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Home My WebLink AboutPV2022-009 - Permits�¢ITI City of Newport Beach - Building Divistion r PO Box 1768 Newport Beach, California 92658-8915 n n'�tntaiLL�`tr SOLAR Permit : PV2022-009 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 Description:SFR SOLAR PHOTOVOLTAIC 12.75kw, (30) ROOF MOUNTED PANELS W/(2) ENERGY STORAGE SYSTEMS Inspector Area: 5 Legal Desc.: N TR 1237 LOT 93 Owner: GREENE DOUGLAS Contractor: TESLA ENERGY OPERATIONS Architect: Address: 520 DE ANZA DR Address: 2102 ALTON PARKWAY #B Address: NEWPORT BEACH CA 92625 IRVINE CA 92606 Phone: Phone: 650-638-1028 Phone: Applicant: ALLEN BRIDGET Con State Lic: 888104 Engineer: Address: 2102 ALTON PKWY#B Lic Expire: 12/31/2022 Address: IRVINE CA 92606 Bus Lic: BT30026827 Phone: 714-450-2839 Lic Exp Date: 0212812022 Phone: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: ZURICH AMERICAN INS Address: Occupancy Group: R3/U Policy No: EWS107458504 No of Stories: 2 Expire: 10/31/2022 Phone: Building Setbacks Rear: Use Zone: Front: Bldg Height: 0 Left: Right: *PV2022-009* Project No : 0049-2022 Issued State Lic CHILDS JAMESv�. 3055 CLEARVIEW WAY SAN MATEO CA 94402 , 650-638-1028 State Lic:C-050775 WYDAJEWSKI CHRISTIAN „ 2102 ALTON PKWY#B IRVINE CA 92606 714-450-2839 vaiuraion : yro,ouu.uu 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: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS 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 U 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 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). ❑ 1 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 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:http://www.leginfo.ca.gov/calaw.html. Signature of ?roperty Owner or Authorized Agent Date LICENSED CON rRACTOR'S DECLARATION I hercby affirm urde- penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes ' ode, a Icense in full force and effect. LineDse Class License No Date _�Contractor Signature WORKERS' COMPENSATION DECLARATION WAPNING: FAILUA� rJ 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 COM'ENs ATinN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. II herby affirm under penalty of perjury one of the following declarations: n 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 thl �rga4yrmance Df the work for which this permit is issued. Policy No. 'E have ana will Iaintain 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' compensatior insurance ca. rier a.A policy number are: is of Agent certify that, in the p( if I should become nature of Applicant Policy Number Date 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 nq��fr ovI Ions of 00 of the Labor Code, I shall forthwith comply with those provisions. Date! `a )ECLARATION RE(ifFFG` C06(STRUCf10N LENDING AGENCY hereby affirm under nalty 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). .ender's Name Lender's Address 3y 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 couV ordin es V stat laws relating to building construction. �— I authorize representatives of this city or county en h -i tifi or inspection purposes. JQN(OL ✓l I `� �� Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE 9Y DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE 1403, ❑ I SUBMITTEDASBESTOS NOTIFICATION' TO: ❑ EPA ❑ AQMD PERMITEXPCRED PERMITCANCELLED PERMITEXTENDED 1 1 I ❑ ASBESTOS NDIIHCA77ON IS NOT APPLICA13LE TO DEMOLITION. SIGNATURE:. P£RMITFINAL ` ? ` ! "--'.. ...-_._..m-.—PROPOSED CERTIFICATEOF , OCCUPANCYISSUED