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Home My WebLink AboutPV2020-169 - PermitsQ,.wPrr4.7 City of Newport Beach - Building Divistion I PO Box 1768 Newport Beach, California 92658-8915 4 y{s C'rr3ryiYk�a SOLAR Permit : PV2020-169 Permit Counter Telephone (949)644-3288 Inspection Requestslrelephone (949)644-3255 Job Address: 2810 CATALPA ST NB Description:SFR SOLAR PHTOTVOLTAIC 8.16 kw, (24) ROOF MOUNTED PANELS Inspector Area: 4 Legal Desc.: N TR 5018 LOT 69 Owner: OMIYA Contractor: TESLA ENERGY OPERATIONS Address: 2810 CATALPA ST Address: 2102 ALTON PARKWAY #B NEWPORT BEACH, CA 92660 IRVINE CA 92606 Phone: Phone: 650-638-1028 Applicant: STABLEIN SAM Con State Lie: 888104 Address: 2102 ALTON PKW #B Lie Expire: 12/3112020 IRVINE CA 92606 Bus Lie: BT30026827 Phone: 7144196-0688 Lie Exp Date: 02128/2021 Code Edit: 2019 Workers Compensation Insurance Type of Construction: VB Carrier: ZURICH AMERICAN INS Occupancy Group: R31U Policy No: EWS107458502 No of Stories: 2 Expire: 10131/2021 Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: Architect: Address: Project No 1953-2020 Issued Date : 1110512020 Phone: State Lie Engineer: DE VERA ABELARDO Address: 22701 RASHDALL AVE CARSON CA 90745 Phone: 888-765-2489X7526 State Lic:S-005185 Designer: Address: aii. ,T Valutaion: $48,960.00 Building Permit Fee $240.00 Record Management (8 1/2 X 11) $0.00 Plan Check Fee : $210.00 Record Management (Plans) $0.00 TOTAL FEE: $450.00 Plan Check Fee : $210.00 Fee Due at Permit Issuance : $240.00 PROCESSED BY: ZONING APPROVAL: `VIVA GRADING APPROVAL: PUBLIC WORKS APPROVAL:` PLAN CHECK BY: Y� v APPROVAL TO ISSUE: PE4M'TS.EX'IRE 180 0AYE AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2 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, 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). ❑ 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 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 li 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 im roved 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 Iicensure 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 legally 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:hftp://www.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 Date Contractor Signature NORKERS' COMPENSATION DECLARATION T NARNING: 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 ($100,000), 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: ❑ I h e 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 the 3e mance of the work for which this permit is issued. Policy No. ave 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' compensation nsu ante carrier and policy number are: of Agent Policy Number Expiration Date Phone # certify that, in the performance of the work for which this pe ' Issued, I shall not employ any person in any manner so asto become subject to the workers' compensation laws of California, and agree I, if I should become subject to h orke a' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 3l]Dale CLARATION REGA G 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 77, Civil Code). ider'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 owners 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 a ve-i en ' ie rep or inspection purposes. I 1 nature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Agent's Name �Q M "� bje I Date ACTION DATE BY DECLARATIONOF COMPLIANCE MTH CODE OF X FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1413. PERMIT EXPIRED ❑ ISUBMITEDASDEST+IS ,YGRF.CATN)NTO: ❑ EPA ❑ AQMD PERMITCANCELLEO PERMIT EXTENDED PROASBPOSED ESTOSNOLIFICATION IS NOT APPLICAbiLE TO PERMIT FINAL I Z/ 1 I / ZO CERTIRCATEOF OCCUPANCYfSSUED SIGNATURE: