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Home My WebLink AboutPV2023-0072 - Permits�EWPoRr City of Newport Beach �11111111�1I1IIIIII11111111111I1111111111111IirI1111111111 Solar Permit : PV2023-O072 p� dc'n Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0297 G yh x Permit Counter Phone: (949) 644-3288 Work Class : Alteration C,L OR�`P Inspection Requests Phone: (949) 644-3255 Issued Date : 03/24/2023 newportbeachca.gov/inspections Inspection Area : 6 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,_i Job Address: 53 CLERMONT Legal Desc : N TR 14902 BLK LOT 6 Description: SFR -SOLAR PV SYSTEM W/ 18 MODULES 7.2 KW Owner: SOHRAB SHAHRAM TR Address : 53 CLERMONT NEWPORT COAST, CA 92657 Phone : (949) 838-7676 Applicant: SAM STABLEIN Address: 2102 ALTON PKWY, B IRVINE, CA 92606 Phone : (714) 496-0688 Owner/Builder : Address : Contractor: TESLA ENERGY OPERATIONS Address : 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone : (650) 638-1028 Con State Lie : 888104 Lie Expire : 12/31/2024 Bus Lie : BT30026827 Bus Lie Expire: 02/28/2024 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No : EWS107458504 W. C. Expire: 10/3112023 Phone: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone ; NO Occupancy Groups : R-3,U No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 10 Flood Zone : X a-• "`?�'; Use Zone : PC; Newport Ridge Processed By: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: CHILDSJAMES Address : 3055 CLEARVIEW WAY SAN MATEO CA 94402, CA 94402 Phone : (650) 638-1028 Designer : TESLA ENERGY OPERATIONS Address : 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone : (650) 638-1028 Construction Valuation : $16,000.00 Type of Solar: SFP Kilowatt : 7 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) 1 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 he permit to ii•••le a signed statement that he or sheds 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 io a civil penalty of rot more than five hundred dollars ($500). D i, as owner of the property, or my employees with wages as their sole compensation, Will do (_) all of or U portions of the work, and the structure is notintended or offered for sale (Section 7044, 3usiness and Professions Cnde: 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 mprovements 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 Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law For the following reason, 3y my signature below i. acknowledge that, except for my personal residence in which I must hava. resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal, roll 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 ?rofessions Code, is available upon request when this application is submitted or at the following Web site:htp:/Aww.leginfo.ca.gov/calaw.htmi, Signature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) f DgvB 'on 3 of the Business and Professz e. s n full force License Class License No Date tnd effect. 2 `� Contractor Signal �� NORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORx ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU8JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100A0a), IN ADDITION TO THE LOST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3705 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 th V!Ofrnance of the work for Which this permit is issued. Policy No. 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' Carrier and policy numberare: Policy Number of Agent Date certify that, inthe performance of the work for 'elrthis 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 agra L if I should become subject to 0 or compensation pro v' 'of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions, nature of Applicant Dat~ CLARATION RE GA .0 DING AGENCY areby affirm under penalty of perjury tha are is a construction lending agency for the performance of the work for which this permit is issued (Sothic 3097, KI Code), ider'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 I have provided is correct I agree to comply with all applicable city and county ordinances and state laws rotating to building construction. I authorize representatives of this city or Coun to en a abe entified pr rty for inspection purposes. nature of Property Owner or Authorized Agen' Print Property Owner's or Authorized Agent's Nam. C n ") slck lef /1 Date :D! ACTION PERA41T CANCELLED f3F COMPLIANCE WITH CODE OF FEDEF PART 51 OF TITLE. 40 AND AQMD RULE ASBESTOS NOTIFICATION TO rcnrvrn MVAL / BESIDS NOTIFICADON IS NOT APPLICABLE TO CERPFICATE OF �/ r/ 2"r PROPOSCD DEMOLITION OCCUPANCY ISSUED ` fD slcluATuae, FOR OFFICE USE ONLY