HomeMy WebLinkAboutPV2017-034 - PermitsCity of Newport Beach - Building Divistion SOLAR Permit: PV2017-034
PO Bo �' 76 Newport Beach, California 92658-8915
Permit Counter Telephone (949)644-3288
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k . Inspection Requestsrelepiina
3 �®ate: �— F—/ % Project No
Job Address: 2201 WINDY
Description:SFR - SOLAR
Inspector Area: 3
Owner: COOK SAN[
Address: 2201 WINDY
NEWPORTI
Phone: 972-415-898
Applicant:( ALVARADO
Address:{ 1831 S RITC
SANTA ANA
Phone: 949-295-660.
Code Edit:
Type of Construction:
Occupancy Group:
No of Stories:
Use Zone:
Bldg Height:
Illl��p2 0170 3 4��lllll
R;:. 1110 r m mete
D N N Issu d Date: 04105/2017 m e
T VO A1C RO MO TED A 4 NE 0 PLEELPGRADE` Lm►•e m n
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!u':egal Desc.: N TR 7693 LOT 9o
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IC OK En t Architect: � �y� wl%o r r. .
D N ss: 5 Address:
AC CA D 4 Beo
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S`19 o 0 8- Phone: Stat Lic:
o n
e•em
6Y I Con State Lic: 888104 Engineer. .eee oeeeo
SLic Expire: 12/31/2018 Address °
k' 9 05 Bus Lic: BT30026827 a • e e e
cal I E la I28I2018. I��' rd Stat Lic: °eoee°
"01 Worker's -plan
Insurance Designer: S RCITY
13 (v✓ork steer ed/ ZURICH INS (no workdgtartel:1031 S RITCHEY ST
3/U Policy Na: EWS0182018 SANTA ANA CA 92705
2 Expire: 0910112017 Phone: — 949-295-6602 s
Note.
uunding Seto0lus ear. 10
-1- 00 Front: 20' WINDWARD
0 Ieert: V' insp. initials:
Valutaion: $44,000.00
Building Permit Fee $290.00 Record Management (8 1/2 X 11) $0.00
Plan Check Fee : $210.00 Record Management (Plans) $0.00
TOTAL FEE: $500.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $500.00
PROCESSED BY: `"9,0 PUBLIC WORKS APPROVAL:
ZONING APPROVAL: M k 1 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 & 315.2
I hereby affir d pena ty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) hav
Secption 7031.5, +ne sand Professions Code: Any city or county that requires a permit to construct, alter, u��fft�r repair any structure, prio o it
ee permit to file a "e stat;¢¢� � he o e.i�li s duG ant to the-oro'ia'nnc of lbe Cantractors' Sl t SQL apter 9 (commencing with act
professions Coe ;(h he or a a Is exempt -from licensure and the Deals for the alleged exemption. Any violation of Section 7031.5 b an applicant fora rmi
otmore than III d d dollars ($500). ❑ 80% or ❑ 190°/o refund
drasowner of ;pr 'erty ; - oyee 'as heir c sa EdoI of or (, portions of the work, and the structure is not and
Wsiness and Pso Co : The C racto State Lic s a t .ply to a oparty who,through employees' or personal effort, buil or
nipjove(nents ari? -r'A nde 'or offere or sa If w b o ne ,ae rggih�(giption the Owner -Builder will have he
rtpj %vgd for the p 's f as k
j.Vowner 8f 4c ierty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: e I
ppl yto an owner o rty r impr r n, nt p it used Contractor pursuant to the Contractors' Stat ice
9apfexempj fr ;'(i� sur ontr ors'Sta n La o g
.y mY signature b I kno Is h exce y p al c m ave ide rat least one year prior to completion of the impr ver
'ell s�wcture the ff�'av built n -buil o onstr it t li contractors. I understand that a copy of the applica le I
'Ibfesgions Code,' ' Yy able - t when Is app (cation is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
lion of Pro�p� er or Authorized Agent
:ICENSED COSI OR'S DECLARATION
hereby affirm tondip Ity of halUm licensed under provisions of Chapter 9 (col g `Fac Mn,
7000 f v' ' n 3 th i@4s and Pr es
nd effect. - i!
icense Class � o -` ateon ct r I nature
ianYORKERS' COWJ=N ATI ECLARA�hhrTrI��OY'�jh C+� _}p � work started
'ARNING: FAILURE TO gdicU WORKERS' COMPEN i1YlOW CeVERN( KIR FUL, AND SHALL SUBJECT AN EMPLOYCRIMINAL PENALTIES ANO C VIL FINES UP TO ONE HUNDR T
OST OF COMPENSATI(7flIDA GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm underw'�iany po rpyerrjuury one of the following declarations:
I have and will Int in0 beftYftcate-af,eom errt-to-sel - wor era compensation, issued by the Director of Industrial RelatI' ns as plovided r I
mance of the V, tk f rwhich this permit is issued. Policy No. Insp. initials: _
I ve and will m btai wefkers"compensatiorrri require y ection 3700 of the Labor Code, for the erfor ane s
ranee carrier and`poli
arrier Policy Number Expiration Date
s 'n
laced next to the applicable item(s)
suance, also requires the applicant for
7000) of Division 3 of the Business and
bjects the applicant to a civil penalty of
or offered for sale (Section 7044,
proves the property, provided that the
den of proving that it was not built or
State License Law does not
Law).
Section 7044 of the Business and
Date
Code, and my license is in full force
DOLLARS ($100,000), IN ADDITION TO THE
3700 of the Labor Code, for
is issued. My workers'
ie of Agent vnone s
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 become subject to the workersc
oma_ sa n rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature of Applicant J - Date -V, ���
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
: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/Q°�� abov - fied pection purposes. I
nature of Property Owner or Authorized Agent — Print Property Owner's or Authorized Agent's Name
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ACTION DATE BY
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FEDERAL REGULATIONS PART 61 OF TTTLE40AND
RULE 1403
PERMIT EXPIRED 7AQMD
❑ 1SUBMUTEDASBESTOSNO7IFICATIONTO:
❑ EPA
❑ AQMD
P£RMITCANCELLED
PERMIT EXTENDED
❑ ASBESTOS M07IRCARONISNOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATE OF
SIGNATURE.,
OCCUPANCYISSUED
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