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Home My WebLink AboutPV2021-037 - PermitsF.wl:n4s City of Newport Beach - Building Divistion PO Box 1768 Newport Beach, California 92658-8915 A (i P 1##Yil?AN1 Job Address: 4621 ORRINGTON RD NB Description:SFR SOLAR PHOTOVOLTAIC 20.kW W/(50) ROOF MOUNTED PANELS Inspector Area: 5 Legal Desc.: N TR 3357 LOT 67 Owner: WELLING GLENN Address: 624 RAMONA DR CORONA DEL MAR, CA 92625 Phone: Applicant: MEYERS SEAN Address: 933 NEWHALL ST COSTA MESA CA 92617 Phone: 949-326-6162 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U No of Stories: 1 SO[ \R Permit : PV2021-037 Pem i. Counter Telephone (949)644-3288 Inspection Requests/ Felephone (949)644-3255 Contractor: BRIGHT LIFE REMODELING Address: 933 NEWHALL ST COSTA MESA CA 92627 Phone: 908-489-3911 Con State Lic: 1029267 Lic Expire: 07/3112021 Bus Lic: BT30060552 Lic Exp Date: 09/30/2021 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9053332 Expire: 04122/2022 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: IIIIUuiiiigiii1ii!illlll Project No : 0564-2021 Issued Date : 04129/2021 z Architect: Address: Phone: State Lic: �y Engineer: MORALES DOUGLAS Address: 20751 KELVIN LN HUNTINGTON BEACH CA 92666 Phone: 949-285-5104 State Lic:C-069163 Designer: Address: Phone: Valutaion : $120,000.00 Building Permit Fee $315.00 Record Management (8 112 X 11) $0.00 Plan Check Fee: $275.63 Record Management (Plans) $0.00 TOTAL FEE: $590.63 Plan Check Fee : $315.00 Fee Due at Permit Issuance : $275.63 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL T� ISSUF: a a a . PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTOPS ARE EXIS;IN!a,PER CRCR 314.1 & 315.2 ER 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 ie 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). 1 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legal) ell 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 CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'Professiioons Code, and my license is in full force effect. is 2"J W Contractor Si gnatu h t icense Class License No Date' VORKERS' COMPENSATION DECLARATION 'ARNING: 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 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: 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 the ejfformance of the work for which this permit is issued. Policy No. have and will maintain workers' cor hence carrier and3olicv number are: of Agent insurance, as required by Section 370G of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date 11 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 lat, if I should become suugiect to the orkers' corm iprnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % ignature of Applicant`s ��' �M-p-"� ate DECLARATION REGA DING CONSTRUCTION LENDINO 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 y 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 1 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 erer t above-ide tified property for inspection purposes. Ie ignature of Property Owner or Authorized Agent .� / -w' es- Print Property Owner's or Authorized Agent's Name ACTION DATE RY PECLARATIOh OF COMPLIANCE MTNCODE OF FOR OFFICE USE ONLY EDEPAL PFGULAI-IONS PART 61 OF T17LE40AND AQ RULE 1403. PERMIT EXPIRED El I SUPMITTED_RS!3 Tt IS NOTIFICATIONTO., G EPA MD PERMFF CANCELLED PERMIT EXTENDED ASBE OS NOTIFICATION IS NOTAPPLICABLE TO _ PROPO ..DDEMOLITION. PERMITFINAL CERTL-IC.4TEOF OCCUPANCYISSUED , AT f•