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Home My WebLink AboutPV2021-148 - PermitsCity of Newport Beach - Building Divistion PO Box 1768 Newport Beach, California 92658-8915 Job Address: 2695 BAY SHORE DR NB Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 4 PANELS 1.58 kw Inspector Area: 2 Legal Desc.: N TR 1014 LOT 13 Owner: BELLING PHILLIP A Address: 2695 BAY SHORE DR NEWPORT BEACH, CA 92663 Phone Applicant: RODRIGUEZ LUIS Address: 358 CORAL CIRCLE EL SUGUNDO, CA 90245 Phone: 310-376-8740 Code Edit 2019 Type of Construction: V-B Occupancy Group: R3/U No of Stories: 0 Use Zone: Bldg Height: SOLAR Permit: PV2021-148 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Contractor: XERO SOLAR Address: 358 CORAL CIR EL SEGUNDO, CA 90245 Phone: 310-376-8740 Con State Lic: 992157 „5(� Lic Expire: 04/30/2022 4o Bus Lic: BT30076760 Lic Exp Date: 09/30/2022 Worker's Compensation Insurance Carrier: SENTINEL INSURANCE CO LTD Policy No: 72WEAAG5YDG Expire: 07/01/2022 Building Setbacks Rear: Front: Left: Right: Project No : 1901-2021 Architect: 0ese Address: g P State Lic: Cgineer: IIIIIIIIIVI ulll� IIII'I1 IIIII1 IIIIIIIII II 11/01/2021 Address: �Oy� Phone��,� State Lic ne7: LOCHTENBERG BEN ess: 358 CORAL CIR,,, _,._ . 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EL SEU`UNDO CA 90245 Phone: _:s11) 3i9 — r IWIePCT0 Valutaion : $9,480.00 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 : $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: (�,� PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: o e e e o • o 0 0 0o e• 0 0 0 0 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. o 4N�%TALb OR VtRIFY• SMt KE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 0 0 0 0 0 0 0 0 0 0 0 ®o you o0o e e ••� •• •co 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 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 cojnpletion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). LJ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70� apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra( ❑ I 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 or sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.le Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700( and effect. License Class License No Date COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the 4rf mance of the work for which this permit is issued. Policy No. Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot iderstand that a copy of the applicable law, Section 7044 of the Business and Date of Division 3 of the Business and Professions Code, and my license is in full force Contractor Signature - LTIES AND CIVIL FINES UP TO ON NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the, performance of the work for which this permit is issued. My workers' compensatiol carrier and policy number are: �� / A. q �" j I t4e0h.rt Rif$ d 4� IaSWr��rr Policy Number 7 2 •" E!I A & S �7 Expiration Date E6�/ Z0 Z 2— ie of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any , if I should become subject to the workers' compensatio - .g0 of the Labor Code, I shall of Applicant hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work f 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the ab>��ffPd n�rty for inspection purposes. of Property Owner or Authorized Agent ACTION DATE I I BY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED so as to become subject to the workers' compensation laws of California, and i comply with those provisions. D to �l�l /24Z� this permit is issued (Section 3097, Civil Code). or Authorized Agent's Name � `?f PIA f-1 Date E MTH CODE OF r FOR OFFICE USE ONLY YiUtKAL KtGULA f PLINV YJ-iK.f 0'1 Ur 11 ILC 411"W • • • • • • • • • • • , • AQMD RULE 1403, ; '• ; ❑ I SUBMITTED ASBESTOS NOTIFICATION TQ:. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIRCA77ONIS NOT APPLICABLE TO PROPOSED DEMOLITION. O s • • • • • e e SIGNATURE., • • • e ee m m m e e o 0 ee• a ese s s eee o0