HomeMy WebLinkAboutPV2021-077 - Permits (2)City of Newport Beach - Building Divistion
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PO Box 1768 Newport Beach, California 92658-8915
Job Address: 1228 MARIAN LN NB
Description:SFR SOLAR PHOTOVOLTAIC (320) SOLAR ROOF TILES. 18.71 KW
Inspector Area: 3
Owner:
JONES JEFF
Address:
1228 MARIAN LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
FOXX-SARMIENTO MELISSA
Address:
2102 ALTON PKWY STE B
IRVINE CA 92606
Phone:
702-785-2998
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
No of Stories:
2
Use Zone:
Bldg Height: 0
Legal Desc.: N TR 1973 LOT 18
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Permit Counter Telephone (949)644-3288
Inspection Requests/Telephone (949)644-3255
Contractor:
TESLA ENERGY OPERATIONS
Address:
2102 ALTON PARKWAY #B
IRVINE CA 92606
Phone:
650-638-1028
Can State Lic:
888104
Lic Expire:
12/3112022
Bus Lic:
BT30026827
Lic Exp Date:
02/28/2022
Worker's Compensation Insurance
Carrier:
ZURICH AMERICAN INS
Policy No:
WC107458303
Expire:
10131/2021
Building Setbacks Rear:
Front:
Left:
Right:
Project No : 1090-2021
Issued Date :
--Imp
Architect:
Address:
Phone:
State Lic:
"®
Engineer:
DE VERA ABELARDO
Address:
22701 RASHDALL AVE
CARSON CA 90745
.�.
Phone:
888-765-2489X7526 State Lic:S-005185
Designer:
TEACHENDORF GREG
Address:
2102 ALTON PKWY #13
IRVINE CA 92606
Phone:
702-785-2998
Valutaion : $120.000.00
Building Permit Fee $285.00 Record Management (8 1/2 X 11) $0.00
Plan Check Fee : $249.38 Record Management (Plans) $0.00
TOTAL FEE: $534.38 Plan Check Fee: $249.38 Fee Due at Permit Issuance : $285.00
r 1
PROCESSED BY:
ZONING APPROVAL:
i
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAY3,4rTeR ISSUANCE OR L AS IVALIV IN✓?ECT/ON.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
p O• 94 •6
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)
iection 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
is 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 (_) 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
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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature Of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing withwith Sectision 3 of the Business and gfessions Code y license is in full force
nd effect.
icense Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
DARNING: 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
OSTOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
eogrmance of the work for which this permit is issued. Policy No.
11 have and will m nt 'n 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' compensatio
Isurance carrier and III numbecow. - A
'.arrier P umber
Expiration Date
lame of Agent
Phone #
I certify that, in the performance of the work for w 'ch 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
lat, if I should become s je the workers'.co pe sa ion provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant�JD
IECLARATION REGA DING CTION LENOY4G AGENCY
hereby affirm under penalty of perjury that there is a struction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name
Lender's Address
y 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 law relating to building construction. f
I authorize representatives of this city or cou a the ab e-idenYfie r y for inspection purposes.
ignature of Property Owner or Authorized Agent
Print Property Owner's or Authorized Agent's Nam),/
ACTION
DATE
BYDECLARATION
OFCOMPUANCE tMTRCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART Si OF TITLE40 AND
AQMD RULE 1403.
PERMITEXP€RED
❑ I51IBM TTEDASEES:OJ NOTIFICATIONTO:
'J EPA
0 4Q41D -
❑ A5BESIOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
S;CNArURF:
OCCUPANCYISSUED