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HomeMy WebLinkAboutPV2018-147 - PermitswI k emcitygf Newport Beach - Building Divistion 00sak 1'j61 Npwpo: Beach, California 92658-8915 • • • es• •• o •e• e Job A51rps* 7401 S$A$HPRr. DR F. SOLAR Permit: PV2018-147 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Des :Mt -K- PV SYSTEMS* NII p-612 KVYa 17 PANELS. Inspector Area: 2�, /y Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 28 LOT 7 Use Zone: Bldg Height: 0 Contractor: l Owner: CLARIZIO DINO & HOPE Address: 7401 SEASHORE DR ' NEWPORT BEACH CA 92663 Phone: Phone: Applicant: FARNY APRIL Address: 5315 WHITSETT AVE Engineer: VALLEY VILLAGE, CA 91607 Phone: 323-301.0672 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U No of Stories: 2 Use Zone: Bldg Height: 0 Contractor: N R G CLEAN POWER INC Architect: Address: 7012 OWENSMOUTH AVENUE Address: CANOGA PARK, CA 91303 Phone: (818) 633-3383 Phone:. Con State Lic: 1026168 Engineer: Lic Expire: 04/30/2019 Address: Bus Lic: BT30057663 Lic Exp Date: 01/31/2019 Phone: Worker's Compensation Insurance Designer: Carrier: ...STATE COMP INS FUND Address: Policy No: 9233354 Expire: 06/0112019 Phone: Building Setbacks Rear: Front: Left: Right: Illlliiigiiiil!91111 Project No: 2673-2018 issueo uate : tzlusrzuln State Lic: MARTIN LOYD 2510. W 237TH ST #206 TORRANCE CA 90505 3101534-1776 State Lic:C-058724 IF rss COf .a X� 9 R Valutaion : $54,000.00 - 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: $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY:, A PUBLIC WORKS APPROVAL: ZONING APPROVAL: 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 OWNER -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 hat $ace'd:neid to tqe applicable Qem(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 lTsu@r1*, NO requires the MPRcont 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). , , ... • , •, a„ 13I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or Werad fos salt (Jediort 2044, e 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 ir:prots the properly providpg1hal;JIV 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 twrdemot 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). ❑ 1 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 legall) 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. 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 Section7000) of Division 3 of the Business and Professions and my icense is in full force and effect. License Class License No Date Contractor Signature WORKERS' 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 THOUSAN OLLA ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I' ve 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 mance of the work for which this permit is issued. Policy No. I h ve 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' compensation. Is ance carrier and policy number are: ;arrier Policy Number Expiration Date lame of Agent Phone # 71 certify that, in the performance o theork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws f California, and agre Iat, if I should become subject to o era' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applican Da iECLARATION REGA 8NG CO UCVN LENDING AGENCY hereby affirm under penalty df parj that t re 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 y my signature below, I certify to each o the following: I am the property owner or authorized to act on the property o er's behalf. I have read this application and the information I have proved is correct. I agree to comply with all applicable city and county ordinl4ces a d state laws relating to building construction. I authorize representatives of this city or countylo enter to e a o -identified property for inspection purposes. ignature of Property Owner or Authorized AgentV 11 Print Property Owner's or Authorized Agent's Name , l Y Date ACTION DATE RY DECLARATlOf4OFCOMPLJANCEMTHCODEOF FOR OFFICkT ONLY FEDERAL REGULATIONSPART61 OFTlTLE40AND PERMIT EXPIRED AQMD RULE 1401 ❑ / SUBMITTDASSESTOS NOT1FlCATtON TO: PERMITCANCEUED ❑ EPA PERMITEXTENDED ❑ AQMD PERMITFINAL _/(fl _Z.p /�/�PROPOSED DEMOLITION.RONlSNOTAPPLICA8LE70 CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: