HomeMy WebLinkAboutPV2019-082 - PermitsValutaion; -,$49,140.00
Building Permit Fee $240.00
Plan Check Fee : $210.00
TOTAL FEE: $450.00
PROCESSED BY: '
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee: $0.00
Record Management (8 1/2 X.11) $0.00
Record Management (Plans) : $0.00
Fee Due at Permit Issuance : $450.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYSAFTER 4 SWGE O$ LAS'S W-110 INSPEt:'TION.
c
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS AR6 EXISTING.'%.R CR0`R 314.1 & 315.2
Y4Y o0 -
City of Newport Beach - Building Divistion
SOLAR Permit: PV2019-082
IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
PO Box 1768 Newport Beach, California 92658-8915
6Inspection
Permit Counter Telephone (949)644-3288
�,
Requests/Telephone
(949)644-3255
Project No: 1407-2019
5
Job Address: 2341 IRVINE AVE NB
Issued Date : 0 612 01201 9
Description:SFR SOLAR PHOTOVOLTAIC 8.19kw,
(26) ROOF MOUNTED PANELS
Inspector Area: 3
Legal Desc.: ' N TR 3138 LOT 12
Owner. NEWCOTT BENJAMIN
Contractor:
TESLA ENERGY OPERATIONS
Architect:
;.
Address: 468E 18TH ST
Address:
- 3055 CLEARVIEW WAY
Address:
-
COSTA MESA CA 92627
SAN MATEO, CA 94402
- -
Phone -
Phone:
650.638-1028
Phone:
State Lie:
Applicant:. MELENDREZADELA
Con State tic:
888104.
Engineer:
DE VERA ABELARDO
Address. 1531 RITCHEY ST
Lie Expire:
12/31/2020.
Address:
22701 RASHDALL AVE
SANTA ANA CA 92705
Bus Lie:
BT30026827
CARSON CA 90745
Phone: 562-329-1413
Lie Exp Date:
02125/2020 -
Phone:
888-765-2489X7526 State Lic:S-005185
Code Edit. 2016
Worker's Compensation Insurance
Designee''"
Type of Construction:. VB
Carries
ZURICH AMERICAN INS
Address:,
-.•2
Occupancy Group: R3/U
Policy No:
EWS107468501
No of Stories: 1
Expire:
10/31/2019
Phone:
Building Setbacks
Rear
�-« x."•
Use Zone:
Front:
Bldg Height: 0.
'Left:
-
Right
Valutaion; -,$49,140.00
Building Permit Fee $240.00
Plan Check Fee : $210.00
TOTAL FEE: $450.00
PROCESSED BY: '
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee: $0.00
Record Management (8 1/2 X.11) $0.00
Record Management (Plans) : $0.00
Fee Due at Permit Issuance : $450.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYSAFTER 4 SWGE O$ LAS'S W-110 INSPEt:'TION.
c
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS AR6 EXISTING.'%.R CR0`R 314.1 & 315.2
Y4Y o0 -
1'
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 (_) all of or `) 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
im roved 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 legalil
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 Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ?Secti7000) of Division 3 of the Business and Proles on o ,and kens is in full force
and effect. ..
License Class License No DateContractor Signatu
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ODITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 th
oerjbrmance of the work for which this permit is issued. Policy No.
have and will ma�q�ain 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'
rance carrier and
gin
number sun _
Date
me of Agent Pnone aF
certify that, in the performance of e w rk 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
t, if I should become suaject t th wo ers' co ens on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `/ //{ G
nature of Applicant Date, L2-(5/ ! -/
CLARATION REGA G CONSTRUCTION LENDING AG Y \
;reby affirm under p alty of perjury that there is a Construc' n lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's 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 state Ips relating to building construction.
I authorize representatives of this city or county t e Ear %ab e-identi 'Lfd pro rty for inspection purposes.
nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name/
_ r.
AC77ON I DATE 1 BY
PERMITEXPIR€D I p / 51tt8EDvlS8FS705 N07tFIC4TlON TO:
PERMfTCANCELLED •• •.• • "j J
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