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Home My WebLink AboutX2012-2089 - Permits,aq,W Ifl4.� City of Newport Beach Building Division + s v PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 P�4mRN`, Combination Type - SFP/ ELEC/ / / Job Address: 8 CAVAILLON NB Description:NEW 6.72 KW ROOF MOUNTED PHOTOVOLTAIC SYSTEM OF 28 MODULES & 1 INVERTER Inspector Area: 6 Legal Desc.: N TR 15934 LOT 33 Owner: YAO CONNIE LIN Contractor: SOLARCITY CORPORATION Address: 8 CAVAILLON Address: 3055 CLEARVIEW WAY NEWPORT COAST, CA 92657 SAN MATEO, CA 94402 Phone: 949-413-2550 Phone: (650)638-1028 Applicant: PERSAUD KRISTINA Con State Lic: 888104 Address: 2165 S GRAND AVE Lic Expire: 12/3l/2012 SANTA ANA CA 92705 Bus Lic: BT30026827 Phone: 657-269-3867 Lic Exp Date: 02/28/2013 Code Edit: 2010 Worker's Compensation Insurance Type of Construction: VB Carrier: ZURICH AMERICAN INSUR Occupancy Group: R3/U Policy No: WC967346704 Added /New sq.ft. Bldg: 0 Expire: 0910112013 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / No of Units : 1 Front. / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: ssued Date: UUIZ fILUI Z Construction Valuation: $26,000.00 Building Permit Fee: $448.75 Plan Check Fee: $323.10 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $7.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat : $0.00 Building Green Fee : $2.00 TOTAL FEE: $834.88 Solar System PC : $0.00 Excise Tax: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $54.03 Mechanical %: $0.00 Plumbing %: $0.00 Architect: Address: Phone: Engineer: Address: Phone: COMB Permit No: X2012-2089 PROJECT NUMBER: 1532-2012 . Inspection Requestsrrelephone (949)644-3255 State Lic: State Lic: INISPECTOR Designer: PERSAUD, KRISTINA Address: 2165 S. GRAND AVE SANTA AVA CA 92705 Phone: 657-413-2550 INSTALL OR VERIFY SMOKE AND CARBON Special Conditions: MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 3112 hire Hazard Lone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev MOM. $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $G.G6 Refund Deposit $0.00 $0.00 $0.00 Plan Check Fee: $345.72 Fee Due at Permit Issuance : $489.16 PROCESSED BY: PUBLIC WORKS APPROVAL: q n G ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ER -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 items) (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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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-Builderwill 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 Iicensure 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 Code, and my license is in full force and effect. License Class License No D Contracts ignature, NORKERS' COMPENSATION DECLARATION Gf 2"1" IZ 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: I have and will maintain a certificate of convent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for eF(a0nance of the work forwhlch this permit is'issLed. Policy No. -r�r�l(' slue and will mein,ain 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' compensa i=urance carrier and policy number are: of Agent Policy Number Expiration Date Phone # �I certify that, ir. 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 wo kers' compensation laws of California, and agree la:, if 13houl n9romP subje9t to th orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,natureo 0114ti '� UL ate_Cj `Z� tZ crt ARA IOtd'REGARDING CONSTRUCTION LENDING AGENCY herebv 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). e, ,der'3 Name Lender's Address y my signature bier", I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I nave reau 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 o county to a ter the above-i ntified property for inspection purposes. y� ignature of Property Owner or Authoriz gent � VN-o Print Property Owners or Authorized Agent's Nal /�Y t 6� 1'1 a t Y S to 2"1' y 2 ACTION DATE BY DECLARATION OF COMPLIANCE{MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMITEXPiRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION T0: ❑ EPA [3 AQMD PERMITCANCELLED PERMITEXTENDEO %PERMITFIIVAL ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. a - ! A-,,- r-d 4 - ? CERTIFICATE OF SIGNATURE: OCCUPAPLCYlSSUED