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Home My WebLink AboutX2022-0979 - PermitsPORT City ®f Newport Beach C Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C"911poFtP newporibeachca.govrinspections Combination Type - SFP Work Class - Other �i991111tlI�R�lIl�1911pCOMB m,toxzozz-as7eIssued Date: Plan Check No: 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 : 448 DE SOLA TER Legal Desc : N TR 1237 BLK LOT 1,14 Description: SFR ENERGY STORAGE SYSTEM Owner: PINKSTON ARNOLD A TR Contractor: TESLA ENERGY OPERATIONS. Architect: Address : 448 DE SOLA TER CORONA DEL MAR, CA Address : 2102 ALTON PARKWAY #B IRVINE, CA Address 92625 '' 92606 Phone : Phone: (650) 638-1028 Phone Coin State Lic: 888104 State Lic: Applicant: SAM STABLEIN Lic Expire: 12/31/2,022 Address : 2102 ALTON PKWY, B IRVINE, CA 92606 Sus Lic: BT30026827 Engineer: Phone: (714) 496-0688 Bus Lic Expire 02/28/2023 Address: Workers` Compensation Insurar:ce Phone: Owner/Builder : Carrier: ZURICH AMERICAN INS CO Address : Policy No: EWS107458504 Designer: CHRISTOPHER ROY Phone: W. C. Expire: 10/31/2022 Address Phone Code Edition : 2019 Fire Sprinklers: NO Construction Valuation Type of Construction : Fire Hazard Zone No Added/New/TI sq. ft. Bldg: 0 `-, Occupancy Groups: U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. fi. Garage: 0 Building Setbacks: Front: 5, Front: 15, Side: 6, Side: 6 Flood Zone: X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: u 3® o e c rs 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) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demollsk or repair any structure, prior 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 off the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and lrofessions Code) or that he or she is exernpt 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). :11, as Owner of the pr'dpeit'ty,'or my employees with Wages as their sole compensation, MI do U all of or U portions of the work, and the structure is not intended car offered for sale (Section 7044, Wsiness 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 prope rty, erty, provided that the nprovements are not i , ntended 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 buift or -nproved for the purpose of Sale). 1, 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 Lawdoes not pply to an owner of pmperty who builds or improves thereon, and Who contracts for the projects with a licensed Contractor pursuant to the Contractore State License Law). I am exempt from fice'nsure'under the Contractors' State License Law for the following reason: )y my signature belowlt 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 Irofessions, Code, is available e'upon request when: this application is submitted or at the fbilowing 'Web site-.http://Www.legireko.ca.govicalavt.htmi. r Authorized Agent Date �jgnature of Property Owner , o .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penWty`of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions_ and 1- ease is in full force ClassI �� . License No Date Contractor SignaturM 9 Ind effect. licerm- _4 VORKERS'COMPENSATION DECLARATION rARNING. FAILURE To SECURE WORKERS! COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CrMNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3-M6 OF THE LABOR CODE, INT19MST, AND ATTORNr--Y$ FEES herebyaffirm, under penalty of perjury one of the following declarations: I have and Nvill 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 v: ce the which this permit is issued. Policy No. 0' or' and v_l� maintain workers! compensation insurance, as required by Section 3700 of the Labor Code, for the perforrnance of the work for which this permit is issued. My workers' compensatioi; 'a . me, . por 'r F,an,e' and y dumber are: artier Pollov Number —Expiration Date fame of Agent Phone# 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 become subject to the work ' t* . _oils On _t�mpensa p_rWx9_viMon of of the Labor Code, I shall forthwith comply With those provisions. nature of Applicant Dates,,—. CLARAMON REGARrMP'WNSTRU(M,0*-rENDTNG AGENCY areby affinn under penaft 1 1 , , yof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). ider's Name :I ; ! ,I I , Lender's Address my signature below, I cerlify 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;Arith 4applicable city and county ordinances and state laws relating to building construction. I authorize representatives cif this city or county to enter 113,e acv-erlde�ntfffied r perty for inspection purposes. nature of Pronertv Owneror Authorized Acentv Print Propertv Owner's or Authorized AgerWs NamAP ea M, 'SA-Ob, lclo Date ACTION DATE 1 BY DEcLARA7,toNc)rcoNipuANrrzwiTi4CODE Car r-EDERAL FOR OFFICE USE ONLY REGULATIONS PART61 OF TMLE 40AND AMAD RULE 1403 PERMIT EXPIRED j0 1 SUBMTED Aserams Nowiumcw To DEPA Pirid arms; tits gates and fences which serve as -part of pool/spa barrier, shall FERMITCANCELLED All vi�q FERMI MENDED be ii Vacp prlor- to-a;5,qro-va'k to fill pool/spa & shall remain in place & be maintained for the PERAV-7FMAL i- life cfthe'Wal. -MASBESTOSINOTIFICATION lS NOT APPUCABLE TO MMICATEOF dt PROPOSED DEMOLMON OCCUPANCYISSUED SIGNATURE: