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
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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: • • • °
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