HomeMy WebLinkAboutPV2022-0222 - Permits�tiwvo4?
City of Newport Beach
p� @
Community Development Department- Building Division
>
100 Civic Center Drive, Newport Beach, CA 92660
S
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
C9<�pppN�P
newportbeachca.gov/inspections
II II I II I II I II I II II I II II I II Solar Permit : PV2022-0222
Plan Check No : PC2022-1865
Work Class : Alteration
Issued Date:
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.
Job Address : 11 PORTICA Legal Desc :
Description: SFR SOLAR PV SYSTEM 7.6 KW (24) MODULES
Owner: SHIPLEY ROBERT R TR Contractor: TESLA ENERGY OPERATIONS - Architect
Address: 11 PORTICA NEWPORT COAST, CA 92657 Address 2102 ALTON PARKWAY#B- IRVINE, CA Address:
-92606 ..
Phone:
Phone:i' (650),638-1028
Phone:
Con State Lic : 888104
State Lic
Applicant:
SAM STABLEIN
Lic Expire : 12/31/2022
Address:
2102 ALTON PKWY, B IRVINE, CA 92606
Bus Lic BT30026827
Engineer: RYAN ATWELL
Phone:
(714) 496-0688
Bus Lic.. Expire : 02/28/2023
Address
Workers'. Compensation Insurance
Phone:
.. Carrier: ZURICH AMERICAN INS CO
Policy No: '_EWS107458504
Designer: JESUSSVIATOSLAV
W. C. Expire: 10/31/2022
Address: 2102 ALTON PKWY, B IRVINE, CA 92606
.
Phone:
Code Edition :
2019
Fire Sprinklers :
NO Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone :.<
Y
Occupancy Groups :
R-3,U
No of Units :
1 ` Type of Solar: SFP
Bldg Height:
No of Stories :
2 ' Kilowatt: 0
Building Setbacks :
Front: 10, Side: 5, Side: 5, Rear: 10
-
Flood Zone :
X
Use Zone:
PC - Newport Ridge
Processed By:
Zoning Approval:
Grading Approval:
$15,000.00
aa •
°
°•°•
°
Do- °
Public Works Approval:
°°•ono
Plan Check By: � ° • °
Approval To Issue:
w
V YYtYGR�UUtNUGR UC4LlkRtY l ilJ1`I r
I hereby affirm under penalty of perjury that[ amexempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
ction 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
permit to fife a signed statement that he or she is licensed pursuant to theprovisions of the Contractors`State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fassions Code) or that he or she is exempt from fiuensureand thebasis for the alleged exemption, Any. violation of Section 7031.6by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($5001,
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or(-) Portia
mess and Professions Code: The Contractors' State License Law does not apply to anowner of property who,: tin
ovements are not intended or offered. for Sale. If. however the building or improvement is sold within one year d
oved for the purpose of sale).. - -'
1, as ownerofthe property, am exclusively contracting with licensed Contractors to construct the project (Section
y to an owner of property Who builds or Improvesthereon, and who contracts for the projects with a licensed Con
i am exempt from foensure under the Contractors'.State License Law forthe following reason:
ny signature below acknowledge that; exceptfor my personal residence in which I must have resided: for at:leas'
a structure that I have built as an owner-buitder if ithas not.been constructed in Its ,onfirety by licensed contractor
ess'Ions Code, is available upon requestwhen this application is submitted orat the following Web sfca:ht1pJ1wwv
lature of Property Owner or Authorizod Agent -_-.
hereby affirm under penalty of pedury that.I am licensed under provisions of Chapter-9 (commencing with SeCtiO 7
Ind effect. License Class License: No Dar
VORKERS' COMPENSATION DECLARATION
WINING: FAILURE TO SECURE WORKERS' COMPENSATION covERADE 1S UNLAWFUL:. AND. SHALL SUBJECT AN EMPLOYER TO CRIMINAL
�OST OF COMPENSATION., DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury. one: of the following declarations:
I I have and will maintain a cartificate of consent to self -insure for workers' compensation, Issued by. the Dire(
fommnce of the work for which thispermit is issued. Policy No.
will maintain workers' compensation Insurance, as: required by Section 3700 of the Labor Code, for the
far and policy number are:
cerbfythat, in the performance of the
. if I should beco) iefsubjsct to t
I not employ any person
3700 of. the Labor Code.
hereby affirm: under penaltyof perjur�lhat there is a construction lending agency for the performance of the work
enders Name. Lenders Address.
ly my signatuIPUatew,: t certify to each of the following. -
I am the prd0E2tq owner or authorized to act on the property owner's behalf:
° •1*$Ye realt4his arpftcation and the information; have provided incorrect
l,agroa to ao"ly with all applicable city and county ordinances and state laws Is tin to -building constructfor
• LSuthodie representatives of this city or cour�tyf to er —`ITf erty for inspection purposes.
ki and the structure is not intended or offered for sale (Section 7044,
aes' or persona) effort, builds: or improves the property, provided that the
the Owner -Builder will have the burden of proving that It was not built.: or
Business and Professions Code: The Contractors' State License Law does not.
pursuant to the Contractors State License Law).,
In or the improvements covered bythis. permit,. I. cannot
of the applicable law, Section 7044 of the. Business and
Date-
Im
3 AND CIVIL FINES. UP TO ONE HUNDRED THOUSAND DOLLARS IS/OQOOaj; IN ADDITION TO THE
Industrial Relations as provided for by Section 3700 of the Labor Code, for
I of the: work for which this. permit is issued, My workers'
Expiration Date
o as to become subject to the workers' compensation laws of California, and agre
comply with those provisions.
of 91t1ZZ
this permit is issued (Section 3091, Ci 'I Code):.
• At"ON •••• DATE BY J i OrCiOWATION OF COMPLIANCE. WITH CODE OF FEDERAL FOR OFFICE USE ONLY r �
••• • • EE REGULAIRONS PART fit OF TITLE 40 AND AQMD RULE
• ••°••• I nnna
3-1"30
NOTIFICATION I5 NOT APPLICABLE TOO
112 2
Allrequire alarms, latches gates and fences which serve as part of a pool/spa barrier,. shall
be in place) priorto,approval to fill pool/spa :& shall remain in place & be maintained for the
life of the pool.