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Home My WebLink AboutPV2020-177 - PermitsCity of Newport Beach - Building Divistion SOLAR Permit: PV2020-177 IIIINIPIN�V2�tll0�tll2ll017ll��lll E. s ` PO Box 1768 Newport Beach, California 92658-8915 q. Permit Counter Telephone (949)644-326Q8 Inspection RequestsfTelephone (949)644-3255 �"iaajA�� .� Project No : 1990-2020 Job Address: 206 42ND ST NB Issued Date : 1210712020 Description:MFR SOLAR PHTOVOLTAIC (4.65 KW) 15 PANELS Inspector Area: 1 Legal Desc.: CANAL SECTION BILK 141 LOT 4 Owner: LOGAN ROBERT Contractor: BLALOCK ELECTRIC Architect: Address: 206 42ND ST #A Address: 31887 CORYDON ST #130 Address: NEWPORT BEACH, CA 92663 LAKE ELSINORE CA 92530 Phone: - Phone: 951.7624638 Phone: State Lie: 'Ftea Applicant: "VALENCIA MARY Con State Lie: 915397 Engineer: MCPHERSON RYAN JAMES Address: 10800 HOLE AVE #9 Lie Expire: 0413012021 Address: 6169 SUNNY CIR RIVERSIDE CA 92505 Bus Lie: BT30072946 MIRA LOMA CA 91752 Phone: 951-235-0113 Lie Exp Date: 0913012021 Phone: 909-569-22" State Lic:C-082088 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP Address: Occupancy Group: R31U Policy No: 9075584 No of Stories: 3 Expire: 1011212021 Phone: Building Setbacks Rear: 5' Use Zone: Front: 10' Bldg Height: 0 Left: 3' Right: 3' Valutaion: $27,900.00 Building Permit Fee $240.00 Record Management (8 1/2 X 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: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: •.. „p•PPROV,ALIOISSUF_), • B6 • i B� B B•• PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. • . INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETEGT.GRS ARE F•XISTkVG 2Ee CP•CR 314.1 & 315.2 ® o e s e a wa •w •ea a • aea .c DWNER-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 far 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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. 1 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:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 9 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 P fes s Code, and my license is in full force and effect. ��/�7/00 (,/A�— License Class License No Date Contractor Signatu rN 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 perTormance of the work for which this permit is issued. Policy No. have and is of Agent certify that, in the performance of if I should become subject to the of Applicant Y insuranceres required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' t �m )er Expiration Date Phone # 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 agrel compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IECLANAI Ion Ktl9ARUINU uJNb I KL1U i IUN LENDING AGENCY 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). ender's Name Lender's Address ly 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 ordinance nd state laws relating to building constmction. I authorize representatives of this city or count to niter the o -identified property for inspection purposes. "�/� lrGL1Pi/ZGI� tignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION OA.TE BY 'OECLA fONOF TOM LANCEVWTHCODEOF tT)R OFFICE USE ONLY • ++• •)F[•LJERAL• 6MEJlTi0NSPART6?OFTTRE40ANO : I�QI!O RU $(13 • • PERMIT E7fP1RED • , " • ' Q ;t S'UFi3Uf F4$S8ESTOS 111077RCATfON TO: ❑ EP ❑ AQ 0 ASSES S NOTIRCAROMIS NOTAPPLCABLE TO AROP@S fl'F WO N. PERMITCANCELLED PERM3TEXTENDED PERMITFINAL 7j Z • • • • • CERTIFICATEOF • e • OCCUPANCYISSUEO + • T N � • �—`