HomeMy WebLinkAboutPV2022-0354 - Permits�EWPor City of Newport Beach IIII IIIIIIIIII IIIIII II IIII D� Solar Permit: PV2022-0354
Community Development Department- Building Division
y My 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
U y Permit Counter Phone: (949) 644-3288 Work Class : Other
.s.� Inspection Requests Phone: (949) 644-3255 Issued Date : 09/28/2022
°9cikoa"�P newportbeachca.gov/inspections
Inspection Area : 2
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 : 203 OPAL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BILK 10 LOT 23
Description: SFR SOLAR PHOTOVOLTAIC 3.312kw, (90) SOLAR GLASS MODULES '(CHANGE OF CONTRACTOR)
Owner:
203 OPAL LLC
Contractor:
TESLA ENERGY OPERATIONS
Architect
Address :
279 FLOWER ST
Address :
2102 ALTON PARKWAY #B
Address
COSTA MESA, CA 92627
IRVINE, CA 92606
Phone :
Phone :
(650) 638-1028
Phone
Con State Lic
: 888104
State Lic
Lic Expire :
12/31/2022
Applicant:
BRIDGET ALLEN
Bus Lic :
BT30026827
Engineer
Address:
2102 ALTON PKWY #B
Address
IRVINE, CA 92606
Bus Lic Expire : 02/28/2023
Phone : (714) 450-2839
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No: EWS107458504
W. C. Expire : 10131/2022
Code Edition :
Fire Sprinklers : NO
Type of Construction :
V-B
Fire Hazard Zone : NO
Occupancy Groups :
R-3
No of Units : 0
Bldg Height :
No of Stories : 1
Building Setbacks :
Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone:
X; AO 1
Use Zone:
R-BI - Two -Unit Residential, Balboa Island
Processed By:
-
SPECIAL CONDITIONS:
Phone:
Designer:
Address
Phone:
DE VERA ABELARDO
22701 RASHDALL AVE
CARSON, CA 90745
(888) 765-2489 x7526
Construction Valuation :
Type of Solar: SFP
Kilowatt: 3
OWNER -BUILDER DECLARATION
I hereby aifwrm under penalty of perjury that I am exempt from the Contractors' State License Law for the Peasants) indicated below by the checkmark(s) I have placed next to the applicable Items)
�cGon 7031.5, Business and Professions Cade: Arty city or county that requires a permit W construct, alter. Improve, demobs or repair any structure prior to its Issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licer Lew hairier 9 (commencing with Section TODD) of Division 3 of the Business and
Ifesslons Code) or that he or she is exempt from ifeensure and the basis for the alleged exemption. Any violation of Section 7 31,5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500),
J i; as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the v
rusiness one Professions Code: The Contractors' State License Law does not apply to on owner of property who, through emp
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of Complain
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, @us
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor put
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
oli a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed Contractors. I unden
'rofessions Code, is available upon request when this application is submitted or at the following Web sita:http://wwwdegtnfo.c
signature of Property Owner or Authorized Agent __,__,____ _
.ICENSED CONTRACTOR'S DECLARATION ///
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectior�L7p00) of DII
Ed effect. License Class License No Date 101 ZS
COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORitERs' COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'
DST OF COMPENSATION, DAMAGES AS PROVIDEO FOR IN SECTION 3704 OF THE LA60R CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I >ave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
rmance of the work for which this permit is issued. Policy No.. _
have and will maintain workers compensation insurance. ae required by Section 3700 of the Labor Code, for the pe
isurance carrier and policy number are:
:artier Policy Number
lame of Agent
certify that, In the performance of the work for which this permit is issued, I. shall not employ any person in any manner so
if I should become BiIb)ect to the wwoo�rkpa/` nhrpeneation provisions of Section 3700 of the Labor Code I shall forthwith e,
iature of Applicant A
Ireby affirm under eanalty, of penury rat there is a construction tending agency for the performance of the work for which
ider's Name Lenders Address
my signature below, I certify to each of the foloiing:
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 withall applicable city and co tit ordinances and. state laws relating to building construction
i authorize representatives of this city or county t enter the abo , -��Tltjf.roperty for inspection purposes.
FOR OFFICE
REGULATIONS PART st OF TITLE 40 AND AQMD RUL€
PSBESTQS NO- [-1aAlrR)N
PERMIT CANCELLED
PERMIT EXTENDED
PERMiTFINAL UASBESTQS NOIITl£ATIQN IS NQ APPUCABLF TO
CERTIFICATE OF f 0 J
PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
s, and the structure is not: intended or offered for sale (Section 7044,
ties' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built Of
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law),
to completion Of the improvements covered by Hire permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
13 of the Business and P. ssiD ate i Sx. is io full force
Contractor Slgna
CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS f$100.000), IN ADOPTION 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'
Date
to become subject to the worKCMI
`ripensation laws of California., and ogre
ply with those provisions
DiC1f2Sl 2�
Termit is issued (Section 309ode).
ONLY