HomeMy WebLinkAboutpv2022-113 - Permitsr�' City of Newport Beach - Building Divistion SOLAR Permit: PV2022-113
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
u Inspection Requests/Telephone (949)644-3255
t. � Project No : 1150-2022
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Job Address: 2839 ALTA VISTA DR NB _ Issued Date : 0610112022
Description:SFR - SOLAR PV SYSTEM. 19 MODULES. 7.6 KW a.l _
Inspector Area: 4
Owner: RAMEZAN-ARAB NIMA
Address: 2839 ALTA VISTA DR
NEWPORT BEACH CA 92660
Phone:
Applicant: FOXX-SARMIENTO MELISSA
Address: 2102 ALTON PKWY STE B
IRVINE CA 92606
Phone: 702-785.2998
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
No of Stories: 2
Use Zone:
Bldg Height:
Building Permit Fee
Plan Check Fee :
PROCESSED BY:
0
5,000.00
Legal Desc.: N TR 5018 LOT 132
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Contractor:
TESLA ENERGY OPERATIONS
Architect:
"`
Address:
2102 ALTON PARKWAY#B
Address:
_•..'}-ERNIC;=?A
r, ;az 3
IRVINE CA 92606
Phone:
650-638-1028
Phone:
State Lic:
Con State Lic:
888104
Engineer:
HECHT NIELSEN MARCUS
Lic Expire:
12/31/2022
Address:
3055 CLEARVIEW WAY
Bus Lic:
BT30026827
SAN MATEO CA 94402
Lic Exp Date:
02/28/2023
Phone:
650-638-1028 State Lic:C-073045
Worker's Compensation Insurance
Designer:
SCRIBNER DANNY
Carrier:
ZURICH AMERICAN INS
Address:
2102 ALTON PKWY STE B
Policy No:
EWS107458504
IRVINE CA 92606
Expire:
10/3112022
Phone:
Building Setbacks
Rear:
Front:
Left:
Right:
$240.00
$210.00
TOTAL FEE: $450.00
ZONING APPROVAL:
GRADING APPROVAL:
Record Management IS 1/2 X 11)
Record Management (Plans) :
Plan Check Fee : $210.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
u APPROVAL TO ISSUE:
e ° a o00 0 0
o° e
PEf Ivfrs E; PIRE 18&DAYS'AFTER ISSUANCE OR LAST VALID INSPECTION.
$0.00
$0.00
$240.00
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INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETF�TORS ARE EXISTING PER CRCR 314.1 & 315.2 -
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)WNER-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
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
'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
lot 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,
3usiness 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
mproved for the purpose of sale).
1 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
Ipply 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 I am exempt from licensure under the Contractors' State License Law for the following reason:
3y 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 legall,
fell 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
Irofessions 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
Ind effect. ` r' �/y
.icense Class --�tA/� License No X 7y Dat as Contractor Signa{ureBTiS(),Ay Ai�.{/(A
VORKERS' COMPENSATION DECLARATION
DARNING: 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
*ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 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
9ner'!'�MEP!6�M
once of the work for which this permit is issued. Policy No.
e 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'. compensatiol
:�! �_�1� Policy Number �/y J )1e�+S- 9 s L4 Expiration Date
lame of Agent Phone #
-1I 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 agre
iat, if I should become su 'e t t the workers' (I/(�m�p yen�sa7tgion provision of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j /( 1
tignature of Applicant i �k! dw"v''{ Date 1
)ECLARATION REGi�RIVMG CONSTRUCTI LENDING AGENCY -L
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, Civi Code).
.ender's Name Lender's Address
Sy 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 county yg/ ante e, above-i tified property .fooin pection purposes. gc
Signature of Property Owner or Authorized Agent V V IXA/v�i /�¢�l/1.li� (/W rint Property Owners or Authorized Agent's Name �1�,��KX Date �`
ACTION
BY
DECLARATION OF COMPLIANCE INITH CODE OF
FOR OFFICE USE ONLY
FEDERAL RE9ULA11ONSPART 51 OF TITLE40 AN➢
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PERMIT EXPIRED
PERMITCANCELLED
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PERMITEXTENDED
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P❑ROPOSEO DE ND TFI AONIS NOT APPLICABLE TO
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PERMIT FINAL
CERTlFICATEOF
SIGNATURE: a " a e e••• e•e
OCCUPANCYlSSUED
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