HomeMy WebLinkAboutPV2023-0075 - Permits�yF"SPORT City of Newport Beach I I IIII IIII III III II II III I solar Permit : PV2023-0075
p� ecn Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0300
G t+S Z Permit Counter Phone: (949) 644-3288 Work Class : Alteration
Cg4 p0.�,�P Inspection Requests Phone: (949) 644-3255 Issued Date : 02/2412023
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.
Job Address : 1014 WHITE SAILS WAY
Legal Desc : N TR 2202 BLK LOT 29
Description: SFR INSTALL 14.8 KW ROOF MOUNTED SOLAR PV SYSTEM W/ 37 MODULES
Owner: MOORE HARVEY M TR REVOCABLE TR Contractor: TESLA ENERGY OPERATIONS
Architect
Address : 1014 WHITE SAILS WAY
Address : 2102 ALTON PARKWAY #B
Address
CORONA DEL MAR, CA 92625
IRVINE, CA 92606
Phone : (714) 431-2001
Phone : (650) 638-1028
Phone
Can State Lic : 888104
State Lic
Lic Expire: 12/31/2024
Applicant : TESLA ENERGY OPERATIONS
Bus Lic : BT30026827
Engineer : CHILDS JAMES ,
Address : 2102 ALTON PARKWAY #B
Address : 3055 CLEARVIEW WAY
IRVINE, CA 92606
Bus Lic Expire : 02/28/2023
SAN MATEO CA 94402, CA 94402
Phone: (650) 638-1028
Workers' Compensation Insurance
Phone: (650) 638-1028
Carrier: ZURICH AMERICAN INS CO
Owner/Builder :
Policy No : EWS107458504
Designer : TESLA ENERGY OPERATi'ONS
Address :
W. C. Expire : 10/31/2023
Address : 2102 ALTON PARKWAY 1B
IRVINE, CA 92606
Phone: (650) 638-1028
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $49,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Type of Solar: SFP
Occupancy Groups : R-3,U
No of Units : 1
Bldg Height :
No of Stories : 2
Kilowatt: 14
Building Setbacks : Front: 48, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit
Residential (6000 indicates minimum lot area)
Processed By:
SPECIAL CONDITIONS:
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 pormlt to file 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
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyviolation of Section 7031.5 by anyapplicant for a. permit subjects the applioantto a civil penalty of
not more than five hundred dollars ($500).
J I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the
tusiness and Professions Cade` The Contractors' State License Law does not apply to an owner of property who, through am
nprovements are not intended or offered for sale. if, however, the building or improvement is sold within one year of complel
nproved for the purpose of sale).
7 t, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bt
pply to an owner of property who builds or improves Thereon, and who contracts for the projects with a licensed Contractor p1
3 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 yea
Of a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors, I undo
'rofess ons Code., is available upon request when this application is submitted or at the following Web site:htha/Iwww.legmfo.
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION p
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of F
no effect. Licers^ Class License No Date 17 jf
VORKERS' C':Xr1ENSATION DECLARATION
'ARNII FAILURE TO S-_CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE
OST OF COMPEr:3AT W N, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
eve and Vil rra noon a certificate of consent to self- insure for workers' compensation, issued by the Director of IT
e r ,once of ,he war, for which this permit Is issued. Policy No.
I have and w'll maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perk
,Lt,..oce carrier arc rc!icy number are:
arl;Er Policy Number
.a ufAgent
certify that, in iha pe`rfermance of the work for which this permit is issued... I shall not employ any person in any manner so
II I snduld become subject to the worst eFs' cat? +bonp�nvisions of Section 3700 of the Labor Code, I shall forthwith c
k, and The structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or Improves the property, provided that the
the Owner -Builder will have the burden of proving that R was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the. improvements Covered by this permit, I cannot
that a copy of the applicable law. Section 7044 of the Business and
Date
3 of the Business and Prol
Contractor Signature
force
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($I GC.000), IN ADDED TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Dale
to becomesubject to the workers' compensation laws of California., and
ply with those provisions,
Date_ 2mr123 _ _
>reby affirm under penalty of perjury that there is a construction lending agenpyfor the performance of the work for which thi permit is issued (Section 3097, Civil Code).
)der 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 relating to building construction,
I authorize representatives of this city or county to en 9j:1I; ,above- ,altied propert inspection purposes.
rner's or Authorized Anent's Name
Date
ALIIUN
DATE
BY �TIECLAIrA'rl'.ON OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE US.
ONLY
jr REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCEUED_
—'.EJEPA
PERMIT EXTENDED
_
PERMIT FINAC
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f CL7�sRes�iDS NOIIFICATtON IS NOT APPLICABLE TO
CERTiFVCATE Qf
-; PROPOSED DEMOLM4W—__
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