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HomeMy WebLinkAboutPV2021-194 - Permitst�Eµ•t•{Iy City of Newport Beach - Building Divistion r r: ? PO Box 1768 Newport Beach, California 92658-8915 n SOLAR Permit : PV2021-194 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 2027 HIGHLAND DR NB Description:SFR PHOTOVOLTAIC SOLAR 4.18 KW 11 MODULES Inspector Area: 3 Legal Desc.: N TR 3057 LOT 18 Owner: ALVAREZ RODOLFO Contractor: BRIGHT PLANET SOLAR Address: 2027 HIGHLAND DR Address: 103 AMILLBURY ST NEWPORT BEACH, CA 92660 AUBURN MA 01581 Phone: 714-318-1880 Phone: 888-997-4469 Applicant: SOK CHRISTINA Con State Lic: 1020761 Address: 1941 S VINEYARD AVE Lic Expire: 1113012022 SAN DIEGO, CA 91761 Bus Lic: BT30059956 Phone: 559-712-9035 Lic Exp Date: 10/31/2022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: STATE COMP. INS Occupancy Group: R3/1.1 Policy No: 9166694 No of Stories: 1 Expire: 1211812021 Building Setbacks Rear: Use Zone: R-1-6000 Front: Bldg Height: 0 Left: Right: ✓alutaion: $25,080.00 Building Permit Fee $240.00 Plan Check Fee : $210.00 TOTAL FEE: $450.00 Architect: Address: Phone: Engineer: Address: Project No : 2351-2021 Issued Date : State Lic: Phone: State Lic: Designer: _ BRIGHT PLANET SOLAR Address:" - 5. A ST- - AUBURN, MA 01501; " -Phone:: 888-997-4469 Record Ma1tagPtn'4!f t T8 IIM Record Management (Plans) Plan Check Fee : $210.00 Fee Due at Permit Issuance PROCESSED BY: /v"� PUBLIC WORKS APPROVAL: ZONING APPROVAL: l , t�l/ PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: b-D 5ee� PERMITS EXPIRE 180 DAYS AFTER ISSUANCE C 7 LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 IIII IIIII IIII IIII IIII IIII IIIII IIIII IIIII IIII IIII $0.00 $240.00 OWNER -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 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 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 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 legal) 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.govicalaw.htm], 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 Sect n 7000) of Division 3 of the Business and Pr essi ns e, a my licen e' in 11 force c and effect. �� License Class License No Dat I 0 Z I Contractor Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU ED OUSAND 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. "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 thr ormance of the work for which 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 n ra ce carrier and policy number are: �,, 1 IZ1� /2 Carrier Girl t-2 �.0''0j p P W' Policy Number 4 ICE b Expiration Date Name of Agent r liw'r5 "h Val CO fC Phone # I Z — �I B� ❑I certify that, in the performance t e work which thi rmit is issued shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to orker omponset provisions of a ion 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Da� DECLARATION REGARDING N CTION ING AGENC I 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). Lender's Name Lender's Address By 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 Ina es a sta aws relating to building construction. I authorize representatives of this city or county to to taboo identi d petty for inspection purposes. y �C p� e �,.....t��.e ..f or...,S. , nu .r nr Ai dhnrivPd Ancnt J Print Property Owner's or Authorized Agent's Name V J Date ACTION DATE BY "— DECLARATION OFCOMPLIANCE MTH CODE OF FEDERAL REGULATIONS PART 61 OF TI TL€40 AND .A^QMD RULE 1403. L-1 I SLIRMITTED ASc E�STOS NOII FICATION TO: ❑. EPA _ I I J ' A(3M0 ` ❑ ASBESTOS N0719CAT10N IS NOT APPLICABLE TO PROPOSED DEMOLITION. StGY.A'UPE: — FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED