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HomeMy WebLinkAboutX2019-3685 - Permits�w�uno 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 COMB Permit: X2019-3685 Illl��X2 0 1 9 3 6 8 5��lll Project No : 2536-2019 Issued Date: 11/18/2019 Inspection Area: 4 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: 1701 PORT STIRLING PL NB Description: SFR ENERGY STORAGE SYSTEM Legal Desc.: N TR 6565 LOT 88 Owner: SCHAFER BRAD Address: 1701 PORT STIRLING PL Record Management: NEWPORT BEACH, CA 92660 Phone: $0.00 Applicant: RIEMER NIEL Address: 4130 HAINES ST 7B Hazardous Mat SAN DIEGO CA 92109 Phone: 888.401-2103 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $166.00 Plan Check Fee: $146.16 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $390.92 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: ECO CONSTRUCTION SOLUTIONS Address: 4130 HAINES STREET 7B Phone: SAN DIEGO CA 92109 Phone: 858.401-2103 Con State Lic: 916961 Lic Expire: 06130/2020 Bus Lic: BT30062995 Lic Exp Date: 04/30/2020 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.76 $0.00 $0.00 Architect: Fire Department Address: Address: Phone: State Lic: Engineer: Fire Department Plan check Fee: Address: Fair Share $0.00 Phone: State Lic: In -lieu Housing Fee Designer: RIEMER BRENT Park Dedication : Address: 4130 HAINES ST 7B SAN DIEGO CA 92109 $0.00 Phone: 888-401-2103 NMUSD Fee: Special Conditions: Refund Deposit Fire Planning Department - Fire Department Plan check Fee: $40.00 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $390.92 0 c c a 4 c PUBLIC �VORKS APPROVAL: m m ` PLAN CHECK BY: c4PMOVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $390.92 0 c c a 4 c PUBLIC �VORKS APPROVAL: m m ` PLAN CHECK BY: c4PMOVAL 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 appliQable iterP(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 (_) 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 legal) 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.htmi. Date Signature of Property Owner 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 Section 0 Diision of the Business and Prof n ode, and license is in full force and effect. License Class License No Date Contractor Signature f WORKERS' COMPENSATION DECLARATION `' y o WARNING: 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 COST OF 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: 111 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 the performance 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 insurance carrier and policy number are: mer Policy Number Expiration Date Na a of Agent Phone # _ I rtify that, in th;Sform ance f the work f r hich 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 agrer the if I should becoubjec .t a workco pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.ignature of ApplicaDECLARATION RE G C STRU ION LENDING AGENCY I hereby affirm under penalty of perjury 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 shelf. I have read this application and the information I have provided is o act. I agree to comply with all applicable city and county dinance d tate laws relating to building construction. �� 4 I authorize representatives of this city or cou ` e t t e v roperty for inspection purposes. Signature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's Name (<= j1a R /^ Da ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFHCATIa TO • • •e• •• PERMIT CANCELLED EPA •` +• • •• • • • s•i PERMIT EXTENDED QMD • • • •+ PERMITFINAL RESTOS NOTIFICATION IS NO P LICABLE TO CERTIFICATE OF PRO SEDD LIT N • + a•s •• OCCUPANCY ISSUED ATURE: • • • ° e