HomeMy WebLinkAboutX2021-2226 - Permits0�1_ok
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC
*X2021-2226*
ry�� T rn
L-CTi1
COMB Permit: X2021-2226
Project No : 1927-2021
Issued Date: 1010412021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010412024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2 LIMOGES NB
Description: SFR (2) ENERGY STORAGE SYSTEMS (PV2021-150)
Legal Desc.:
Owner:
DAVIES JOHN
Address:
2 LIMOGES
NEWPORT COAST CA 92657
Phone:
Applicant:
MEDINA BEN
Address:
1515 7TH ST #49
SANTA MONICA CA 90401
Phone:
818-735-7876
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Contractor.
SWELLONTRACTORS
Architect:
Address:
1515 7TH ST #49
Address:
SANTA MONICA CA 90401
Phone:
310-340-0493
Phone:
Con State Lie:
1021183
Engineer:
Lie Expire:
11/30/2022
Address:
Bus Lie:
BT30072279
Lie Exp Date:
06/30/2022
Phone:
2019 Worker's Compensation Insurance
VB Carrier:
SECURITY NATIONAL
R3/U Policy No:
SWC1354488
0 Expire:
09/10/2022
0
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
Valuation: $13 400.00
Building Permit Fee: $314.00
Plan Check Fee: $273.18
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $729.78
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
State Lie
ZHU YONG
3055 CLEARVIEW WAY
SAN MATEO CA 94402
650-638-1028 State Lic:C-081774
Designer: WOOLEYSIMON
Address: 4562 WESTINGHOUSE#H
VENTURA CA 93003
Phone:
Special Conditions
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading. Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$0.00
Electrical %:
$41.10
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$48.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$392.80 Fee Due at Permit Issuance : $336.98
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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
:he 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 U all of or U 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
improved 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).
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 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:l/w .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 Section00) of D' isio 3 of the Business and Pro sio and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE) O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
COST O- COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I ;lave 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
perfo-mance of the work for which this permit is issued. Policy No.
I 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' compensation
j s -Lnce carrier and policy number are: f
of Agent _
cerify that i.T the performance of thewark for
Policy Number
Date
Is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
Tat, if I should h=^om� su ject to the wo ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lipnature of Appli9art Dated
IECLARATION REG - CO CTION LENDING AGENCY /\
hereby affirm under enalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
enders 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 ordin -s and st s relating to building construction. ��e JJJ �%
I authorize representatives of this city or cour tCy�`o enter the a - entified property for inspection purposes. I� "� , /, (6 If�
3cnature of Prooertv Owner or Authorized Agent 7. Print Property Owner's or Authorized Agent's Nam /�w� �M�%t_ Dat LV L
ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMITEXTENDED
AQMD -
PERMITFINAL
Dr1..I`
ASBESTO¢ OTIFICATIO APPLIC
CERTIFICATEOF
-2-s'S
FoR.
PROPOSED D OF I
OCCUPANCYISSUED
'7
SIGNATURE•