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Home My WebLink AboutPV2021-082 - PermitsCity of Newport Beach - Building Divistion r PO Box 1768 Newport Beach, California 92658-8915 J rtiyi,. $ SOLAR Permit: PV2021-082 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Job Address: 1532 KEEL DR NB Description:SFR INSTALL (199) SOLAR PHOTOVOLTAIC ROOF TILES 11.661kw Inspector Area: 6 Legal Desc.: N TR 6152 LOT 115 Owner: DOYLE JOHN M Contractor: TESLA ENERGY OPERATIONS Address: 1532 KEEL DR Address: 2102 ALTON PARKWAY #B CORONA DEL MAR, CA 92625 IRVINE CA 92606 Phone: Phone: 650-638-1028 Applicant: FOXX-SARMIENTO MELISSA Con State Lic: 888104 Address: 2102 ALTON PKWY #B Lic Expire: 12/31/2022 IRVINE CA 92606 Bus Lic: BT30026827 Phone: 702.785-2998 Lic Exp Date: 02/28/2022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B-SPR Carrier: ZURICH AMERICAN INS Occupancy Group: R3/1.1 Policy No: WC107458303 No of Stories: 1 Expire: 1013112021 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Building Permit Fee Plan Check Fee : $240.00 $210.00 TOTAL FEE: $450.00 1 Plan Check Fee l� PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect Address: Project No : 1124-2021 Phone: State Lic Engineer: Address: Phone: State Lic: Designer: ZUNIGA CARLOS Address: 2102 ALTON PKWY #B IRVINE CA 92606 Phone: 702-785-2998 Record Management (8 1/2 X 11) Record Management (Plans) : $210.00 Fee Due at Permit Issuance : $240.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 � I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next t0 the applicable Item.(5) (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 tea Business no Professions Professions Code) or that he or she is exempt from licensors 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 0f not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Sect)on 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). ff 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 licensure under the Contractors' State License Law for the following reason: By 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 legall) 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://www.ieginfo.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 <3o pLz)L4 Date2--"l r "'-+ Contractor Signatures NORKERS' COMPENSATION DECLARATION NARNIN a: FAILURE ) 0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10(1,000), IN ADDITION TO THE 'CST 0- COMPEN^AT'CN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm ender penalty of perjury one of the following declarations: 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 thel ret rmance of !he v:erk for which this permit is issued. Policy No. 6 have and will maintain workers' compensation insurance, as required by Section Vol] of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio i. urance career a. w policy nu bar are: /� DhA licy Number=GW �ID�-�S�{�-ZS �j Ex i��22 !Nome of Agent Expiration # Date " .. Phone # 0i ce, "should that, in tale oerformance 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 ,itict, '°'. should becomes Die the workers' compe sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. DECLARATIre of ON Date�� I I V" DECLARATION REGA D NG C NSTR C"Ivn Etry q.o f+vcnt.r I hereby affirm under penalty of perjury that there is a truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 laws relating to building construction. I authorize representatives of this city or count9dt tt r the bove,-itlentif d f9 artfor inspection purposes. �` Signature of Property Owner or Authorized Agent j (Q ,( N/�L�. /jC.p y Print Property Owner's or Authorized Agent's Name ( ac FyKx DateP�T/Z_ul ACTION DATE I BY EXTENDED OCCUPANCY6SUED __.... _......_1"6. ,..,,7Z40, FOR OFFICE USE FEDERAL REGULATIONS PART 6f OF TI RE 40 AND AQMD RULE 1463. ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N077HCA TION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: