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HomeMy WebLinkAboutPV2023-0388 - PermitsWeorr City of Newport Beach IIIIIIIIIIII IIIIIII IIIIIIIIIIIIIIII IIIIIIIIII II COMB Permit : PV2023'U388 o� ; � Community Development Department - Building Division P V 2 0 2 3 0 3 8 8 ` y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1660 = = Permit Counter Phone. (949) 718-1888 Issued Date : 08/1112023 newportbeachca.gov/civic Final Date: 11/0912023 "Foar P Combination Type - SFP Permit Status: Final Work Class - Online Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 460 CATALINA DR Legal Desc : A TR FIRST ADD TO NEWPORT HEIGHTS BLK 21 LOT 7 Description: SFR SOLAR PV SYSTEM. 5.2 KW. 13 MODULES. 27 KW ESS Owner: SEAN LUPTON-SMITH Address : 460 CATALINA DR NEWPORT BEACH, CA 92663 Phone : (770) 241-8132 Applicant : KATHY NGUYEN Address : 2102 ALTON PKWY, B IRVINE, CA 92606 Phone : (714) 625-1353 Owner/Builder : Address : Contractor: TESLA ENERGY OPERATIONS Address : 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone : (650) 638-1028 Con State Lic : 888104 Lic Expire : 12/31/2024 Bus Lic : BT30026827 Bus Lic Expire : 02/28/2024 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No: EWS107458504 W. C. Expire : 10/31/2023 Architect Address Phone: State Lic Engineer: MARCUS A HECHT-NIELSEN Address: 3055 CLEARVIEW WAY SAN MATEO, CA 94402 Phone : (650) 638-1028 Designer Address Phone P Phone Code Edition : Type of Construction : Occupancy Groups : Bldg Height: 2022 V-B R-3 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : No of Stories : 2 Construction Valuation : $13,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: OWNER -BUILDER 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) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, 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 fora 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' Slate 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). ❑ 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), ❑ 1 am exempt from licensure under the Contractors' Slate 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 toast one year prior to completion of the improvements covered by this permit, I cannot legail sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:!lwww.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Dale Contractor Signature WORKERS' COMPENSATION DECLARATION NANNING: 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 IS100,0001, IN ADDITION TO THE COST OF COMPENSATION, 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: 1 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 & 3erformance 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 Labor Code, for the performance of the work for which this permit is issued. My workers ranee carrier and policy number are: Policy Number Expiration Date of Agent o,,--- a 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions, nature of Applicant Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY — areby 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). Ides s Name Lenders 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 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above-identifed property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RU LE icmn I cnrmcu PERMIT CANCELLED _ � �_ q-Z�` LJ I SUBMITTED ASBESTOS NOTIFICATION TO �E"��P_A 0 AOMD ❑ ASBESTOSNOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION DEMOLITION PERMIT EMENDED FINAL CERTIT IFICATE CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: Date