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HomeMy WebLinkAboutPV2021-251 - Permitstd{y City of Newport Beach - Building Divistion i �... _H PO Box 1768 Newport Beach, California 92658-8915 & SOLAR Permit: PV2021-251 Permit Counter Telephone(949)644-3288 Inspection Requests/Telephone (949)644-3255 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII P V 2 9 2 1 2 5 1 Project Na : 2864-2021 Job Address: 20182 KLINE DR NB Issued Date : 03130/2022 Description:SFR INSTALL SOLAR PHOTOVOLTAIC (2) INVERTERS 18.9 kW (54) PANELS Inspector Area: 3 Legal Desc.: Owner: TELLER ROBERT Contractor: SUNRUN Architect: - Address: 20182 KLINE DR Address: 225 BUSH ST #1400 Address: NEWPORT BEACH CA 92660 SAN FRANCISCO, CA 94104 - Phone: 9491723-6665 Phone: 855-478-6786 Phone: State Lie. - Applicant: DURAN MALISSA Con State Lie: 750184 Engineer: ZACHER"PAUL - Address: 2500 WHITE RD, UNIT A Lie Expire: 06130/2022 Address: 1478-STONE PT DR'190 IRVINE CA 92614 Bus Lie: BT30066837 ROSEVILLE CA 95661 " Phone: 9491558-4171 Lie Exp Date: 04/3012022 Phone: 916-961'-3965 _" .State Lic:S-003878 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: ZURICH AMERICAN INS CO Address: Occupancy Group: R31U Policy No: WC614287600 No of Stories: 1 Expire: 10/0112022 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left, Right: g Valutaion : $54,000.00 Building Permit Fee $285.00 Record Management (6 1/2 X 11) $0.00 Plan Check Fee : $249.38 Record Management (Plans) $0.00 TOTAL FEE: $534.38 Plan Check Fee : $249.38 Fee Due at Permit Issuance : $285.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: 01) F.L. APPROVj a dTO ISSUE: rO O O O •• C t; _ O 6 O O 4' v J J u9p 6 d PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EX1ST!•N�G PER CRCR 314.1 & 315.2 e ao e u o o w a• IWNER-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 ie 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 'rofessions 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 of 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, lusiness 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 nprovements 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 nproved 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Code, a my license is in full force nd effect. �' £, s' icerse Class License No Date Z) Contractor Signature PORKERS' COMPENSATION DECLARATION IARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 the erformance of the work forwhich this permit is issued. Policy No. I ave 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' compensatior Is ante carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the wor 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 subject to the orrk compe tlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant L/ CLARATION REGARDIAG C—OV4eRUCTI LENDING AGENCY L� areby 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county t: nter the abover� entified property for inspection purposes. /1 nature of Property Owner or Authorized Agent %a/i.� a Print Property Owners or Authorized Agent's Name /�V//,/(/� `% DateJ ACTION DATE BY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY • ;FOERAL REGULATIONSPART 61 OF T17LE40AND •AQMD RULE 1403. PERMIT EXPIRED • • • a • ' Cl I SUBMfTTEDASBESTOS N07IFICATiON TO: .' ❑ EPA ❑ AQMD PERMIT CANCELLED : • • • PERMIT EXTENDED ❑ ASBESTOS M07IRCA77ON IS NOT APPLICABLE TO •.PROPOSEDDEMOLITION. • ' '�,Sf(iNATURE., PERMITFINAL CER77FICATEOF a q I • . 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