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HomeMy WebLinkAboutpv2021-128 - Permits0City of Newport Beach - Building Divistion SOLAR Permit: PV2021-128 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ), v0, PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 " " Inspection Requestslrelephone (949)644-3255 �,�x��a Project No : 1703-2021 Job Address: 1437 DOLPHIN TER N8 Issued Date Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 42 PANELS 16 kw Inspector Area: 2 Legal Desc.: TRACT NO 2334 LOT 12 POR OF LOT Owner: LONG RANDY Contractor: PEAK POWER SOLUTIONS INC Architect: Address: 1437 DOLPHIN TER Address: 151 KALMUS DR #L2 Address: CORONA DEL MAR, CA 92625 COSTA MESA CA 92626 Phone: Phone: 800-265-6357 Phone: State Lic: Applicant: HRISTOV NIKO Con State Lic: 973253 Engineer: MARTIN LOYD Address: 1007 W GROVE AVE Lic Expire: 05/31/2022 Address: 9924 UNIVERSAL BLVD #224 ORANGE, CA 92865 Bus Lic: BT30053975 ORLANDO FL 32819 Phone: 714-202-5422 Lic Exp Date: 02128/2022 Phone: 3101534-1776 State Lic:C-058724 Code Edit : 2019 Worker's Compensation Insurance Designer: STOUTENBURG MATT Type of Construction: V-B Carrier: STATE FUND Address: 151 KALMUS DR STE L2 Occupancy Group: R3/U Policy No: 9204002 COSTA MESA CA 92626 No of Stories: 2 Expire: 02/01/2022 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion : $52,000.00 Building Permit Fee $255.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fee : $223.13 Record Management (Plans) : $0.00 IITOTAL FEE: $478.13 Plan Check Fee PROCESSED BY: J ZONING APPROVAL: Ckrz GRADING APPROVAL: $223.13 Fee Due at Permit Issuance : $255.00 PUBLIC WORKS APPROVAL: s PLAN CHECK BY: APPROVAL TO ISSUE: 0 0 R, ERA.IKS 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 c Gi o •^ e _ aoo o 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 S500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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 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 fallowing Web site:http://v .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 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / License Class License No Date 1 � Contractor Signature WORKERS' COMPENSATION DECLARATION �I 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 3706 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 thl "omlance of the work for which this permit is issued. Policy No. Ldl ave 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 insu nce carrier and policy number are: Policy Number of Agent Date 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 agree t, if I should become subject to the orkers' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ������ nature of Applicant D��P� CLARATION REGAR STRU NDING AGENCY Ireby 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). 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 or county to an r t e abo -' entif T6perty for inspection purposes. /j ��— , / (/� 64 nature of Property Owner or Authorized Agent V Print Property Owner's or Authorized Agent's Name ! � I ZED i , �I Y/((Date 1 I / ACTION DATE 8 DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 51 OF T17LE40 AND' AQMD RULE 1403. • ,. --, .. PERMITEXPIRED ❑ ISUBMITTED'ASBESTOS NoTiFfCATiON TO:. • ❑ EPA ; • El AQMD' . �'• -+-•. °•+ ...• PERMIT CANCELLED PERMITEXTERfDED ❑ ASBESTOSNt3£ OT#ftCARONtSNOTAPPLfCAE•7fl - PROPOSED DEMOLITION. SIGNATURE.,- •. _ ' •. ` �• PERMIT FINAL CERTIFICATEOF OCCLIPANCYISSUED 0