HomeMy WebLinkAboutPV2019-084 - Permits0City of Newport Beach - Building Divistion SOLAR Permit: PV2019-084 IIIIIIIII�IIIIIIII�III�IIIIIIIIIIIIII
'� PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
'�'ys Inspection Requests/Telephone (949)644-3255 Project No : 1468-2019
Job Address: 14 BAFFIN BAY NB
Issued Date : 07/19/2019
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 14 PANELS 5.04 kw, ROOF MOUNTED
Inspector Area: 6
Legal Desc.:. N TR 15851 LOT 15 `
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Owner: REDA ZACHARIA
Contractor: SUNRUN INSTALLATION SERV
Architect:
P 01
Address: 14 BAFFIN BAY
Address:775 FIERO LANE #200
Address:
NEWPORT COAST, CA 92657
SAN LUIS OBISPO, CA 93401
Phone:
Phone: 868-657-6527
Phone:
State Lie:
M
Applicant: STANTON DEANA
Con State Lie: 750184
Engineer:
R
KUBITZ KRISTOPHEPh
Address: 20512 CRESCENT BAY #108
Lie Expire: 0613012020
Address:
44 KNOX
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LAKE FOREST, CA92630
Bus Lie: BT30066837
DENVER, CO 80219
Phone: 949460-3433
Lie Exp Date: 0413012020
Phone:
720-475-7999 State Lic:C-073643
0
Code Edit: 2016
Worker's Compensation Insurance
Designer:
FARIAS STEFAN
Type of Construction: V -B
Carrier: ZURICH AMERICAN INS CO
Address:
20512 CRESCENT BAY
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Occupancy Group: R3/U
Policy No: WC013696003
LAKE FOREST CA 92630
No of Stories: 2
Expire: 110101/20119
Phone:
949-460-3433
Building Setbacks Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Building Permit Fee $240.00
Plan Check Fee : .$210.00
TOTAL FEE: $450.00
Record Management (8 1/2 X 11)
Record Management (Plans)
Plan Check Fee: $210.00 Fee Due at Permit Issuance :
PROCESSED BY:. PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: , , •m, •. APPRONAL,TO ISSUE:
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MQjOXID,E DESECTORS.ARE OCISTING PER CRCR 314.1 & 315.2
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$240.00
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 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 L) 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).
111, 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 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.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 Section 7000) of Division 3 of the Business and Professions Co e, and my license is in full force
and effect.
License Class License No Date :7-tIcill Contractor Signalyya
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 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, 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:
1 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
•r^P�aaca of the work for which this permit is issued. Policy No.
and will��mR1\\aintain 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'
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carrolicy number are:
Number
of
Date
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
I, if I should become�s*ject to the workersill compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. ,
nature of Applicant X O
CLARATION REGJAIJING CONSTRLI'i LENDING AGENCY
Ireby 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 3097, Civil Code).
Ider'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 ordinance nd state laws relating to building construction.
I authorize representatives of this city or county/to enter syppve-identified property for inspection purposes. c, ,/
nature of Property Owner or Authorized Ag 60N f A Print Property Owners or Authorized Agent's Namr �b-T1WA�T�/ jF y 7r1'
AC77ON I DATE
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