: certify to each of the following: 1 am the propP,lty oWner or authorized to act on the property owner's behalf. *M%ve read14% Dpolication and the information ave provided is correct. I agree to comply with all applicable city and u ty ordinances and state laws relating to building construction. I authorize representatives of this city or c ty t en r the above -identified property for inspection purposes. Signature of Property Owner or Authorized t Print Property Owner's or Authorized Age, me t� Date l ACRON I DATE ' I BY CERTIRCATEOF OCCDPANCYISSUED OFTITLE40AND ❑ iSUBMfTFEDASBESTOSNOTIFiCATIONTO: EPA AQMD ❑ ASBESTOS NORFICAAONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: v n § ] \ \ \ / ° E< , / 3 / V �� \ ƒ . 7 E \\ C. g g / E & y _ � ] m < ƒ \ C) 0 7 \ ) % - _ : <2 7. z rD ; % (rD k \ \\ 0 /lu rD M \�� } cu = E m / \ % 2 a + \ / 2 © }7 #� ` / -gym» ) \ / \ \ . 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