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City of Newport Beach - Building Divistion
SOLAR Permit: PV2019-027
IIIIII�IIIIIIIIIIIIIIIIIIIIIIII
PO Box 1768. Newport Beach, California 92658-8915
Permit Counter Telephone (949)644-3288
a
Inspection Requestsrrelephone (949)644-3255
Project No `. 0404-2019.
Job Address: 1967 PORT RAMSGATE PL NB
Issued Date : 0212112019
Description:SFR SOLAR PHOTOVOLTAIC 9.9kw (30) ROOF MOUNTED PANELS
Inspector Area: 4
Legal Desc.: N TR 6624 LOT 102
Owner:. STEFFENS OF BELL
- Contractor: -
BRIGHT LIFE REMODELING
Architect.
Address: 1976 DUNLEIGH
NEWPORT BEACH, CA 92660
.Address:
-933 NEWHALL ST
COSTA MESA CA 92627
:Address:
Phone
Phone:
908-489-3911
Phone:
State Lic:
F;3
Applicant: MEYERS SEAN.
Con State Lic:
1029267
Engineer:
MORALES DOUGLAS.
Address: 933 NEWHALL ST
Lic Expire:
07/31/2019
Address:
20751 KELVIN LN
µ
'.COSTA MESA CA 92627
Bus Lic:
BT30060552
HUNTINGTON BEACH CA 92656
Phone: 949.326.3162.
Lic Exp Date:
09/30/2019
Phone:.
949-285-5104 State Lic:C-069163
Code Edit : 2016
- Worker's Compensation Insurance
Designer:
..Type of Construction: V -B -SPR
Carrier
STATE FUND
Address:
Occupancy Group: R3/U
Policy No:
9053332
No of Stories:. 2
Expire
0 411 912 01 9
Phone:
Building Setbacks
Rear.
Use Zone:
Front:
Bldg Height:.. 0.
Left:
Right....
- Valutaion r $59,400.00
Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00
Plan Check Fee ! ,$210.00 - Record Management (Plans) $0.00
TOTAL FEE: $450.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $450.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: - PLAN CHECK BY:
GRADING APPROVAL; APPROVAL TO ISSUE:
PERMITS EXPIRE 160 DAYS AFTER ISS&ANCE OP`°� LAS%tIALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 &.315.2
DWNER-BUILDER DECLARATION
I 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
im 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' Slate License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
Bymy 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 legally
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.htmi.
Signature of Property Owner or Authorized Agent Date
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 Professions Code, and my license is in full force
and effect.
License Class License No DContractor Signature
iNORKERS' COMPENSATION DECLARATION
NARNING: 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 7706 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
OfOfof the work for which this permit is issued. Policy No.
I have and will nn.gttain 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' compensation
nsurance carrier and po'li�y number are:
carriernt. ItPoliExpiration Date
Vame of Agent um r Phone #
:3I certify that, in the rformance 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
hat, if I should become a bject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //
Signature of Applican .l�Q �.. VU LLi D�t�1 at Z/ 2�/��%
7ECLARATION REGA DI CONSTRUCTION L NDING AGENCY
hereby affirm under p nalty 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
3y 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 o e r the abov -Identified property for inspection purposes. tel_ .n� • ', / 2�� �9
Signature of Property Owner or Authorized Agen� •.� 1 r,�9ai] Print Property Owner's or Authorized Agent's Nam eC `ate
ACTION DATE BY "ruL,P1 v 1tvry yr vvrrn i Vucvr run vrrr� vac vir�r
FEDERAL REGULATIONS PA, fl•fel Of TITL.E40AND
'.PERMITEXPIR€D 4QM2J?ULE1121 ••:
] . I SBIBMITTbD ASSESTO%WTSld4TfON TO:
PERMITCANCELLED • • ❑iEPA.. r • s•• •�•
'.PERA41TEXTENDED •• ❑• AQMLP
❑ ASBESTOS N071RC4710NIS NOT APPLICABLE TO
PFRMITFINAL — PROPOSED DEMOLITION. •„
CERTIFICATEOP •• u.• �.� ••• •••
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