HomeMy WebLinkAboutX2019-1912 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII COMB Permitc X2019-1912
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 9 1 2 Project No : 1385-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC Issued Date : 0711812019
Inspection Area : 6
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 from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 24 WHITESANDS DR NB
Description: SFR INSTIL (2) TESLA BATTERY BACKUP SYSTEMS
Legal Desc.:.
Owner:
BRADLEY MARK COHEN
Address:
24 WHITESANDS DR.
Record Management :
NEWPORT BEACH CA 92657
Phone:
949-533-5947
Applicant:
HUITRON ANTHONY
Address:
10192 CONSTITUTION DR
Hazardous Mat
HUNTINGTON BEACH CA 92646
Phone:
562-743-6877
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 1
Bldg Height: 0
.Bldg Sprinklers:
Flood Zone:
Valuation:
Building Permit Fee: $312.00
Plan Check Fee: $271.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $907.28
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
URBAN ENERGY
Architect:
Address:
10192 CONSTITUTION DR
Address:
06/01/2020
HUNTINGTON BEACH CA 92646
$0.00
Phone:
562.447.4971
Phone:
Con State Lie:
944115
Engineer:
Lie Expire:
12/31/2019
Address:
Bus Lie:
BT30064688
Lie Exp Date:
09/3012019
Phone:
Worker's Compensation Insurance
Carrier:
STATE FUND
Policy No:
9021421
HUNTINGTON BEACH CA 92646
Expire:.
06/01/2020
Building Setbacks Rear:
/ I o
Front:.
/ 1 a
Left:
I '
Right:
I r
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee
Electrical %:
Mechanical %:
Plumbing %:
INSPECIUK
State Lic:
State Lie:
Designer: MENDOZA MARK
Address: 10192 CONSTITUTION DR
Phone:
Special Conditions:
$0.00
Planning Department -
$40.00
$0.00
Plan check Fee
Fire Plan Rev
$0.00
Fair Share
$0.00
$0.00
SJH Trans
General Service
$0.00..
In -lieu Housing Fee:
$0.00
Public Works Department -
$0.00
Park Dedication :.
$0.00
PNJ Plan Check,
$0.00
$40.84
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
Plan Check Fee : $558.44
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$228.00
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Fee Due at Permit IssLAnce : $348.84
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:.
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
Fee Due at Permit IssLAnce : $348.84
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
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).
❑ I, 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
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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ tam exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below-r'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.govlcalaw.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 00) of f the usiness and Profess' an y�ic nas is in full force
and effect. License Class License No ` tractor Signature
NORKERS' G6fAVMSATION DECLARATION
VARNING6 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
SOM01 EOM PENLATIONPDANIAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm under penalty of perjury one of the following declarations:
1 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
forglance of 11%vl(gr: for which this permit is issued. Policy No.
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
YPpc arriarUa bplicy number are: p
siva CA� Q-� CaM (1- JrrLS. Fl l„�.. �r�S. Fay r .. Policy Number /oar K a" Expiration Date �/( a- a
:ertiiy that, lrf 9l)-Drformance 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 works ' compensation laws of California, and agrei
IN 2hould Pecomesubject tolto workers? c�om e—nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
Stu e PPMaei14�x/119Y�
IJM ALAI 'r RCVAMIJHNV LVlN RUV I IVIY LCIYUIIYV XVCIYLI
I hereby affirm nder penalty of perj0y that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 applicabl y and county ordin ces and state la relating to building construction.
I authorize representatives of city or county to a above= tifi property for inspection purposes. >
,Signature of Prthorized Agent Print Property Owners orAuthorized Kj
ACTION 6ATBY DECLARATI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED DEPA
PERMIT EXTENDED 0ACMD
PERMITFINAL"j / ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF /� la PROPOSED DEMOLITION
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