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Home My WebLink AboutPV2021-004 - PermitsCity of Newport Beach - Building Divistion PO Box 1768 Newport Beach, California 92658-8915 n a SOLAR Permit: PV2021-004 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No : 0013-2021 Job Address: 1022 WEST WIND WAY NB Description:SFR SOLAR PV SYSTEM. 40 MODULES. 13.6 KW. Inspector Area: 3 Legal Desc.: N TR 4224 LOT 184 Owner: LEVINSON RONNI Contractor: SOLAR ENERGY BUILDERS INC Architect: Address: 1902 SUVA CIR Address: 65 ENTERPRISE Address: COSTA MESA CA 92626 ALISO VIEJO, CA 92656 Phone: Phone: (714)269-6995 Phone: Applicant: DJOKOVICH TOM Con State Lic: 378817 Engineer: Address: 65 ENTERPRISE Lic Expire: 0413012022 Address: ALISO VIEJO CA 92656 Bus Lic: BT30071977 Phone: 714-269-6995 Lic Exp Date: 0513112021 Phone: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: Address: Occupancy Group: R3/U Policy No: WC EXEMPT No of Stories: 1 Expire: Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Jalutaion $50,000.00 Building Permit Fee $240.00 Plan Check Fee : $210.00 TOTAL FEE: $450.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $210.00 Issued Date : 03101/2021 iS NOT ALLOWED FOR EXTERIOR APPLICATIONS State Lic: State Lic: DJOKOVICH TOM 65 ENTERPRISE ALISO VIEJO CA 92656 /r 1 Record Management (8 1/2 X 11) Record Management (Plans) : Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: ` PLAN CHECK BY: 1 nrrrtwn� i a� wou�. PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOK5 At'L` 4AR30N fAONCXIDE D-ETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 $0.00 $0.00 $240.00 IWNER-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 ALTI(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 licensors 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 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). I am exempt from licensors 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 legall) 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.htm]. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 rofes ons Cod my lice In fS" ull f rbe nd effect. icense Class License No Date 3 Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 (57 ,0001, 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: 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 mlance of the work for which this permit is issued. Policy No. lave 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' compensa ante carrier and policy number are: Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the performan a of a work for which this permit is is II not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree iat, if I should become subjec o t worker c pensation ons of Se on 3700 of the Labor Code, I shall forthwith comply with those provisions. 111�� ' 'signature of Applicant DetiaC IECLARATION REGARD CONSTRUCTI N LEND G AG Y v� hereby affirm under penalty of perjury that there is a c ction 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 propert owner's behalf. I have read this application and the information I have p Ided is correct. I agree to comply with all applicable city and county or. ' antes n state I atmg tG ilding construction. �— I authorize representatives of this city or co ty o e r e a -iden ied property Inspection purposes. ////n // / signature of Property Owner or Authorized Agetl '� Print Property Owners or Authorized Agent's Name , �/i�Gf // " fiK Cf� Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR dF17CE USE ONLY FEDERAL REGULATIONS PART 51 CF TITLE •:C ANC AQMD RULE 94,43, PERMIT EXPIRED ❑ I SUBMITThD.iSBeSTOS ,4O,7FI(.ATHJN TO. ❑ EPA ❑ AQMD' PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOU'TION. PERMITRAIAL ,$ pn hl CERT'FICATEOF SIGNATURE: OCCUPANCYISSUED