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Home My WebLink AboutPV2021-227 - Permits+`t'r City of Newport Beach - Building Divistion w PO Box 1768 Newport Beach, California 92658-8915 4. w' Job Address: 48 CROOKED STICK DR NB Description:SFR SOLAR PHOTOVOLTAIC 4.25kw, (10) ROOF MOUNTED PANELS Inspector Area: 4 Legal Desc.: N TR 15391 LOT 56 Owner: DABDOUB MARISOL Address: 48 CROOKED STICK OR NEWPORT BEACH, CA 92660 Phone: Applicant: ALLEN BRIDGET Address: 2102 ALTON PKWY #B IRVINE CA 92606 Phone: 714-450-2839 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U No of Stories: 2 Use Zone: Bldg Height: 0 SOLAR Permit: PV2021-227 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Contractor: TESLA ENERGY OPERATIONS Address: 2102 ALTON PARKWAY #B IRVINE CA 92606 Phone: 650.638.1028 Con State Lic: 888104 Lic Expire: 12131/2022 Bus Lic: BT30026827 Lic Exp Date: 02/28/2022 Worker's Compensation Insurance Carrier: ZURICH AMERICAN INS Policy No: EWS107458504 Expire: 1013112022 Building Setbacks Rear: Front: Left: Right: *PV2021-227* Project No : 2699-2021 Issued Date : 12/09/2021 Architect: (_;`dj �) 1S NOT A! " t'WED 1`011 Address: Phone: -• Engineer: Address: Phone: State Lic: m m emmomm m Designer: WYDAJEWSKI CHRISTIAN Address: 2102 ALTON PKWY #B m m m m o IRVINE CA 92606 Phone: 714-460-2839 moom mo 0 ��P��'�'° m m c mom° o �� °BOoom m mmmme mm o 0 00 ommmuo m o 0 Valutaion: $25,500.00 mmmmmm ° memo Building Permit Fee $240.00 Record Management (8 1/2 X 11) m $0.00 Plan Check Fee : $210.00 Record Management (Plans) $0.00 TOTAL FEE: $450.00 Plan Check Fee : $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: 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 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 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_goplicantt for ie 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 any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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.html. ignature 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 Professions Code, and my license is in full force nd effect. . • .LG-� ` ✓I — icenseClass••"': License No Date Contractor Signature!\ r tiY IIORRERS' COMPENSATION DECLARATION 'ARNIN& FAILURE.TO SEGU RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm and erpenalty of perjury one of the following declarations: ',I Kaye and'Mli9 rnamtain 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 erfdrFnance of tbq wofj( for which this permit is issued. Policy No. i law and AN 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 ce carrier and polic number are: tiler' IC)�. CC h Policy Number W-74, 63-03 Expiration Date 0131 /? VZ- lame of Agent ..' VIC. o-}- Pvl Phone # 114- m-2-A 519 ...0. .l.VjtfFy that, jrjtjlpArformance 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 tat, if I should becomersu 1ec to the ,workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. plicant ignature of ApA/9.0�' f`f -.(DateZ��G��Z�z--� IECLARATION REGA DIN ONST CTION LENDING AGENCY 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 ode). Ender's Name Lender's Address y 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 count � t/d e er the,abov�j-Identif d property for inspection purposes. i p 12 iZoz ignature of Property Owner or Authorized Agent -X. = TI"7 Print Property Owner's or Authorized Agent's Name V� `JV1C.1WT A4[-2 Vl Date ACTION BATE o BY DECLARATION OF COMPLIANCE 4MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OFT17LE40AND AQMDRULE 1403. PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITCANCELLED PERMITEXTENDEO PERMIT FINAL - CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED