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Home My WebLink AboutPV2021-003 - Permits (3)Ewtfj4: City of Newport Beach - Building Divistion PO Box 1768 Newport Beach, California 92658-8915 U $ t'rtirai4Ni� Job Address: 25 VERNON NB Description:SFR SOLAR PHOTOVOLTAIC SYSTEM 36 PANELS 12.24 kw Inspector Area: 6 Legal Desc.: SOLAR Permit: PV2021-003 igiiiiiiiiq�� Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Project No: 0012-2021 Owner: LEE FRANK Contractor: TESLA ENERGY OPERATIONS Address: 25 VERNON Address: 2102 ALTON PARKWAY #B NEWPORT BEACH, CA 92657 IRVINE CA 92606 Phone: 949-285-8599 Phone: 650-638-1028 Applicant: STABLEIN SAM Con State Lic: 888104 Address: 2102 ALTON PKWY STE B Lic Expire: 1213112022 IRVINE, CA 92606 Bus Lic: BT30026827 Phone: 714-496-0688 Lic Exp Date: 0212812022 Code Edit: Worker's Compensation Insurance Type of Construction: Carrier: ZURICH AMERICAN INS Occupancy Group: Policy No: WC107458303 No of Stories: 2 Expire: 10/3112021 Building Setbacks Rear: 10' Use Zone: PC53 Front: 10' Bldg Height: 0 Left: 5' Right: 5' Issued Date : 03/02/2021 Architect: Address: Phone: Engineer: Address: Phone: State Lic: Designer: THURNEYSSEN ASHTON Address: 2102 ALTON PKWY STE B IRVINE, CA 92606 Phone: L owED FOR Valutaion : $73,440,00 Building Permit Fee $240.00 Record Management IS 112 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:y� PUBLIC WORKS APPROVAL: ZONING APPROVAL: 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 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 tern(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 applicanefor 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 (_) all of or (_) 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 im roved for the purpose of sale). I, as owner of ble Droperty, 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 owna, ufproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LJ I sm exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature, bibw 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 legal) sell q 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 Crdeis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Cigneture of r'rooert; Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affir,n urde, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing VwitW Section 7000) of Division 3 of the Business and rofess' R ode, a .my lice a is in full force auo effect. � J„jrse Class License No Date L, Contractor Signature WORKERS' CgIWPENSATION DECLARATION hAki.ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG ED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THI COST OF COMPENSATI7N, 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: and will maintain a certificate of consent to self -insure for workers' a of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Dance carrier and policy number are: 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 t, if I should becomes\ubject to the wo pensati visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n / nature of Applicant DakCiCode). �I U CLARATION REGA IN STRUCTIO AGENCY Ireby affirm under p alty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 cou y ordinances and state laws relating to building construction. I authorize representatives of this city or counhAb enter the -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date AC71ON DATE Y DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART 61 OF T17LE40AND AQMD RULE 1403, - PERMIT EXPIRED ❑ I SUBMITFEDASBESTOS AtOnFICATION TO: ❑ EPA ❑ AQMD PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS NO77FICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SIGNATURE.