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Home My WebLink AboutPV2021-140 - Permits (4)�.�6'`,rlf City of Newport Beach - Building Divistion a t, glr v PO Box 1768 Newport Beach, California 92658-8915 9i r� i ,- - Job Address: 1433 HIGH BLUFF Description:SFR SOLAR PHOTV Inspector Area: 4 — N Owner: KENOZIORSKI/PAUISON Address: PO BOX 4720 IRVINE CA 92616 Phone: Applicant: STABLEIN SAM Address: 2102 ALTON PKWY #B IRVINE CA 92606 Phone: 714-496-0688 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U No of Stories: 2 Use Zone: Bldg Height: 0 Vawmimi'. m� Building Permit Fee Plan Check Fee : 8.4kw, 21 OOF MOUNTED PANELS $240.00 $210.00 SOLAR Permit: PV2021-140 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 egal Desc.: N TR 15243 LOT 6 Contractor: TESLA ENERGY OPERATIONS Address: 2102 ALTON PARKWAY #B IRVINE CA 92606 Phone: 650-638-1028 Con State Lic: 888104 Lie Expire: 12/31/2022 Bus Lie: BT30026827 Lie Exp Date: 02/28/2023 Worker's Compensation Insurance Carrier: ZURICH AMERICAN INS Policy No: EWS107458504 Expire: 10/31/2022 Building Setbacks Rear: Front: Left: Right: TOTAL FEE: $450.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $450.00 Project No : 1830-2021 Issueu Uace : III imcvc I ELECTRICAL METALLIC TUBING Architect: (EMT) IS NOT ALLOWED FOR Address: EXTSFRIOR APPLICATIONS Lic. Phone: ate Engineer: MUNYANZIZA, EUGENE Address: 250 WILKERSON AVE APT 160 PERRTS CA 92570 Phone: 951-355-3348 State Lic:C-08B783 Designer: RAMIREZ OTHON Address: 2102 ALTON PKWY IRVINE CA 92606 Phone: 714-496-0688 DUPLICATE Record Management (8 112 X 11) $0.00 Record Management (Plans) : $0.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DF-rEC.T.ORS ARE EXISTING PER CRCR 314.1 & 315.2 LDER 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, 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). LJ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 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). ❑ 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.leginfo.ca.gov/calaw.html. 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 Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, 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: ZI I have andwillmaintain 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 the oerformance of the work forwhich this permit is issued. Policy No. :1I have a—nd 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' compensatiol nsurance carrier and policy number are: Policy Number of Agent Date 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 t, 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 Ireby 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 Idler's Name Lender's 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 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 county to enter the above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Civil Code). Date ACTION DATE BY DECLARATIONOF COMPUANC MTTH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD'2U'_E 14(`3. ❑ I S 1JEW1 �TED ASHES TOS NO TIER ATlOIv TO: ❑ EFA ❑ AQMO ❑ ASBESTOS N077FICA77ON IS NOTAPPLICABLE TO PROPOSED DFMOUTION. 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