HomeMy WebLinkAboutPV2019-160 - Permits� � t r City of Newport Beach - Building Divistion SOLAR Permit: PV2019-160 �����������������111111111111111111111111111111[11111�
.j PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
�,.� � Inspection Requests/Telephone (949)644-3255
�, Project No :2537-2019
Job Address: 4715 SURREY DR NB Issued Date : 02/03/2020
Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 5.68 kw
Inspector Area: 5
Owner: SCACCHI WALT
Address: 4715 SURREY DR
CORONA DEL MAR, CA 92625
Phone:
Applicant:
BELVILLE PAUL
Address:
14111 LA GLORIA ST
Occupancy Group:
LAMIRANDA, CA 90638
Phone:
562-315.6432
Code Edit:
2016
Type of Construction:
V -B
Occupancy Group:
R3/U
No of Stories:
1
Legal Desc.: N TR 3519 LOT 65
Contractor: ALDERETE POOLS INC
Address: 63 VIA PICO PLAZA #447
SAN CLEMENTE CA 92674
Phone: 949-395-6734
Con State Lic:
830602
Lie Expire:
0113112022
Bus Lie:
BT30056921
Lie Exp Date:
10/31/2020
Worker's Compensation Insurance
Carrier:
STATE COMP
Policy No:
9058446
Expire:
06/0312020
Building Setbacks Rear:
Use Zone: Front:
Bldg Height: 0 Left:
Right:
Architect:
Address:
Phone:
Engineer:
Address:
INSPECIUH
State Lie:
Phone: State Lie:
Designer: BELVILLE PAUL
Address: 14111 LA GLORIA ST
LAMIRANDA, CA 90638
Phone: 562-315-6432
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Valutaion: $34,080.00
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:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: —
APPROVAL TO ISSUE:
i
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 3149 & 315.2
LDER 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 64 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 U all of or U 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below 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•C6hwRACTOR'S DECLARATION
I hereby affirdi der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business anVr Sion Code, an y -lice se - s in full force
License CIS
ss• • License Noe 'Z' -Z> ContractcVv —gnatur�/-�3
I(YOI$KERS' QOMPENSATION DECLARATION c
NA&ING: FAILURB'PC VCURE 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
COST OF COMF%WWPN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
lrerety affinp under penalty of perjury one of the following declarations:
• •.
u�• •Have and•wIM'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
ance of the work for which this permit is issued. Policy No.
and All vf'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'
carrier end policy number are:
• • • • _ Policy Number Expiration 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
if I should become subject t erwo- vers' cc pens do pro dons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
IECLARATION'REGARDING CONSTRUCTION LENDING AGENCY
I W
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
3097, Civil Code).
_ender's Name
Lender's Address
3y 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 ws rel ating.to,building construction.
1 authorize representative his city or county to abov de fi
any for inspection purposes.
Property Owner's Authoriz Name
t f1
07 CiLj1lL
3ignature of Properly Owner o�Authorized Agent
Print or gent's
AC77ON DATE BY
DECLARATION OF COMPLIANCEWITH CODEOF
FOR OFFICE DSEONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO.
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