HomeMy WebLinkAboutPV2021-081 - Permits,L�°,rt5 J City of Newport Beach - Building Divistion SOLAR Permit: PV2021-081
;;° PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
u � Inspection Requests/Telephone (949)644-3255
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Job Address: 310 APOLENA AVE NB
Description:SFR INSTALL (74) SOLAR PHOTOVOLTAIC ROOF TILES 4.33kw
Inspector Area: 2 Legal Desc.: BALBOA ISLAND SEC 3 BILK 17 LOT 6
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Project No : 1120-2021
Issued Date : 06/10/2021
Owner:
ARDR REALTY LLC
Contractor:
TESLA ENERGY OPERATIONS
Architect:
Address:
31B AMETHYST AVE
Address:
2102 ALTON PARKWAY #B
Address:
NEWPORT BEACH CA 92662
IRVINE CA 92606
Phone:
Phone:
650-638-1028
Phone:
State Lic:
Applicant:
FOX-SARMIENTO MELISA
Con State Lic:
868104
Engineer:
PATNUDE GREGORY
Address:
2102 ALTON PKWY #B
Lic Expire:
1213112022
Address:
765 MONTAGUE EXPY 155
IRVINE CA 92606
Bus Lic:
BT30026827
MILPITAS CA 95035
Phone:
702-785-2998
Lic Exp Date:
02/28/2022
Phone:
State Lic:C-0086020
Code Edit:
2019
Worker's Compensation Insurance
Designer:
SERVIN LUIS
Type of Construction:
V-B-SPR
Carrier:
ZURICH AMERICAN INS
Address:
2102 ALTON PKWY #B
Occupancy Group:
R31U
Policy No:
WC107458303
IRVINE CA 92606
No of Stories:
0
Expire:
10131/2021
Phone:
702-765-2998
Building Setbacks
Rear:
Use Zone:
Front:
Bldg Height:
0
Left:
Right:
Valutaion $25,980.00
Building Permit Fee $240.00 Record Management (8 112X 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
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PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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PERM/TS-EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETEC•TOgS ARE EXISTING PER CRCR 314.1 8 315.2
)WNER-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
ie 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
'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 to a civil penalty of
of 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,
lusiness 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
nprovements 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
nproved 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
pply 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:
ly 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,
ell 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:http://www.leginfo.ca.gov/calaw.htm].
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
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, a7d,,my license is in full force
nd effect. ,f ,� ,�
icense Class License No Date�p aA Contractor Sign. QbA4,, (
IIORKERS' COMPENSATION DECLARATION 777(((������'''' 1
DARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under 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 th
7ert ance of the work for which this permit is issued. Policy No.
have and vi I maintain workers' com nsation insurance as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi
Isurance carried policy numt) rrre: � r�\ _
Date
of
I 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 agre
I. if I should become� su/j�lect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant X, (0(101-1 D
CLARATION REGA ING CONSTRUCTION LENDING AGENCY S IL
areby 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, Civil Code).
lders 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 t the a ve-identifie p p rty for inspection purposes. r e Iola
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name *� �t �' at
ACTION
DATE
kBY
J DECLARATIONOF COMPLIANCE MTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF TITLE 40 AND
D RULE 7401,
PERMIT EXPIRED
❑ UMMfTrcDAS&ESTOS NOTiFfCATfOY TO:
_ LPA
❑ AQMD -
PERMITCANCELLED
PERMIT EXTENDED
❑ AS STOSNOTIFICATION ISNOT APPLICABLE TO
PROPO EDDEMOLITION.
1 �
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED