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HomeMy WebLinkAboutPV2019-091 - Permitstw ` City of Newport Beach - Building Divistion SOLAR Permit: PV2019-091 4,.. `,:.. PUBLIC WORKS APPROVAL: IIII�IIIIIIIIIIIIIIII'lllllllll PLAN CHECK BY: r,p ,a _ APPROVAL TO ISSUE: O4' OC.9 O P V 2 e1 s e s 1 Sa. 4 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 O O C� U s� ',1 INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 Inspection Requestsrrelephone (949)644-3255 cp�z�,�� Project No :1595-2019 co 00o n o 00 oc coo - Job Address: 8 WHARFSIDE DR NB Issued Date : 09/05/2019 Description:SFR PHOTOVOLTAIC SYSTEM 22 PANELS 7.9 KW Inspector Area: 6 Legal Desc.:. Owner: STANBECK FOSTER Contractor: SOLAR - TEC SYSTEMS Architect: Address: 8 WHARFSIDE DR Address:. 33171 PASEO CERVEZA #224 Address: NEWPORT BEACH, CA 92657 SAN JUAN CAP CA 92625 Phone:949-248-9728 Phone: 949-248-9728 '. Phone: State Lie: .Applicant: SHAFFER ED Con State Lie: 752181 Engineer: - Address: 27071 CABOT RD Lie Expire: 09/30/2019 Address: LAGUNA HILLS, CA 92653 Bus Lie: BT30068787 Phone:. 949.248-9728 Lie Exp Date: 09/30/2020 Phone: State Lie: Code Edit 2016 Worker's Compensation Insurance Designer: SHAFFER EDGAR A Type of Construction: V -B Carrier: STATE FUND Address: 27071 CABOT RD #111. Occupancy Group:' R3/U Policy No: 9025264 LAGUNA HILLS CA 92653 No of Stories: 2 Expire: 09/01/2020 Phone: Use Zone: Bldg Height: 0 vawraion: W zdVuu Building Permit Fee $240.00 Plan Check Fee: $210.00 TOTAL FEE: $450.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Building Setbacks Rear: Front: Left: Right: Plan Check Fee : $210.00 Record Management (8 1/2 X 11) $0.00 Record Management (Plans) :. $0.00. Fee Due at Permit Issuance : $240.00 PUBLIC WORKS APPROVAL: Irry1dl PLAN CHECK BY: r,p _ APPROVAL TO ISSUE: O4' OC.9 O GC G CJ C PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID 1NSPEt:JnAN. O O C� U Q .0 OC 2 INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 co 00o n o 00 oc coo )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 is 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 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 of more than five hundred dollars ($500). 1, 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). 1, 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). 1 am exempt from licensure 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, 1 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature 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 Sectio 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect .icense Class License No Dat Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE 'AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 11 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 ormance of the work for which this permit is issued. Policy No. 71 Nave 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' compensatiol Isur nce carrier and policy number are: ter Policy Number Expiration Date me of Agent rnone n 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 t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant -� Data CLARATION REG NG CON TRU TI 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 309Code). tder'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 count enter the a ve= entifgld�plppe r Inspection purposes. '.nature of Property Owner or Authorized Agent--ciZ�£S Print Property Owner's or Authorized Agent's Name Date r_ AMON DATE BY P€RMfTEXPIREO • •• • • e•• •• PERANTCANCELCED • s •�� • . i •s• • ••i PERMIT€XTENDED • • • •�• • e PERMITFINAL CERTtF1C4T€OF ••• • • • .•• .• OCCUPANCYISSUED i •.• i •• o e i i FEDERAL REGULATIONS PART fit OF TITLE40 AND AQMD RULE 1403. 0 tSUSMfTF€DASBESTOSNOTfFICATfONTO.' EPA © AQMD ASBESTOS NOTIRCATTONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR rD m rDm m O n CD O_ D) O_ O_ (D N CNC G. S S m n O z m v 0 4 W (D a) n S G9 0 0 n O N 3 H N O �N D *-� d D) o v -4 CCOODW (D 0 OD tv H A N N 0 N CA z x N 0o y IR