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Home My WebLink AboutX2019-1932 - Permits1» . City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� COMB Permit: X2019-1932 100 Civic Center Drive, Newport Beach, CA 92660 X 2 8 1 9 1 9 3 2 Project No: 1407-2019 99 Permit Counter Phone (949)644-3288 ` - fir Inspection Requests Phone (949)644-3255 . r'.r yr* Combination Type - SFP ELEC �rvnx Issued Date : 0612012019 Inspection Area : 3 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: 2341 IRVINE AVE N8 Description: SFR 13.5kw ENERGY STORAGE SYSTEM. - Legal Desc.: N TR 3138 LOT 12 Owner: NEWCOTT BENJAMIN Contractor: TESLA ENERGY OPERATIONS Architect: 1 Address: 468E 18TH ST - Address: 3055 CLEARVIEW WAY Address: COSTA MESA CA 92627 SAN MATEO, CA 94402 Phone: Phone: 650-638-1028 Phone: State Lie:�:w.-zl`' Applicant: MELENDREZADELA Con State Lie: 888104 Engineer: DE VERA ABELARDO Address: 1831 RITCHEY ST Lie Expire: 12/31/2020 Address: 22701 RASHDALL AVE SANTA ANA CA 92705 Bus Lie: BT30026827 CARSON CA 90745 Phone: 562.329-1413 Lie Exp Date: 02/2812020 Phone: 888.765-2489X7526 State Lic:S-005185 Code Edit: 2016 Worker's Compensation Insurance Designer: GARCIA DYLAN h Type of Construction; VB Carrier: ZURICH AMERICAN INS Address: 1831 RITCHEY ST ` Occupancy Group: R31U Policy No: EWS107468601 SANTA ANA CA 92705 Added /New sq.ft. Bldg: 0 Expire: 10/31/2019 Phone: 562-329-1413 �haP Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: I - Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: .$6.700.00 Building Permit Fee: -- - $184.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $160.08 Additional Fee : $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Overtime Plan Ck $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $34.00 Grading Permit Fee: $0.00 In-lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $24.09 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00. TOTAL FEE : $443.17 � Plan Check Fee: $0.00 Fee Due at Permit Issuance : $443.17 PROCESSED BY: o c d ° eRUBLIC WORIK&APPROVAL: o¢ o 0 0 0 ZONING APPROVAL: c e r n v c oc �`," PgAlt CjAEEISBY: o GRADING APPROVAL: . APPROVAL TO ISSUE: cco c o c cc° cc cc cco °6 cc. v c oco 00 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 U 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 or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 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://www.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 Section 7 0 } of Ivisio 3 of the Business and Prof si ns d and !cense is in full f and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 (§700,000(, IN ADDITION TO THE 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: :11 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 th 3erf mance of the work for which this permit is issued. Policy No. have and will me tain 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' compensatiol surance carrier and Oy number are: dO-% _ Date Tie of Agent rnone s certify that, in the performan of a wo for wh' 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 agre t, if I should become u ject th or ' co ns ion p islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Z0 4(-11 CLARATION REGARPINCY CONSTRUCTION LENDING AGERCY- )reby affirm under penalty of perjury that there is a construelending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: 1 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 or a es o7d state I s relating to building construction. I authorize representatives of this city or county t/d an rt a4e-!dent' rope for inspection purposes. nature of Prooertv Owner or Authorized ADenµV Print Property Owner's or Authorized Agent' Name I ACTION DATE BY ` DECLARATION OF COMPLIANCE WW4PG9DE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA • PERMIT EXTENDED qMD • • • • • • • • ' PERMIT FINAL 7-Z fP ASBESTOS NO11FICATI(=N}IS NOT(1PPLM•A9LE TQC CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: _ •• ••• • • • ••• • • • • • • • • • •