HomeMy WebLinkAboutPV2022-094 - Permits@City of Newport Beach - Building Divistion
„PO Box 1768 Newport Beach, California 92658-8915
SOLAR Permit: PV2022-094
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Job Address: 712 K-THANGA DR NB
Description:SOLAR PV SYSTEM- 24 MODULES. 9.6 KW. 1 ENERGY
STORAGE SYSTEM 13.5 KW
Inspector Area: 2 Legal Desc.:
N TR 1700 LOT 93
Owner: HARMON TIMOTHY
Contractor: TESLA ENERGY OPERATIONS
Address: 712 K-THANGA DR
Address: 2102 ALTON PARKWAY #B
CORONA DEL MAR, CA 92625
IRVINE CA 92606
Phone:
Phone: 650-638-1028
Applicant: ALLEN BRIDGET
Address: 2102 ALTON PKWY STE B
IRVINE CA 92606
Phone: 714-450-2839
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R31U
No of Stories: 1
Use Zone:
Bldg Height:
Valutaion : $24,000.00
Building Permit Fee
Plan Check Fee :
$240.00
$210.00
Con State Lic:
888104
Lic Expire:
12131/2022
Bus Lic:
BT30026827
Lic Exp Date:
0212812023
Worker's Compensation Insurance
Carrier: ZURICH AMERICAN INS
Policy No: EWS107458504
Expire: 10131/2022
Building Setbacks Rear:
Front:
Left:
Right:
IITOTAL FEE: $450.00 Plan Check Fee
PROCESSED BY: -A
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ZONING APPROVAL: I � e
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Project No : 0958-2022
Issued Date : 05/03/2022
State Lic
HECHT NIELSEN MARCUS
3055 CLEARVIEW WAY
SAN MATEO CA 94402
650-638-1028 State Lic:C-073045
SCRIBNER DANNY
2102 ALTON PKWY STE B
IRVINE CA 92606
Record Management (8 112 X 11) $0.00
Record Management (Plans) : $0.00
$210.00 Fee Due at Permit issuance : $240.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: V
GRADING APPROVAL: •e• ••• , 4PPROVAL TO,ISSUE:
e o o e a • e ®o ••
e o n• • mo •
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MOMOXQ%DETECTGRS ARE RXISTING PER CRCR 314.1 & 315.2
0 0 0
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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 iteiru(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 tiie 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 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).
❑ I 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 legall.
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:hftp://w .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'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
and effect. License Class C d^� �-
z) License No 2 N �// S Datea a, Contractor Signat (, �/lf
NORKERS' COMPENSATION DECLARATION
NARNING: 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 I$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
ante of the work for which this permit is issued. Policy No.
ve 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
nsu camera dpoli number ar�e:�nny< p
3amer �1r�r Policy Number (f ""JIB rJ� Expiration Date
Vame of Agent __ Phone #
JI 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
rat, if I should become su ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applican
IECLARATION REGARIJIAG NSTRUCTIONIL DINGAGENCY
hereby affirm under penalty of perjury that there is construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 relating to building construction.
I authorize representatives of this city or count t nter he above-i n ified property for i action purposes.
'signature of Property Owner or Authorized Ag Int Property Owner's or Authorized Agent's Name W \�� 11 �x� Dater3
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODEOF
FOR OFFICE USE ONLY
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PERMIT EXPIRED
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