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HomeMy WebLinkAboutPV2018-156 - Permits.t City of Newport Beach -Building Divistion w } rs PO Box 1768 Newport Beach, California 92658-8915 Job Address` 78 VICTORIA NB Descriptien:SFR - PV SYSTEM 11.05 kw. 34 MODULES, 2 INVERTERS Inspector Area: 4 Owner: TEWARI KRISHNANSU Address: 78 VICTORIA NEWPORT BEACH, CA Phone: Applicant: MELENDREZ ADELA Address: 1831 RITCHEYST SANTA ANA CA 92705 Phone: 562-329-1413 Code•Bdfte.°°°eo0 2016 Typeog Construction: V -B OccNpancyeGroup:° c ° ° ° ° R3/U No Qfoutgrr�s: ` ° 0 ° o Uae"Zon°e:° ee BIdd ft 5G 0 c a c °oo ° ° SOLAR Permit: PV2018-156 Permit Counter Telephone Inspection Requestsrre[OD Legal De N TR 15409 LOT 4 \�Cont r. T SLA N GY OP TIQ ��- dress C IEW A .{D•Sy,�r • 402 ''{{sa u � 5 3 8 St l ll Bus Lic: Lic E;;;$ ZURICH AMERICAN INS EWS107458501 10/31/2019 ear: ak 0 to��r� Architect: Address: IIII��PI �I2I�II�I�I1 I������ 1����I � IIIIIII o1°"I ued Datelk 11/27/2018 P ne: State Lic: reser: 305 YONG 3051�2 ddress: 5 CLEARV W py C SAN MAT � 94 a Phone: ® 6 State Lic:C-08177i4 d s ne a) OC`f- SaK Phone: lro Building PermQtFv0.. $240.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fed: $210.00 >i j �,�.,* Record Management (Plans) $0.00 TOTAL FEE $450.00 ®arf& eck Fee : $0.00 Fee Due at Permit Issuance : $450.00 ter' PROCESSED BY: J PUBLIC WORKS APPROVAL: /' ZONING APPROVAL: W 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 )WNER-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 he 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 3rofessions 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 iot 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, 3usiness 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 mprovements 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 m roved 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 legal' 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. Date 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 7000 of Division 3 of the Business and Prof si s e, an my f rise is in full force and effect. Date Contractor Signatu License Class License No • • , .o -- WORKERS' COMPENSATION DECLARATION ' WARNING: 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 (;100,0001, I DDIMOMT0°741E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.•""' ' ° • • • o n I 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 � abor Coda, :cr,th( pe ormance of the work for which this permit is issued. Policy No. • • ° ° ° ° ° ••• E3I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. fly D.0 re' corP0Arlsafjor insu ante carrier and policy number are: ° Expiration Date °! ° Ca ier Policy Number - ° Phone # ame of Agent •••••• • ° 13I certify that, in the performan of wo for which Is permit i Led, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Ealiforniar onr6 ngre� that, if I should become subjec o t ork ' compe at' prov' ns of S 'on 3700 of the Labor Code, I shall forthwith comply with those provisions. G Signature of Applican D DECLARATION REG D F CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending age y f the performance of the work for which this permit is issued (Section 3097, ivil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner' behalf. I have read this application and the information I have pro ' ed i orrect. I agree to comply with all applicable city and co my rdi ce d stat a relating to building construction. �� �� I I authorize representatives of this city or co to ter e a ve-id die rop y for i ectlon purposes. Sianature of Property Owner or Authorized Age Property Owner's or Authorized Agent's Name's C( ate ACTION DATE BY PERMITEXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED FEDERAL 0 f SUBMITTED ASBESTOS MOTIFICATION TO: 0 EPA 0 AOMD 0 ASBESTOS NOARCATIONISNOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE.