HomeMy WebLinkAboutPV2018-097 - Permits (2)1x1ra City of Newport Beach - Building Divistion
SOLAR Permit: PV2019-097
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PO Box 1768 Newport Beach, California 92658-8915
Permit Counter Telephone (949)644-3288
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Inspection Requests/Telephone (949)644-3255
Project No : 1683-2019
Job Address: 6 WATERFORD WAY NB
Issued Date :
07129/2019
Description:SFR SOLAR PHOTOVOLTAIC 4'.9kw (13)
ROOF MOUNTED PANELS -
Inspector Area: 6 - Legal
Desc.:
Owner: RAHMATULLAH
Contractor:
TESLA ENERGY OPERATIONS Architect:
Address: 113 WATERWORKS WAY #340
Address:
3055 CLEARVIEW WAY Address:
IRVINE CA 92618.
SAN MATEO, CA 94402
Phone:
Phone:
650-638-1028 Phone: :State Lie:
Applicant: FOXX MELISSA
Con State Lie:
888104 Engineer.
Address: - 2102 ALTON PKWY #B
Lie Expire:
12131/2020 Address:
V J
IRVINE CA 92606
Bus Lie:
BT30026827
Phone:
Lie Exp Date:
02128/2020 - Phone: State Lie:
rY9
Code Edit: - 2016
Worker's Compensation Insurance Designer: RUCK MATTHEW
1 ,�1,
Type of Construction VB
Carrier.,
ZURICH AMERICAN INS Address: 2102 ALTON PKWY #B
Occupancy Group: R3IU
Policy No:
EWS107458501 IRVINE CA 92606
No of Stories: 2
Expire:
10/31/2019 Phone: 702.785-2998
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height: 0
Left:
Right:
Valutaion : $29,400.00
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 : $0.00 Fee Due at Permit Issuance :
$450.00
PROCESSED BY:
'
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: -
PLAN CHECK BY:
GRADING APPROVAL:
m o - •oe a APRROVAIY TO ISSUE:
-
o e n e• ,. a m o
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARSON 11,7S1AX)XIME DSTECTORS. ARE+EXISTING PER CRCR 314.1 a 315.2
m m a o
IWNER-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 chgckmark(s) I have placed next to the applicable item(s)
lection 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
IS 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
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by anyapplicant for a permit subjects the applicant to a civil penally of
of more than five hundred dollars ($500).
1 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,
lusiness 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
nprovements 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
nproved 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
pply 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 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
ell 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
'rofessions Code, 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
.ICENSED CONTRACTOR'S DECLARATION
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 I of ssions Code, and m',r i rise is in full force
nd effect.\
icense Class License No Date t�� Contractor Signat fe
VORKERS' COMPENSATION DECLARATION
IARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
FF 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 th
e ormance of the work for which this permit is issued. Policy No.
I have and willSin 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' compensatiol
isurance carrier and y number are:�/] py1
I & l Exoiration Date _
is of Agent I�;l�=V r- �y
certify that, in the performance of the work for
, if I should become subj&cJA Ike workefg' co
of Applicant
issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire
ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. te o� `�I /�'
a
hereby affirm under p alty of perjury that there is a cons uc' n lending agency for the performance of the work for which this permit is issued (Section 3097
ender's Name Lender's Address
ly 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 rel . to building construction.
I authorize representatives of this cit or coun -i di jd arty inspection purposes.
sgnature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Naml
I
ACTION I DATE f BY
PERMIT FINAL
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OCCUPANCYISSUED
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