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Home My WebLink AboutPV2021-135 - Permits (2)e+'n City of Newport Beach - Building Divistion SOLAR Permit: PV2021-135 'PV2021^135` d PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 . 1 : Up sts/Telephone (949)644-3255 Project No : 1774-2021INSPE OR Job Address: 2353 IRVINE AVE NB_ Description:SFR SOLAR PV SYSTEM.9.bKW. 24 PANELS. f+,,,- _-s 1`' e pzate : 0811112021 - y Inspector Area:3 Legal Desc.: NTR 3138 LOT 14 .19 r�`'Y '�� .��,f=z✓ °,°,° Owner: DORN LARRY Contractor: BRIGHT LIFE REMODELING __ Architect: - _ - �_ '-°n> •(+ o® • ° 0 oaooa ° ° Address: 2353 IRVINE AVE Address: 933 NEWHALL ST Address: __ _ NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 • ° ° o', o0 Phone: Phone: 908-489-3911 Phone: State Lic: a°°oo. ° Applicant: MEYERS SEAN Con State Lic: 1029267 Engineer: MORALES DOUGLAS ° • o 0 Address: 933 NEWHALL ST Lic Expire: 0713112023 Address: 20751 KELVIN LN °°°° COSTA MESA CA 92627 Bus Lic: BT30060552 HUNTINGTON BEACH CA 92656 Phone: Lic Exp Date: 09/30/2021 Phone: 949-285-5104 State Lic:C-069163 ® ...... Code Edit : 2019 Worker's Compensation Insurance Designer: BARBA VIN • e • ° • ° ° Type of Construction: V-B Carrier: STATE FUND Address: 933 NEWHALL ° • •.°e®° • • Occupancy Group: R3/U - Policy No: 9053332 COSTA MESA CA 92627 °°°°°• B°B• No of Stories: 1 Expire: 04/19/2022 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion : $24,000.00 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 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $210.00 Fee Due at Permit Issuance : $240.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 FNER-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) ction 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 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 fessions Code) or that he or she is exempt from Iicensure 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu( improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc improved for the*A?pVe of sale). I, as owner MITE property, am exclusively contracting with licensed Contractors to construct the project (Section 70, hQpI�TQ an owj&.C%operty who builds or improves thereon, and who contracts for the projects with a licensed Contra( I sm exempffro" Iicensure under the Contractors' State License Law for the following reason: py%ylignature 1lblow I acknowledge that, except for my personal residence in which I must have resided for at least or sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I . rofessions Cocfe., Is..ay. ailable upon request when this application is submitted or at the following Web site: ttp: www. e SigrWure of Property Qwner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION f tILmaby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 )I, of Division 3 of the Business and Professions Code, and /may license is in full force �ic'2ns$Class ' _': License No DatenTO � � Contractor Signature WQF*6-RS' Cb*MPENSATION DECLARATION N"WIyG: FAILUR4TJ)"!URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYIMINAL PENT LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 tht performance of the work for which this permit is issued. Policy No. have 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 ce carrier and policy number are: Policy Number of Agent I certify that, in the performance of the work forwhich this permit is issued, I shall not employ any person in any it. if I should become subject to tl;* workers' compensation provisions of Section 3700 of the Labor Code, I shall of the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the oletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements coverea Dy tnls perm¢, I cannot iderstand that a copy of the applicable law, Section 7044 of the Business and Date Date so as to become subject to the workers' compensation laws of California, and agre n comply with those provisions. Dated If f hereby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097,YYYYYYCivi��il 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 laws relating to building construction. �/ I authorize representatives of this city or coI nay toe r the above -identified pro perty for inspection purposes. c'� f L Bonature of Prooertv Owner or Authorized Agen �,/ :, o, /. Print Property Owners or Authorized Agent's Name r��Date y DATE BY DECLARATION OF COMPLIANCE MTN CODE OF FOR OFFI USE ONLY ACTION FEDERAL REGULATIONSPART 61 OF TITLE•40 AND AQMD RULE 1403. ❑ I SUBMITTEDASBESTOS NO77FICATION' TO:. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICA TION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE. PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED s PERMIT FINAL CERTFFICATE OF OCCUPANCYISSUED