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Home My WebLink AboutPV2020-008 - Permits-, City of Newport Beach - Building Divistion SOLAR Permit: PV2020-008 .. ; PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 �.:. � Inspection Requests/Telephone (949)644-3255 - �`aLi&els.�� Job Address: 420 CABRILLO TER NB Description:SFR - INSTALL PHOTOVOLTAIC 7.56 kW (24) MODULES Inspector Area: I* Legal Desc.: N TR 1237 LOT 74 Project No : 0027-2020 Issued Date : 01/06/2020 Owner: TAGIZAD PEJMON Contractor: TESLA ENERGY OPERATIONS Architect: Address: 420 CABRILLO TER Address: 2102 ALTON PARKWAY #B Address: CORONA DEL MAR, CA 92625 IRVINE CA 92606 Phone: Phone 650 638-102k ,.::,.• . Phone; -:.:.,--State' Applicant: FISHERJONAH ( C tat Lic: 888104 Engineer: ZA,CHER PAUL Address: 2102 ALTON PARKWAY #B 'c 12131/2020 AgIdressi; 1$7@':STONE PT DR 190 IRVINE CA 92606. . ROSEVILLE CA 95661 Phone: 650.638-1028', Lic xp Date: 02/28/2020 Phone �y 916=9161,336(,1 ; :,,.State -I y Code Edit: 2019 W4CkeiCompensahorj Insurande . Designer: MENDEZ BERTHA PAZ Type of Construction: V -B -- ', Carver '..:, ZUt210H AMERICANS NS , ;; Address: 2102 ALTON PKWY STE B Occupancy Group: R31U ;'. Policy PEW$1U7458502" ` ..-:. -:.;!:.:-;"'1RVINE.CA .92606--------- -- No of Stories: 1 '� ., Ezp 41.' `"` 41013192020 """`-"" Phone: Building Setbacks _.Rear, Use Zone: w , Front Bldg Height: 0 rght 1 l omen 0 0uoo a o meeoom m m mmmm 0 ommo mmeo 0 c oom 00 c m O CO 0 n mmoemc e o o e m e 0 0 0 0o c 00000 0 om000 000000 o m u 00000(: VnggP $16,00000' ord Man $eme`nt (61/2X t1) .e $0.00 ---- Building Permit Fee 240.00< Plan Check Fee $210.60 1, - " ` R68ord Management (Plans) M $0.00 TOTAL FEE,`:$4 0.00 Plan Check Fed?+ .$0 00 Fee Due at Permit I ce . $450.00 PROCESSED BY:''•-- ---PUBLIC'WORKS APS _... -. __ PRCSVAL: :I ZONING APPROVAL: ""' "'""' - "--" -' -- - Y� 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). 1, 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.htmi. 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 Section 7000) of Division 3 of the Business and Professions e, an y license is in full force and effect. Ll;ense Glass ""� License No Dat 1 6 W Contractor Signature MRMS' COLM111SATION DECLARATION WARNINCV 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 COSTIOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. III--hh� hereby affirm undef jus ally of perjury one of the following declarations: L,7 I ;gg 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 dp jrpVnce of thL-Varkfor which this permit is issued. Policy No. have -and wilt marniaih 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' compensatiol inS6r20GC carrier anti policy number are: Carrier : ' Policy Number Expiration Date P4 &%gent fettffy that, itt tpe.W?formance of the if I should become subje th/ey" ature of AODlicant '5/ 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 provsof ctif the Labor Code, I shall forthwith comply with those provisions. ////'� / /9 n DateZ1 46 / /0 ZQ ICILMR 1IUIY RCU'NRUJ�VWIYJ 1 RVl 11WIY LCI\UlllU AGENCY hereby 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). ender's Name Lender's Address ly 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 state laws relating to building construction. - I authorize representatives of this city or county to nter Dve-irtn_ntifiedd REo ertw_fD-r• inspection purposes. / signature of Property Owner or Authorized Agent, ��_�- Print Property Owner's or Authorized Agent's NagW " / AC77ON I DATE I — BY ilfTx;Id>Fatrlrrrrrlarrx>'� I PERMIT€XTENDED I I I OCCUPANCYISSOED PART61 OF TITLE40AND I SUBMITTEDASBESTOS NO77FICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NO77FICARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: ftR7de7Ttlrl0