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Home My WebLink AboutPV2022-015 - Permits9�wIY City of Newport Beach - Building Divistion PO Box 1768 Newport Beach, California 92658-8915 c: rrd�aa�a'� SOLAR Permit: PV2022-015 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No : 0180-2022 'PV2022-015' Job Address: 1907 BERYL LN NB Issued Date : 02122/2022 Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 12.75 kw 8:2 ENERGY STORAGE SYSTEMS Inspector Area: 3 Legal Desc.: N TR 1806 LOT 36 Owner: POLENZANI MICHAEL Contractor: TESLA ENERGY OPERATIONS Architect:+ Address: 1907 BERYL LN Address: 2102 ALTON PARKWAY #B Address: NEWPORT BEACH, CA 92660 IRVINE CA 92606 Phone: Phone: 650-638-1028 Phone: State Lic: Applicant: ALLEN BRIDGET Con State Lic: 888104 Engineer: ° Address: 2102 ALTON PARKWAY STE B Lic Expire: 12/31/2022 Address: °, ° • IRVINE, CA 92606 Bus Lic: BT30026827 o Phone: 714-450.2839 Lic Exp Date: 0212812022 Phone: State Lic: o ° Code Edit: 2019 Worker's Compensation Insurance Designer: GUNEY CHRISTOPHER � Type of Construction: V-B Carrier: ZURICH AMERICAN INS Address: 2102 ALTON PKWY Occupancy Group: R3lU Policy No: EWS107458504 IRVINE, CA 92606 °, 0 • ° No of Stories: 1 Expire: 10131/2022 Phone: 619-318-7452 0 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: �• ° °°°o°° Valutaion : $76,500.00 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 : $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: ` _ ,� V PLAN CHECK BY: GRADING APPROVAL: 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 appli(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 cant ;or 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 U all of or U 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 Iicensure 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 'rofessiongCpOe, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Iignature+of PiVerty Owner or Authorized Agent Date .ICENSED CQWTRACTOR'S DECLARATION hereby aff rman�er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business n Pro essions Code, and my license is in full force A effect. " Ibense Class License No Date Contractor Signature VbRKERV COMPENSATION DECLARATION T� IARYING: FAILGRE 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 OET OF COMPI NSATI§N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affims and& 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 thl eMVance of thr.%rk for which this permit is issued. Policy No. �l have and will mLyntain 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 5iaace�c7a�rfj�g�r �ana(lq�3clicy number are: �cco�oo / it C/Ll,V\M � V,2 C1AVI Policy Number �O—lq{ ;S �3 Expiration Date lD[31 �zozz- meofAgent d5yicl A'rf- i{P.L. Phone# ^11id—L4,70-Z6L'55 I certify that, in the p rrormance 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 agrel It, if I should beco ub' ct to the w�orrkeorr�s'Qcompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1tf/ (nature of Applicant binifRO� DatZ2��2Z !CLARATION REGAIRD CON RUCTION LENDING AGENCY areby 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). ider's Name Lenders 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 c?,np ordinances and state laws relating to building construction. I authorize representatives of this city or count�tyS eryfecihe abgve-ire tq ified property for inspection purposes. 1 ^ + (nature of Property Owner or Authorized Agent l� �l],1,a�L�.� �(i Print Property Owner's or Authorized Agent's Name4 C'-E- MttItyy Date rile ACRON DATE BY DECLARATION OF COMPLIANCE tMTH CODE OF FOROFRCEUSEONIY " FEDERAL REGULATIONSPART 61 OF TITLE40 ANO AQMD RULE I403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMITEXTENDED / ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERAWFINAL C€RRFICATEOF SIGNATURE: OCCUPANCYISSUEO