HomeMy WebLinkAboutPV2019-080 - PermitsCity of Newport Beach -Building Divistion
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H y f PO Box 1768 Newport Beach, California 92658-8915
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SOLAR Permit: PV2019-080
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Job Address: 2715 WINDOVER DR NB
Description:SFR PV SOLAR SYSTEM. 9.9 KW,
30 PANELS. 1 INVERTER
State Lib:'-"
Inspector Area: 4
Legal Desc.: N TR 6113 LOT 39
Owner: DUSCHANSKY SCOTT
Contractor:
BRIGHT LIFE REMODELING
Address: 2715 WINDOVER DR
` Address:
933 NEWHALL ST
CORONA DEL MAR, CA 92625
COSTA MESA CA 92627
Phone:
Phone:
908489-3911
Applicant: MEYERS SEAN
Con State Lic;
1029267
Address: 933 NEWHALL ST
Lic Expire:
07131/2019
COSTA MESA CA 92627
Bus Lic
BT30060552
Phone: 949.326-3162
Lic Exp Date:
09130/2019
Code Edit: 2016
Worker's Compensation Insurance
Type of Construction: V -B
Carrier:
STATE FUND
Occupancy Group: R31U
Policy No:
9053332
No of Stories: 1
Expire:
04/19/2020
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height:. 0
Left:
Right:
Architect
Address:
Illliiiiiiiiiii►iiiipilllll
Project No : 1388-2019
Issued Date : 06/18/2019
Phone
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$,Viatus4ion °.$25,000.00
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Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00
Plan Check Fes a ° - $210.00 Record Management (Plans) $0.00
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° MTAF ,L FEE i $450.00 Plan Check Fee $0.00 Fee Due at Permit Issuance : $450.00
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PROCESSED BY:, PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS. AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
Phone:
State Lib:'-"
Engineer:
MORALES DOUGLAS
Address:
20751 KELVIN LN"-`
HUNTINGTON BEACH Gk92656
Phone:
949.285-5104 + ''State Lic:C-069163 `
Designer:
Address:
Phone
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$,Viatus4ion °.$25,000.00
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Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00
Plan Check Fes a ° - $210.00 Record Management (Plans) $0.00
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° MTAF ,L FEE i $450.00 Plan Check Fee $0.00 Fee Due at Permit Issuance : $450.00
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PROCESSED BY:, PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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
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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
�im roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site: hltp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0Q) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. �$ /Signature
License Class License No Date Contractor ��
WORKERS' COMPENSATION DECLARATION
WARNING: 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 IN
ance of the work for which this permit is issued. Policy No.
av
e 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' compensatior
ri ance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone # • • ° ° ° °
131certify 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 lav,•is'of'4aiiforni4and'agref
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r ....
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Signature of Applicantp�y y1 , dl�'�.e.,r,IQirs _ Dat /g �•,�.,_
DECLARATION REGAR GMN CONSTRUCTION LENDIN AGENCY /��/y�`— • • • • ° ,
I 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). • .
Lender's Name Lender's Address ......
• c _ _
By 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.
•eu ..°our
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 county to enter a above-Idenf iNed property for inspection purposes. `^
Signature of Property Owner or Authorized Agent A/ ✓ /�1.2� Aib Print Property Owner's or Authorized Agent's Name, JX�G1�t�1/ QUA • •nate �g
ACTION I DATE T' BY
OCCOPANCYISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO:
EPA
❑ AQMD
ASBESTOS NOTRHCAHONIS NOT APPLICABLE TO
SIGNATURE.