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Home My WebLink AboutXR2022-2817 - PermitsCity of Newport Beach ��¢,WPpRT p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 c9t/pppP�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other COMB Permit : XR2O22-2817 Plan Check No: Q-Z,07 2 Issued Date : 09/28/2022 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 203 OPAL AVE Legal Dose: A TR BALBOA ISLAND RESUB SEC 1 BLK 10 LOT 23 Description: SFR (2) ENERGY STORAGE SYSTEMS (CHNAGEOF CONTRACTOR) Owner: 203 OPAL LLC Address : 279 FLOWER ST COSTA MESA, CA 92627 Phone Applicant: BRIDGETALLEN Address: 2102 ALTON PKWY #B IRVINE, CA 92606 Phone: (714)450-2839 Owner/Builder Address : Phone Contractor: TESLA ENERGY OPERATIONS Address : 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone: (650) 638-1028 Con State Lic : 888104 Lic Expire : 12/31/2022 Bus Lic: BT30026827 Bus Lic Expire : 02/28/2023 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No : EWS107458504 W. C. Expire : 10/31/2022 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 1 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: Architect Address Phone: State Lic Engineer: DE VERA ABELARDO Address: 22701 RASHDALL AVE CARSON, CA 90745 Phone : (888) 765-2489 x7526 Designer: Address : Phone: Construction Valuation : $0.00 Added/New/TI sq. ft. Bldg: Alteration sq. ft. Bldg: Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg: 0 I hereby affirm under penalty or perjury that[ am exempt from the Contractors' State License Law for the reasons) indicated ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law I Professions Code) or that he or she is exempt from dcensure, and the basis for the alleged exemption. Any violation of Section 7 lot more than five hundred dollars 4500). El I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the w Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empl improvements are not Intended or offered for salelf, however, the building or improvement is sold within one year of compledo unproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 70", Busi ap fy to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor per: I 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 I sell a structure that I have built as an owner -builder if 4 has not been constructed in its entirety by licensed Contractors. I unders Professions Code, is available upon request when this application is submitted or at the following Web slte:hHp:/A.ww.Ieginfo.ce Signature of PropertyOwner or Authorized Agent___ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with Sectio 7 00)af Divt and effect. License Class License No Date 0 unow by the checkmark(s) I have pieced next to the applicable items) or repair any structure, prior to its issuance, also requires the applicant for ,hapter 9 (commencing with Section 7000) of Division of the Business and 31.S by any applicant for a permit subjects the applicant to a Civil penalty of k; and the structure is not intended or offered for sale (Section 7044, ess' 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 or and Professions Code: The Contractors' State License Law does not to the Contractors` State License Law), that copy of the applicable law, Section of the Business and Contractor Signs ME is In full force iNORHERS' COMPENSATION DECLARATION ✓ �- I / \ l NARNING. FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND CIVIL FINES UP TO ONE NUNDREU THOUSAND DOLLARS h1100,000I, IN ADDITION COST of COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: J I have and will maintain a Certificate of consent to sBlfdnsure for workers' compensation, Issued by the Director of inf ps manes 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 perfor insure a Carrier and policy number are: Carrier Policy Number is of Agent certify that, in the pqrforripance of the work for which this permit is issued, I shall not employ any person in any manner so if I should become b Ot to thee t sa to pro s of Section 3700 of the Labor Code, I shall forthwith c tatuTe of Applicant ,_, .�_..._v hereby affirm under ;penalty of perjury that there is a construction lending agency for the performance of the work for whist _ender's Name Lender's Address 3y 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 an C my ordinances and state laws relating to building construction. I authorize representatives of this city or sou to e t r inspection purposes. 3i stature of Pro art Owner or Authonzed Agent ePrint Property Owner's or AuI ACTION DATE RV OE LARATIONOF COMPLIANCE WITHCODE OF FEDERAL FOROFFICE R UULATION5 PART 61 OFTMLE 40ANOAQMDRULE 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 this works Co Demotion laws of Cahfomia, and agrt Ply with those provisions. Dat 'a permit is issued (Section 3097, Civil Code). LY PERMIT EXPIRED 3 UISURMITTCCfSBFI.TOSNOprICATUNTO PERMIT CANCEL! EL' t" EPA v m F`ERM7F EA7fNDED t�{AQtyAp W PCRMiF Flf1At C J .� CER77F1CAIFE OF MASRF5Tp5 NOTIFICATION IS NOT APPLICABtF TO PROPOSED DEMOLITION OCCUPANCY IZUEO SIGNATURES