HomeMy WebLinkAboutPV2019-190 - Permits,y.rkr City of Newport Beach - Building Divistion SOLAR Permit: PV2019-190 IIIIIIIIIIIIIIIIIIIIIIII
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aG :ys. PO Box 1768 Newport Beach, California 92658-8915 permit Counter Telephone (949)644-3288
v►.. Inspection Requests/Telephone (949)644-3255 project No : 271$-2019
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Job Address: 1723 TERRAPIN WAY NB Issued Date : 12/1112019
Description:SFR SOLAR PV 11.34 KW (36 PANELS),
Inspector Area: 3 Legal Desc.: N TR 3097 LOT 26
Owner: EITEL JOSEPH Contractor: TESLA ENERGY OPERA S Architerdlot�'
Address: 1723 TERRAPIN WAY Address: 2102 ALTON PARKWtAB \0' Addr6V
NEWPORT BEACH, CA 92660 IRVINE CA 92606 orb \v a� ?'
Phone: Phone: 650-638-1028 t� \0 P one: tate,Li�:1+l i I L. cc `.d'y
Applicant: MELENDREZ ADELA Con State Lic: 888104 , ��a'K p'p Engineer ZACHER PAUL
Address: 2102 ALTON PKWY #B Lic Expire: 1213 20 Addr s: 1478 STONE PT DR 190
IRVINE CA 92606 Bus Lic: B 026827 O ROSEVILLE CA 95661
Phoney 562-329-1413 Lic Exp Date: 2/28/2020 FA ®hone: 916.961-3965 State L 'S-003878
Code Edit : 2016 Worker's Com sation Ins nce Designer: THURNEYSSEN ASHTON
Type of Construction: VB Carrie Z CH A c NS Address: 2102 ALTON PARK74B d
Occupancy Group: R3IU P No: 5107 °t IRVINE CA 926t0 �y 4 1 '
No of Stories: 2 pire: 107 'arm Phone: /'`�-R/ n
uildIng Se cks e
Use Zone:
Bldg Height: 0�.:
@ „ a
.,Y yJ J �✓ eJ'ns��q�r�'."� � Ci�'� .t?sd�0��• ~..y,�" ' ,,,.,,
Valutaion : $68,040.0t'
Building Permit Fee § 240.0 "r g \ Re d Mapageme,t,{8 1/2 X 11) �$0.00 .
Plan Check Fee : $2 cord Mfanagement (Plans)
- n heck FeR b , °$0.00 ee Due wit Issuance : $450.00
TOTAL FEE : $45 0,.`
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
INSTALL OR VERIFY
Llc WORKS APPROVAL:
A CHECK BY:
ZDAYS.40TER
PROVAL TO ISSUE:
ER
LAST VALID INSPECTION.
�ON M(SNOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 & 315.2
'NER-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
:tion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair a
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter cor
`essions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 r y any a
more than five hundred dollars ($500).
U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thr
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one ye a
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the pr ' (Section,,770�
apply to an owner of property who builds or improves thereon, and who contracts for the projects w' licensed 0 Wria
❑ I am exempt from licensure under the Contractors' State License Law for the following re 'p
By my signature below I acknowledge that, except for my personal residence in which I m ave resided rat leagg�
sell a structure that I have built as an owner -builder if it has not been constructed in it tirety by licensed corpJtT� rc�1sl.
Professions Code, is available upon request when this application is submitted or he following Web site:httjrl/I.vww.k
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION �t
I hereby affirm under penalty of perjury that I am licensed under pr ons hapt (commenemgh Se n 7000i
and effect. t Ir
License Class License N Date M
VORKERS' COMPENSATION DECLARAT
IARNING: FAILURE TO SEC'1RE WORKERS' COMPENSAT
.OST OF.:OMPENSATION, DAMAGES AS PROVIDED F
hereby affirm under penalty of perjuryof the
have and will maintain a c Ic
foi ITiance of the work for w h this
klr� and will maintain VICE rs' cdr
Once carrier Tnd pricy num are:
ne of Agent
if I
of
k(s) I have placed next to the applicable item(s)
prior to its issuance, also requires the applicant for
with Section 7000) of Division 3 of the Business and
Ir a permit subjects the applicant to a civil penalty of
work, and the structu e i of intended or offered for sale (Section 7044,
employees' or perso ort,\etK6
improves the property, provided that the
Ipletion, the Owner er willburden of proving that it was not built or
NdProfessions ontractors' State License Law does not
Iraht to the Contr ors' nse, Law).
year prior to pletion of the improvemXnts covered by this permit, I cannot leg:
nderstano,tfiat a copy of the applicable la Section 7044 of the Business and
nfcr%'a 4ov/calaw. h tfn I.
ate
of Division 3 of thi Business and Profy%Ala, , and licegse is in full force
i r- -
WFUL, AND SHALL SUBJECT ANEMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TIPONF HD THOUSAND
THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
lows declarations:
to self -insure for workers' compensation Issued by the Director of Industrial Relations asy,o ad for by
ad. Policy No. . ;?
insurance, as required by Section 3700 of the Labor Code, for pormance of6h-wor5tik for which Is pe
Policv Number i:P Exoiration a \
areby affirm under penalty of perjury that theT is a I
tder's Name
my signature below, I certify to each of the foil in(
I am the property owner or authorized to act on t
I have read this application and the information I
I agree to comply with all applicable city and count
I authorize representatives of t ' It or county to
mature of Property Owner ed Agent
TO THE
Labor Code, for
workers'
Is issued, I. shall not employ any parson in any manner so a to a subje Co thgeme� r rs' compensation laws of California, and agre
ions of Section 3700 of tote Labor Code, I shall forthwith ith th, pe6wslosfs:
lending agen ftthe pewfogt nce of the woR MIrWhich thi rrr,)#Wissued (Section 3097, Civil Code).
u
ses. /��t' ,^,II
Owners or Authorize ent's Name f d de,
ArnoN
DATE
R,d�
ON OF COMPLIANCE KITH C EOF
D£ LREGULATIONSPARTB10FT1TLE
4,QMb RULE A403.
I SUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AQMD
❑ ASBESTOS U077FICA770NIS NOTAPPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
FOR OFFICE USEONtCI
PERMIT EXPIRED
Z z
PERMITCANCELED
PERMITEXTENDED
PERMIT RAIAt
CERTfFICATEOF
OCCUPANCYISSUED