HomeMy WebLinkAboutPV2022-0268 - PermitsaEWPoRT
City of Newport Beach II II I II I
II I II I II I I III I I II PV2U22-0268
Development Department- Building Division
Solar Permit:
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Community
100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : PC2022-2178
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Permit Counter Phone: (949) 644-3288
Work Class : Alteration
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Inspection Requests Phone: (949) 644-3255
Issued Date :
newportbeachca.gov/inspections
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays.
Job Address: 337 CHERRY TREE LN Legal Desc : N TR 3062 BILK LOT 13 TR 3062 LOT A POR OF LOT AND POR OF LOT 13
Description: SFR SOLAR PV SYSTEM REMOVE/RE-INSTALL 5.83 KW (22) MODULES **MAINTENANCE**
Owner: SINCLAIR ROBERT R JR TR
Address : 337 CHERRY TREE LN
NEWPORT BEACH, CA 92660
Phone
Applicant: SAM STABLEIN
Address : 2102 ALTON PKWY, B
IRVINE, CA 92606
Phone : (714) 496-0688
MICA, Ni"
o r-C,n
i� N1-0 IS NOT A)-120WE
Contractor:
TESLA ENERGY OPERATIONS
Address :
2102 ALTON PARKWAY #B
IRVINE, CA 92606
Phone:
(650)638-1028
Con State Lie
: 888104
Lie Expire :
12131/2022
Bus Lie :
BT30026827
Bus Lie Expire : 02/28/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No: EWS107458504
W. C. Expire : 10/31/2022
Code Edition : FXTEr APQL'CPT10 IS
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
R-4,U
No of Units :
0
Bldg Height:
No of Stories :
2
Building Setbacks :
Front: 20, Side: 5, Side: 5, Rear: 20
Flood Zone :
X
Use Zone:
R-1-7200 - Single -Unit Residential (7200 indicates minimum
lot area)
Processed By:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer: DE VERA ABELARDO ERGUIZA
Address: 22701 RASHDALL AVE
CARSON, CA 90745
Phone: (888)765-2489
Designer:
Address :
Phone:
Construction Valuation : $34,980.00
Type of Solar: SFP
Kilowatt: 5
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perfury that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by file 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
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).
❑ t, 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). -
0 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 licensors udder the Conlractorif' Slate License Law for the following reason! __ ._
By my signature below I acknowledge that, except for my personal residence in which I must have mslded for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure [hat I have built as an owner -builder if it has not boon constructod 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:http://www.leginfo.ce.gov/calaw,html.
Signature of Property Owner or Authorized Agent _ _ Dale
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 OJ of Division 3 of the Business and Professions " e, `-ense is In full force
and effect. License Class License No Date Contractor Signaler
WORKERS' COMPENSATION DECLARATION JYK
NARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS (S300,000), IN ADCri TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 the
as grmance of the Work 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'
carrier and policy number are:
Policy Number
IIF;4=
lame of Agent Phone 0
11 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 subje t to the workers' c e lion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant._„ _ Da
"'LARATION REGARD . 0 ENDING AGENCY
hereby affirm under pen Iffy of perjuryat there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Cl, ode).
printer's Name Lender's Address
y my signature below, 1 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 slate laws relating to building construction.
I authorize representatives of this city or county to enle a abo ratified pro r inspection purposes. �r
iunature of Property Owner or Authorized ADent �/ Print ProDerty Owner's or Authorized Ani nt'9 Name CArkI Fr . ✓1 Flair, Q4 N%2 f%i
ACTION DATE BY v N DrCLA TIeNS OF CO LIANIEWITH
I HC0AQMD RULE
FOR OFFICE USE ONLY
PERMIFEXPIREO LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CAA'CE L
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___.___.....__._.........._..........._.._._.—.._..._.........._ _.__.._____— TAT
FlERMIT EXTENOEO _ I LtggMO
PERMIT FINAL [J _Z.��2 Jp I L1 A5flES FOS NUtIFICA PION IS NOT APPLICABLE TO
CERTIFICATE OF i PROPOSED DEMOLITION
OCCUPANCVISSUED I SIGNATURE:
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