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HomeMy WebLinkAboutPV2019-046 - Permits- City of Newport Beach - Building Divistion PO Box 1768 Newport Beach, California 92658-8915 SOLAR Permit: PV2019-046 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 1806 PORT SHEFFIELD PL NB Description:SFR -SOLAR VOLTAIC 6.175 kW 19 PANELS - Inspector Area: 4 Legal Desc.: - N TR 6620 LOT 2 Owner: CLARK GREG Contractor: BRIGHT LIFE REMODELING Address: 1806 PORT SHEFFIELD PIL Address: 933 NEWHALL ST NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 Phone: 714-904-0692 Phone: 908.489.3911 Applicant: MEYERS SEAN Con State Lie: 1029267 Address: 933 NEWHALL ST Lie Expire: ` 07/31/2019 COSTA MESA CA 92627 Bus Lie: BT30060562 Phone: 949.326-3162 Lie Exp Date: 09/30/2019 Code Edit: 2016. Worker's Compensation Insurance Type of Construction:. VB Carrier: STATE FUND Occupancy Group: R3IU - Policy No: 9053332 No of Stories: 2 Expire: 04/19/2019 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: - Right: Valutaion : $37,050.00 Building Permit Fee Plan Check Fee : TOTAL PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $240.00 $210.00 $450.00 Plan Check Fee: $0.00 PUBLIC PLAN Cl APPRO% Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: *PV2019-046* Project No : 0859-2019 Issued Date : 04/16/2019 State Lie MORALES DOUGLAS 20751 KELVIN LN HUNTINGTON BEACH CA 92656 949-285.5104 State Lic:C-069163 emmm m m •mee 0 seam 0 e m coeocm m oeoo 0 0 000 4 Gv Record Management (8 1/2 X 11) : o eW.g9 Record Management (Plans) : • •00!00 Fee Due at Permit Issuance : $450.00 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 m G emeoco 0 0 0 0 00 +m� o 0 0 e m Go e oaaco O OpOCO mpiGCC eC Oe01CL O p C )WNER-BUILDER DECLARATION e' ' 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). 7 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, 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 n 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 Coder 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 legally 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith Sect' on 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. ,!cense Class �... License No Dat /� I ItJ Contractor Signature Ds.�u�D� VORKERS' CbMRENSATION DECLARATION I VgIW%tAILURE•TWSRCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE OST OF OOMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J I stage and wig 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 IN 9yiperfrance of tNB 1VC1l;for which this permit is issued. Policy No. I a"va 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' compensatior I Ade' -carrier anaporicy number are: Policy Number of Date grtiiy that, in the pefformance 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, iff spould became �4bject to workers' compensationsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. •u• •aeee �,'I/V�AA`'„e„y.11.. nature of Applicant e CLARATION F RDING CONSTRUCTION LENDING AGENCY ��— Ireby affirm undo 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: 1 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 tt t r the above-idrerltified property for inspection purposes. nature of Property Owner or Authorized Agent 4AAA— Print Property Owner's or Authorized Agent's Nano ACTION DATE BY DECLARATION OF COMPLIA14CEWITH CODE OF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 61 OF TITLE40.AND AQMDRULE1403 PERMfTEXPIR€D ❑ I SUBMfTfEDASBESTOS NOTIFICATION TO: ❑ EPA 0 AQMD PERMPTCANC€LLED PERMITEXTENDED ASBESTOS M017RCAHONIS NOT APPLICABLE TO PROPOSEDDEMOUTION. PERMITFINAL p C€RTIFICAT€OF SIGNATURE: OCCUPANCY ISSUED 0) h � CA z U� r; o F+M�I w m w m� ai z ut O Z 5-v o� ..—� p„iaA�OC7r°I W �Am°� Zwdo0 IL ( � > c C FSI U Uo U L 0 0 v W m o z � v W o J J � z w LU D Y N ++ o N H f6 U). �. 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