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Home My WebLink AboutPV2022-059 - Permitstrwwhrlt: J City of Newport Beach - Building Divistion h PO Box 1768 Newport Beach, California 92658-8915 n SOLAR Permit : PV2022-059 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)6443255 Project No : 0618-2022 Job Address: 633 CAMEO HIGHLANDS DR NB Descripticn:SFR SOLAR PHOTOVOLTAIC 12.4kw, (31) ROOF MOUNTED PANELS Inspector Area: 5 Legal Desc.: N TR 3519 LOT 66 Owner: LESHER ROBERT MICHAEL Contractor: KOTA CONSTRUCTION LLC Address: 535 ANTON BLVD #FLR 9 Address: 5205 AVENIDAENCINAS #D IRVINE CA 92612 CARLSBAD, CA 93012 Phone: Phone: 510-871-0081 Applicant: MAI EMILY Con State Lic: 1063901 Address: 5750 IMHOFF DR #A Lic Expire: 0313112024 CONCORD CA 94520 Bus Lic: BT30078169 Phone: 510-871-0081 Lic Exp Date: 03/31/2023 Code Edit : 2019 Worker's Compensation Insurance Type of Construction: VB Carrier: STAE COMP Occupancy Group: R3/1.1 Policy No: 9267392 No of Stories: 2 Expire: 02/01/2023 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Valutaion $74,400.00 Building Permit Fee $240.00 Plan Check Fee : $210.00 TOTAL FEE: $450.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $210.00 Issued Date : 05/09/2022 Architect:'^" Address: a Y" Phone: State Li i : � Engineer: MCPHERSON RYAN JAMES Address: 6169 SUNNY CIR > , MIRA LOMA CA 91752 Phone: 909-569-2244 State Lic:C-082088 Designer: MENDEZ RENE , Address: 5205 AVENIDA ENCINAS #D CARLSBAD CA 93012 Phone: 510-871-0081 Record Management (8 1/2 X 11) $0.00 Record Management (Plans) : $0.00 Fee Due at Permit Issuance : $240.00 PUBLIC WORKS APPROVAL: J� 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 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 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 -Builder will have the burden of proving that it was not built or improved for the purpose of sale). I. as owner or me 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). I �m exempt fron, licensure under the Contractors' State License Law for the following reason: By my signature talow 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 legaliN F911 a structure t:»t 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 Core, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTF.ACTOR'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 Licence Class'_ _ � � C-I_ License No I �J( G' i Data)( ``' —ZZ Contractor Signatur i jWJRKERS' �OMNENSATION DECLARATION WARL41NG: 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 COMPEAZATICN, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: YL Lave 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 th rtormance 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' compensatio ins rance carrier and policy number are: o, Carrier 53,4-,— ,r^ Nran: Policy Number (07-i `A Expiration Date Z-('z3 me of Agent I certify that, in 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 workers' compensation laws of California, and agree It, if I should become subject to the workers' corn epsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ( nature of Applicant, ^�1 Da� :CLARATION WDING CONSTR CTION LENDING AGENCY \j ereby 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, Civi Code). rider'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 coun to enter the above-identifiecj, property for inspection purposes. gnature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION DATE BY DECLARATION OF COMPLIANCE Aq TN CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND AQMDRULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA El AQMD PERMITEXPIRED PERMIT CANCELLED PERMIT EXTEI^IDED ❑ ASBESTOS N071FICA77ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: PERMITFIMAL - o-2t CER-PFiCATEOF OCCUPANCYfSSUED