HomeMy WebLinkAboutPV2019-138 - Permits$ 1w City of Newport Beach - Building Divistion
SOLAR Permit: PV2019-138
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k ' v PO Box 1768 Newport Beach, California 92658-8915
Permit Counter Telephone (949)644-3288
Inspection Requests(relephone (949)644-3255
Project No: 2277-2019
Job Address: 65. CAPE ANDOVER NB
Issued Date
Description:SFR SOLAR PHOTOVOLTAIC 6.kw (20) ROOF MOUNTED PANELS
Inspector Area: 3
Legal Desc.: N TR 15012 LOT 39
-
.Owner: CHAMBERSILAUCHLAN
Contractor:
EFFECT ENERGY INC
Architect:
Address: 65 CAPE ANDOVER
Address:
1007 W GROVE AVE STE D
Address:
NEWPORT BEACH, CA 92660
ORANGE CA 92865
Phone:
Phone:
310-972-8277
Phone:
State Lie:
Applicant: BRAWER BRAEDON
Con State Lie:
1014270
Engineer:
MARTIN LOYD
cc
Address: 4245 E MASSACHUSETTS ST
Lie Expire:
05/31/2020
Address:
2510 W 237TH ST #206
LONG BEACH CA 90814
Bus Lie:
BT30064587
TORRANCE CA 90505
Phone: 562.619-1141
Lie Exp Date:
09/3012020
Phone:
3101634-1776 State Lic:C-058724
Code Edit : 2016
Worker's Compensation Insurance
Designer:
SUNNY
1
Type of Construction: VB
Carrier:
STATE FUND
Address:
1007 W GROVE AVE
`J
Occupancy Group: R3/U
Policy No:
9220722 -
ORANGE CA 92865
UA
No of Stories: 0
Expire:
11/01/2019
Phone:
310-972-8277
Building Setbacks
Rear:
d^1
Use Zone,
Front:
vi
Bldg Height: 0
Left:
Right:
Valutaion: $36,000.00
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 : $0.00 Fee Due at Permit Issuance : $450.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Q' W O ! ee lue
PERMITS EXPIRE 180 DA YS AFTER /SSUA1dCE &R &AST VAUD INSPECTION.
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INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE. DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 .
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)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 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 do (_) all of or U 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).
1, 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 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.htm].
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 Professions Code, and my license is in full force
effect.
is .0 dy L Contractor Si
icense Class License No Date gnature
YORKERS' 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 OOLLARS (5'100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3108 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
i ve 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,
rmance of the work for which this permit is issued. Policy No.
have and Lrvklltnaintain 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'
Date
of
I 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 agre
t, if I should become _ uuAect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,
nature of Applicant N 1,7. Date 101161 f Y
CLARATION REGPf7DING CONSTRUCTION LENDING AGENCY
Dreby affirm under plemalty 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)
rder'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 state laws relating to building construction.
I authorize representatives of this city or cout to enter the above -identified property for inspection purposes. h
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name,
ACTION DATE
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