HomeMy WebLinkAboutPV2021-182 - Permits(9)
City of Newport Beach - Building Divistion SOLAR Permit: PV2021-182 'PV2021-182`
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255 Project No : 2206-2021
Job Address: 424 RIVERA TER NB
Issued Date : 10/1312021
Description:SFR SOLAR PHOTOVOLTAIC 17l
(50) ROOF MOUNTED PANELS
Inspector Area: 5
Legal Desc.: TR 1237 LOT 155
POR OF LOT(AND FOR OF LOT 156
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Owner: DOLOTTA PETERISUH SUNG-HEE Contractor:
BRIGHT LIFE REMODELING
Architect:
Address: 231 DRIFTWOOD RD
Address:
933 NEWHALL ST
Address:
CDM CA 92625
COSTA MESA CA 92627
Phone:
Phone:
908-489-3911
Phone:
State Lic:
Applicant: MEYERS SEAN
Con State Lic:
1029267
Engineer:
MORALES DOUGLAS
Address: 933 NEWHALL ST
Lic Expire:
07131/2023
Address:
20751 KELVIN LN -
COSTA MESA CA 92627
Bus Lic:
BT30060552
HUNTINGTON BEACH CA 92656 "
Phone: 949-320-3162
Lic Exp Date:
09/30/2022
Phone:
949-285-5104 State Lic:C-069163 -
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B-SPR
Carrier:
STATE FUND
Address:
-
Occupancy Group: R3/1.1
Policy No:
9053332
No of Stories: 3
Expire:
0411912022
Phone:
Building Setbacks
Rear:
,
Use Zone:
Front:
-
Bldg Height: 0
Left:
_
Right:
.,
Valutaion : $102,000.00
Building Permit Fee $270.00 Record Management (8 112 X 11) $0.00
Plan Check Fee : $236.25 Record Management (Plans) : $0.00
PROCESSED BY:
TOTAL FEE: $506.25 Plan Check Fee : $236.33 Fee Due at Permit Issuance : $269.92
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 8 315.2
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 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 (_) 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).
❑ 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 one year prior to completion of the improvements covered by this permit, I cannot lega111
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 following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affin. uuuer 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 =ffect.
Lioui-se Claes License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NANNING: 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 here Sy 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 th
perfot,oance Of the work for which this permit is issued. Policy No.
hrve 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'
ranee carver and policy number are:
Policy Number
Date
1P of Agen: 1-none Ni
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 agre
if I should becomes bject to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �.,
Iature of Applicant -7�r ?,t-rSi Date 1 2 J1L�
:reby 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`enter t above-iden " ied property for inspection purposes. /
nature of Property Owner or Authorized Agent /� , ( Print Property Owners or Authorized Agent's Name X -"""' ` Date
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE'MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 51 OF T17LE40 AND
AQMD RULE 1403.
PERMITEXPIRED
❑ I SUBMI7TEDASBESTOS NOnFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS N077FICA77ON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITFINAL
'j —'Z
CERTIRCATEOF
SIGNATURE:
OCCUPANCYISSUED