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HomeMy WebLinkAboutPV2019-128 - Permitswlr City of Newport Beach - Building Divistion H b. PO Box 1768 Newport Beach, California 92658-8915 Job Address: 32 RUE FONTAINEBLEAU NB Description:MFR SOLAR PHOTOVOLTAIC SYSTEM 40 PANELS 13.4 kw Inspector Area: 4 Legal Desc.: N TR 7788 LOT 55 Owner: ALEVIZOS CHRIS Address: 32 RUE FONTAINEBLEAU Occupancy Group: NEWPORT BEACH, CA 92660 Phone: 2 Applicant: LINDGREN JOHANNA Address: 2913 TECH CENTER DR 9234071 SANTA ANA, CA 92705 Phone: 949-229-5977 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R3/U No of Stories: 2 SOLAR Permit: PV2019-128 Permit Counter Telephone (949)644-3288 Inspection Requestslrelephone (949)644-3255 Contractor: GKRW LLC Address: 2913 TECH CENTER DRIVE Bus Lie: SANTA ANA, CA 92705 Phone: 949-229-5977 Con State Lie: 999669 Lie Expire: 01131/2021 Bus Lie: BT30069817 Lie Exp Date: 11130/2020 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9234071 Expire: 06/2412020 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: IIII�PV 2�� 0I��I I������ II Project No : 2183-2019 Issued Date : 11/1912019 YY •��CgT1 Architect: Address: ' �•eoo• Phone: State Lie: Engineer: MARTIN LOYD • Address: 2510 W 237TH ST #206 ' • . °, TORRANCE CA 90505 ®.••o• 'O ` Phone: 3101534-1776 State Lic:C-058724 ` •' ° © mm •o° , Designer: '.;••° e000r Address: ° • Phone: °.••.• •eon°r a 7ECTRIICAL METALLIC TUSINIG m .°.°°° •• IS NOT ALLOWED FOR '°°• •"�° 'mni_P1 `.lei i il., N!S Valutaion: $80,400.00 Building Permit Fee $240.00 Record Management IS 1/2 X 11) $0.00 Plan Check Fee: $210.00 Record Management (Plans) $0.00 TOTAL FEE : $450.00 Plan Check Fee: $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: (� ZONING APPROVAL: �1 GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 1—. 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 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 L_) 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 improved 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 signbfufri 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 sella structure thatl 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 Protrssions"de!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 114reby affirrr=yryrA penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Section 7000) of Division 3 of the Business an fessions Code, and myycense is in full force onrinfforl • fl Ir _ • M)"if Lioanse Class,. • License No Date IV t -V I "' Contractor Signature WERe COMPENSATION DECLARATION RRING: FAILUREQO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPI-VER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE iGST.QF COMPEN+RATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Reredy affirnrArIA? Aenalty of perjury one of the following declarations: f fh$ve and will m$intain 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 W@;ojork for which this permit is issued. Policy No. shave 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' compensatio nsu nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 11certify that, in the p 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' 96mpensation laws of California, and agre that, if I should becomsubi to the workers' compensatio rovisions of Section Code, I shall forthwith comply with those provisions. o� Signature of Applicant (- Dat DECLARATION REGIIIIiRDIVOONSTRUCTIONLENDIM AGENCY I hereby 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 30 Civil 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's behalf. I have read this application and the information I ve provided is correct. agree to comply with all applicable city and cou y re(jnances and state law lacing to building construction. authorize representatives of this city or county t ter a above-identifie pro erty fo inspection purposes. II L'� '� q / Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name bvL�Nlaq yTrbat _ I / ACTION DATE BY DECLARATION OF COMPLIANCE INITNCODEOF FOR OFFICE LKE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND PERMIT EXPIRED AQMD RULE 1403. ❑ i SUBMITTED ASBESTOS NOTIFICATION T0: PERMITCANCELLED ❑ EPA PERMITEXTENDED ❑ AQMD ❑ ASBESTOS MORFlCARONIS NOT APPLICABLE TO PERMITFINAL I -//A 164 PROPOSED DEMOLITION.. CERPFfCAT€OF OCCUPANCYISSUED SIGNATURE: a a co 0 c) ° � m O ° 75 v N �O/ ` N ® v > c E n *' W ° m 4. 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