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HomeMy WebLinkAboutPV2019-007 - Permitst,.N.,..r, ` City of Newport Beach - Building Divistion SOLAR Permit: PV2019-007 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 r >�; ^`• Inspection Requests/Telephone (949)644-3255 `�< , *y � Project No : 0067-2019 Job Address: 4501 PERHAM RD NB Issued Date : 01/31/2019 Description:SFR SOLAR PHOTOVOLTAIC SYSTEM (92 PANELS) 33.12 KW p Inspector Area: 5 Legal Desc.: NTR 3357 LOT 111 R Owner: DELPONTE MICHELLE LIVING TRUST Contractor: PEAK POWER SOLUTIONS INC Architect: Address: 4501 PERHAM RD Address: 1542 EDINGER AVE Address: CORONA DEL MAR, CA 92625 TUSTIN CA 92780 Phone: 949-756-2525 Phone: 800-265-6357 Phone: State Lie: Applicant: PEAK POWERISHAWN Con State Lie: 973253 Engineer: LARSON HAROLD EUGENE Address: 151 KALMUS Lie Expire: 0613112020 Address: 1437 GLENNEYRE ST COSTA MESA CA 92626 Bus Lie: BT30053975 LAGUNA BEACH CA 92651 Phone: 714-258-3900 Lie Exp Date: 02I2812019 Phone: 949-497-5203 State Lic:C-033222 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: WEST AMERICAN INS Address: .. Occupancy Group: R3IU Policy No: 92040022017 No of Stories: 2 Expire: 0210112019 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: ' Right: - Valutaion . $198,720.00 Building Permit Fee $510.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fee : $446.25 Record Management (Plans) : $0.00 TOTAL FEE: $956.25 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $446.25 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 $510.00 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 7031.6, 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 :he 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 tot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do J 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 'mprovements 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 -myproved for the purpose of sale). u 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 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.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION / hereby affirm.dneler penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) of Division 3 oftusiness and Proles i� n 6 e, and my license is in full force and effect. C' icgDre Class License No to f f Contr so r q ignature WORKERS' COMPENSATION DECLARATION YAr.NINC. FAILURE TU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE .:Osl' GF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm twee, penalty of perjury one of the following declarations: ❑ I have and %ill 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 uenormAnce of'the wor': 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' anc- carrier and policy number are: is of Agent, certify that, inthe performance if I should �be�com(ys ub�e p/ iature of Appieart( ` Policy Number Date 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0 i ueby 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 1 agree to comply with all applicable city and county ordin and state laws relating to building construction. I authorize representativ s f this city or county to t ove-Identified property for inspection purposes. .sf%F nature of Property Owner or thorized Agent � _ Print Property Owner's or Authorized Agent' Na ACT70M DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFRCE US€ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS 1407IF1CATION TO: ❑ EPA ❑ AQMD PERMfTCANCELLED PERMIT EXTENDED ❑ ASBESTOS NO UHCA710MIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED