HomeMy WebLinkAboutPV2021-191 - Permitsw iJ City of Newport Beach - Building Divistion
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..; v PO Box 1768 Newport Beach, California 92658-8915
SOLAR Permit: PV2021-191
Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
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Project No: 2312-2021
P V 2 m 2 1
1 9 1
Job Address: 623 IRVINE AVE NB
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Issued Date':4ID13I2021,,p
Description:SFR SOLAR PV SYSTEM 16.32 KW. 48 MODULES.
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Inspector Area: 3 Legal Desc.: NEWPORT HEIGHTS LOT 28 SWLY 40 FT SELY 145 FT
Owner: SPETH DOUGLAS ROBERT
Contractor:
TESLA ENERGY OPERATIONS Architect:
Address: 623 IRVINE AVE
Address:
2102 ALTON PARKWAY #B Address:
NEWPORT BEACH, CA 92663
IRVINE CA 92606
Phone:
Phone:
650-638-1028 Phone:
St
Applicant: FOXX-SARMIENTO MELISSA
Con State Lic:
888104 Engineer:
DE VERA ABELARDO
Address: 2102 ALTON PKWY STE B
Lic Expire:
12/31/2022 Address:
22701 RASHDALL AVE
IRVINE CA 92606
Bus Lic:
BT30026827
CARSON CA 90745 1 Ij
Phone: 702-785-2998
Lic Exp Date:
02/28/2022 Phone:
888-765-2489X7526 Sta :S-005185
Code Edit: 2019
Worker's Compensation Insurance Designer:
WYDAJEWSKI CHRISTI..��J�����J�g
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Type of Construction: V-B
Carrier:
ZURICH AMERICAN INS Address:
2102 ALTON PKWY STE$4�
• ...°•
Occupancy Group: R3I11
Policy No:
WC107458303
IRVINE CA 92606
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No of Stories: 1
Expire:
10/3112021 Phone:°
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° ° ° ° �•
Building Setbacks
Rear:
•
,° •°°
Use Zone:
Front:
e•®°49
,• •
Bldg Height: 0
Left:
Right:
•
'°
°
°°°°•
Valutaion: $32,000.00
•°•°••
Building Permit Fee $255.00
Record Management (8 112 X 11)
• $0.09
Plan Check Fee: $223.13
Record Management (Plans)
II TOTAL FEE: $478.13 Plan Check Fee:
PROCESSED BY:�
ZONING APPROVAL:
GRADING APPROVAL:
$223.13 Fee Due at Permit Issuance : $255.00
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
NER-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)
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for
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'D45pess and
fessions 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 pendy 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,
iness 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
rovements 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
roved 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
ly 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).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
�y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least c
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.l
ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70C
is effect. %' !) 6IJ (V Date nd effect.
Class ( , License No
year
that a copy of the applicable law, Section
Date
and
of Division 3 of the Business andProfessionsCode, my license is in full force
T Contractor Signature(, V/0
:ICJ IAMAlfL1YJM '
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
:OMPENS91MM,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm wldei-penalty of perjury one of the following declarations:
e 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(
nce oJ:ieMk for which this permit is issued. Policy No.
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' compensatior
ycam&r an policy tuber r j1 rr/a
'%/Li/ltr 7 A Tit C61 Policy Number ��U�T JO D�I Expiration Date 1,1)!2v22
TION DECLARATION
Agent
certify that,1p Vlb a)rformance 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
i, 061-should become subje�c/t��o�tthe workers' c�om�pen/,/ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
• •••• J��q(
fisiu re of App�cantD IDS
CLARATION REGARDING ONSTRUCTION LENANG AGENCY
!reby affirm under penalty of perjury that there is a lhofistruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's 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 county ordinances and st etlaws relating to building construction.
I authorize representatives of this city or co t ter ea o B- e 7 d Openly for inspection purposes.
nature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name �J �u �CYI Dati ✓
ACTION
BATE
BY 1!7DECLARATION
OF COMPLIANCE WITH CODE OF
FEDERAL REGULA TIONS PART B 11 OF T/7L€ 40 AND'
AQMD RULE 1403.
❑ I SUBMITTED' ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AOMO
❑ ASBESTOS NOIIFICATIONI5 NOT APPUCABLE TO
PROPOSEDDEMOLITION.
SIGNATURE:.
FOR OFFICE USE ONLY
PERMIT EXPIRED
PERA41T CANCELLED
PERMITDGTENDED
PERMITFINAi
CERTIFICATEOF
OCCUPANCYISSUED