HomeMy WebLinkAboutPV2019-026 - PermitsCity of Newport Beach -Building Divistion
SOLAR Permit: PV2019-026
*PV2019-026*
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PO Box 1768 Newport Beach, California 92658-8915
Permit Counter Telephone (949)644-3288
n -Project No : 0394-2019
Inspection Requests7Telephone (949)644-3255
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Job Address: 2300 PORT CARLISLE PL NB
- Issued Date :
02120/2019.
-. Description:SFR - SOLAR VOLTAIC 7.08kW24 PANELS & ELEC UPGRADE
Inspector Area: 4 ,Legal
Desc.:. N TR 7845 LOT 64
Owner DEBBASH BERNARD
Contractor:
ESP CONTRACTING Architect:' -
Address: 2300 PORT CARLISLE PIL
- Address:
-. 970 W I90TH ST #215 ". Address:
NEWPORT BEACH, CA 92660
TORRANCE CA 90502
Phone: 949-310.7148
Phone:
310-904-6139 Phone: State Lie:
Applicant: ROSALES MAXIMUS
Con State Lie:
619149 Engineer: MCPHERSON RYAN JAMES
- Address: 970W 190TH ST
Lie Expire:1113012019
Address: 6169 SUNNY CIR
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TORRANCE CA 90502
Bus Lie:
BT30066145 MIRA LOMA CA 91752
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Phone 818.970-263
Lie Exp Date:
0212912020 Phone: 909-569-2244 State Li¢C-082088 0 ° ° - ° •
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Code Edit: 2016
Worker's Compensation Insurance Designer.
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.Type of Construction. VB
Carrier.
-
STATE COMP Address:.
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Occupancy Group: - R31U
Policy No:
.9152657
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No of Stories: 1
Expire:
02/11/2020 Phone:
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Building Setbacks
Rear.
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Use Zone: '
Front
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Bldg Height: - 0.
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Valutaion $42,480.00
Building Permit Fee $240.00
..Record Management (8 112 X 11)
$0.00
'Plan Check Fee : $210.00
: : Record Management (Plans)
$0.00.
TOTA,LF9i : $450. 0
Plan Check Fee: $0.00 Fee Due at Permit Issuance :
$450.00
PROCESSED BY:
PUBLIC WORKS APPR VA
ZONING APPROVAL:
PLAN CHECK BY:
". GRADING APPROVAL:.
'APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE ORLAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 8315.2
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IWNER-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)
lection 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,
usiness 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
nproved 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 am exempt from licensure under the Contractors' State License Law for the following reason:
y. 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, 1 cannot Iegallt
all 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.
ignature of Property Owner or Authorized Agent Date
ICENSED C0JffRAjNTOR'S DECLARATION
lereby lffirm und'arptnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with §actign 7000) of Division 3 of the Business and Professions Code, and my license is in full force
ad effec@.
cense Class 7 L/ I-r License No �/S Date Contractor Signature
ZRARS' COMPENSATION DECLARATION
ARNING: FAILURE TO SEQllRE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE allNDRED THOUS 0 LARS ($700,000), IN ADDITION TO THE
Q91�OFCOMPENSATION;DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
leretryaffirm un der penalty of perjury one of the following declarations:
1•I•Fiave and %44Teinlain 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
4 tJnce of the pork for which this permit is issued. Policy No.
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hav •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' compensatiol
Policy Number y� �i Expiration Date X14/ AZA(
Phone #
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
It, if I should become subject to the orkeIII rs' com ensan provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ///���
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:CLARATION REGAROWCOWWUCTgWLENDING AGENCY
sreby affirm under pe^ of penTiry t4siMere is a construction lending agency for the performance of the work for which this permit. is issued (Section 3097, Civil 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.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city oM90 my t to vg= fle 'fled property for inspection Property
onpurposes.
Own
(nature of Property Owner or Authorized A en %' Print Pro art Owner's or Authorized Agent's Name" ]�/ iKi� /�. — n�`a"Ce"
ACTION DATE _ GTf� �� DECLARATION OF COMPLIANCEIYITH CODE OF- FOROFFICEUSEONLY
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