HomeMy WebLinkAboutPV2023-0011 - Permits; at 'IP I" City of Newport Beach
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Solar Permit PV2023-0011
O Community Development Department- Building Division
:
'- 100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No : PC2023-0048
6 S Permit Counter Phone: (949) 644-3288
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Work Class : Alteration
Cq�'FOp��P Inspection Requests Phone: (949) 644-3255
_ - " 4:_ jj a-1
Issued Date : 03/10/2023
newportbeachca.gov/inspections
Inspection Area : 1
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: 448 62ND ST
Legal Desc : N TR 772 BLK 22 LOT 2 TR 772 LOT 2 BLK 22 NLY 15 FT AND ALL (FCC NLY 11
Description: SFR SOLAR PHOTOVOLTAIC 4.8 KW (12 PANELS)
Owner: SPEYER-OFENBERG LESLIE TR
Contractor: TESLA ENERGY OPERATIONS
Architect
Address : 448 62ND ST
Address : 2102 ALTON PARKWAY #B
Address
NEWPORT BEACH, CA 92663
IRVINE, CA 92606
Phone :
Phone: (650) 638-1028
Phone
Con State Lie : 888104
State Lie
Lie Expire: 12/31/2024
Applicant: SAM STABLEIN
Bus Lie : BT30026827
Engineer : PHILIP WU
Address: 2102 ALTON PKWY, B
Address : 15106 NW COSMOS
IRVINE, CA 92606
Bus Lie Expire : 02/28/2024
PORTLAND, OR 97229
Phone: (714) 496-0688
Workers' Compensation Insurance
Phone:
Carrier: ZURICH AMERICAN INS CO
Owner/Builder:
Policy No: EWS107458504
Designer : JESUS SVIATOSLAV
Address :
W. C. Expire : 10/31/2023
Address : 2102 ALTON PKWY, B
IRVINE, CA 92606
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $14,00M00 ,
Type of Construction : V-B
Fire Hazard Zone : NO
Occupancy Groups : R-3,U
No of Units : 1
Type of Solar: SFP ,
Bldg Height :
No of Stories : 2
Kilowatt : 4 '
Building Setbacks : Front: 5, Front: 5, Side: 3, Side: 3
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
-- .-. -- -
Processed By: n�
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items)
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
ie 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
'rofessions Code) or that he or she is exempt from lieensure and the basis far the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) Portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements are not Intended or offered for sale. If, however, the building or improvement Is sold within one yearof completion, the Owner -Builder will have the burden of proving that it was not built or
nproved far the purpose of sale).
11. 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
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
I I am exempt from lieensure under the Contractors' Stale 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 prior to completion of the improvements covered by this permit, I cannot legally
ell 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
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:hdp:l/ww'w.leginfo.ca.govlcalaw.html,
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700� of Division 3 of the Business and Profession C se is in full force
ad effect. License Class License No Date n G (2� Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS 1ft00,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
)rmance of the work for which this permit is issued. Policy No.
have and will maintain 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' compensa
ranee carrier and policy number are:
Policy Number Expiration Date
Agent Phone 8
certify that, in the performance of the work 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
, if I should become subject to the workers' compereatyn-provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
M.
Date_ 31(G 12 _
3reby affirm under penalty of perjury that there is a construction lending agency far the performance of the work for which this permitis issued (Section 3097, Civil Code).
iders Name Lender's Address
my signature bemv, I certify to each of the following:
I em the property owner or authorized to act on the property owner's behalf.
I have real Ibis ,.poication and the Information I have provided is correct.
I agree to=Jm;;t,• with all applicable city and county ordinances and state laws relating to building construction.
I ruthorize re?resenlatives of this city or county to_egterthe, above -identifitILIaroperty for inspection purposes. _ ^,
y.CTICN
DATE
BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OFTITLE 40AN0 AOMD RULE
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FEAvRT EXPIRED
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