HomeMy WebLinkAboutPV2022-0254 - Permits�6`wPORr City of Newport Beach
Community Development Department - Building Division
Z 100 Civic Center Drive, Newport Beach, CA 92660
6 r Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
lllllllllllllllllllllllllllllllllllllnllllllllllllll����� Solar Permit : PV2022-0254
Plan Check No : PC2022-2080
Work Class: Alteration
Issued Date : 01/27/2023
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: 2408 SANTIAGO DR Legal Desc : A TR NEWPORT HEIGHTS BLK LOT 297 NEWPORT HEIGHTS LOT 297 NWL Y 108 FT SELY 228 FT
Description: SFR - R/R EXIST'G SOLAR PV SYSTEM 21.84 KW -84 MODULES (MAINTENANCE)
Owner: JOHN FRANCIS
Address : 2408 SANTIAGO DR
NEWPORT BEACH, CA 92660
Phone
Applicant: SAM STABLEIN
Address: 2102 ALTON PKWY, B
IRVINE, CA 92606
Phone: (714)496-0688
Owner/Builder :
Address :
Phone
Contractor:
TESLA ENERGY OPERATIONS
Address :
2102 ALTON PARKWAY #B
IRVINE, CA 92606
Phone:
(650)638-1028
Con State Lic
: 888104
Lie Expire :
12/31/2024
Bus Lie:
BT30026827
Bus Lie Expire : 02/28/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No: EWS107458504
W. C. Expire : 10/31/2023
Architect
Address
Phone:
State Lie
Engineer:
DE VERA ABELARDO ERGUIZA
Address:
22701 RASHDALL AVE
CARSON, CA 90745
Phone :
(888) 765-2489
Designer:
Address
Phone:
Code Edition :
2019
Fire Sprinklers :
NO
Construction Valuation : $131,040.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups:
R-3,U
No of Units :
1
Type of Solar: SFP
Bldg Height:
Nc of Stories -
1
Kilowatt: 21
Building Setbacks :
Front:20, Side:4, Sid6: 4' Rear11,
- -" ° ""
_- _. ";r-,1 ,1;_ (V;i_;;"z�Lii� . UL� l' !_i
Flood Zone :
X
Use Zone:
R-1-Single-Unit Residential
,_-`;i ) IS NOT {`{I_I-C)WED Ft.-i;_f
- ' ]
Processed By:
SPECIAL CONDITIONS:
3 t)Ls1- LZaJ I �J 1
OWNER -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)
3oction 7031.5. Business and Professions Code: Any city or county that requires a perfeit to construct, alter, improve, demolish, or repair any structure, poor to its issuance, also requires the applicant for
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).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L ) portions of the work, and the structure is not intended or offered for sale (Section 7044,
:usiness 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-Builderwill have the burden of proving that it was not built or
n 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
poly 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 licensure 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. 1 understand that a copy of the applicablD 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.ieginfo.ca.govicalaw.html.
4ignature of Property Owner or Authorized Agent _ Date
,ICENSED CONTRACTOR'S DECLARATION ``````������ 1��1pp�pp„���._��_
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3 of the Business and o- ssions. e, and nse is iIT hell force
Ind effect. License Class License No Cato7 I 21 � 2contractor Signd In
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU00 D THOUSAND DOLLARS (1900.000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
hereby affirm under penalty of perjury one of the following declarations:
1 h ve 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
erf mance of the work for which this permit is issued. Policy No.
h ve 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' compensetio.
su nee carrier and policy number are:
is of Agent
certify that, in the performance of the work
Policy Number Expiration Date
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
Tat, if I should become su ject to the_VoFkOJTs com anon r f Section 3700 of the Labor Code, I shell forthwith comply with. those provisions.
signature of Applicant yq,a----- L�•� 7'�-------m—�.
IECLARATION REG I ON S UCTION LENDING AGENCY
hereby 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 Code}.
.antlers Name Lender's Address
ly 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 lours relating to building construction.
I authorize representatives of this city or county to ro tty-for inspection purposes. ?
ti g nature of Property Owner or Authorized Agent entert Print Property Owner's a, Authorized Agent s Nam: �y ,�y�fy _L Q ulel n Data
ACTION DATE BY DEL TION OF COMPLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITLE40 AND AQMD RULE
1403
PERMiTEXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
RMIT FINAL TIFICArEOF �' /� �� SIGCIPNATURE: EMOLITIOAN IUN IS NUT APPLICARLk TO
CER
OCCUPANCY ISSUED