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HomeMy WebLinkAboutPV2019-155 - Permits�to� City of Newport Beach - Building Divistion SOLAR Permit: PV2019-155 IIIIIIIIIIIIIIIIIIIIIIIII�IIII %.H e s PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 0# Inspection Requests/Telephone (949)644-3255 �, e,�„a�° Project No :2479-2019 Job Address: 103 OLD COURSE DR NB Issued Date Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 19 PANELS 6.27 kw Inspector Area: 8 Legal Desc.: N TR 15391 LOT 68 Owner: WALKER CHRISTINA Contractor: INFINITY ELECTRIC Architect: w p� /� 't®����6 _�® 'V Address: 103 OLD COURSE DR Address: 2460 N GLASSELL #A Address: f V NEWPORT BEACH, CA 92660 ORANGE CA 92865 Phone: Phone: 714-904.3474 Phone: State Lic: ° ° • • ° • Applicant: HUNT BLAKE Con State Lic: 824287. Engineer: WANKET NEAL ,e m • • ° o Address: 2460 N GLASSELL ST Lic Expire: 09/3012021 Address: 30095 WILLOW DR • ° • ORANGE, CA 92865 Bus Lic: BT30060932 RIVERSIDE CA 92591 ° ° • ©r ° Phone: 714-944-6287 Lic Exp Date: 10/31/2020 Phone: 951-506.6507 State Lic:C-068856 o ° • ° o°omom e ° Code Edit: 2016 Worker's Compensation Insurance Designer: ° ° ° Type of Construction: V -B Carrier: STARNET INS CO Address: ° • Occupancy Group: R3/U Policy No: BNUWC013714B ° • ° ° ®° ° ° ° •• ° No of Stories: 2 Expire: 07/01/2020 Phone: o ° eoo°oo Building Setbacks Rear: ° ° n Use Zone: Front: 000°o° 0 0° Bldg Height: 0 Left:•OO°°• ° Right: Valutaion : $37,620.00 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 : $0.00 Fee Due at Permit Issuance : $450.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: f 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 aprllicant fo 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 acid 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 U all of or (_) 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 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 structur%tjlgt,IAve 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. ,IQrW jre of Property Owner or Authorized Agent Date LICENSED CONTMCTOR'S DECLARATION 4p I hereby affirm un(jer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 7000) of Division 3 of the Business andIV4f 'ons Code, and my license is in full force ana effect. e2 Contractor Ljpenge Class .:.... License No Date Signature WORARS' COMPENSATION DECLARATION GCNWNG: FAILURE TO GEOURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 0 E HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OFCOMPENSAInON, CAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �•..• herrebyaffirm under penalty of perjury one of the following declarations: �1 haYe and +nu`I6rneintain 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 the ^ jrpgnce of the work for which this permit is issued. Policy No. .have and will n1plain 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 ns u nce carrier an policy number are: F, .,arrler (/TQt'IQ+ lyISG(.dCRna Com- Policy Number N�f V11GT�i1.����P� Expiration Date's 41lab Vame of Agent Phone # certify that, in the perform;dnce 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 agreE t, if I should become subj//ssrrct a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f nature of Applicant / Dto Ia 11� CLARATION REGAROINOWNSTRUCTION LENDING AGENCY ✓ rreby affirm under pe ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectiorj%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 count ordinances and state laws relating to building construction. I authorize representatives of this city or county t lI move -identified property for inspection purposes. nature of Property Owner or Authorized Agent 7 i nn roperty Owner's or Authorized Agent's Name G = e- D to 1 AC77ON DATE / BY DECLARATION OFCOMPUANCEIAITN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART &1 OF TITLE40AND �' AQMDRULE 1403. f PERMITEXPIRED ❑ 1 SUBMITTED ASBESTOS U071FICATION T0: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NORRCATiONIS NOT APPLICABLE TO PROPOSED DEMOLITION. 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