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Home My WebLink AboutX2019-3387 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II COMB Permit: X2019-3387 d 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 3 e 7 Project No: 2341-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC Issued Date : 01/27/2020 Inspection Area : 1 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. Aro work on Sundays or Holidays Job Address: 1810 W OCEAN FRONT NB Description: SFR 27 KW ENERGY STORAGE SYSTEM Legal Desc.: NEWPORT BEACH SEC. B BILK 18 LOT 6 OF PROJECT 932-91 LOCATED ON AP pp�' ®®//'�!!-� Owner: BOB TONY Contractor: TESLA ENERGY OPERATIONS Architect: ' 1i r.��'V �� Address: 1810 W OCEANFRONT Address: 1831 RITCHEY ST Address: NEWPORT BEACH, CA 92663 SANTA ANA, CA 92705 •... Phone: Phone: 650-638-1028 Phone:.. State Lic: ...... ..•.• Applicant: STABLEIN SAM Con State Lic: 888104 Engineer: ZHU YONG Address: 2102 ALTON PKWY Lic Expire: 12/31/2020 Address: 3055 CLEARVIEW WAY IRVINE CA 92606 Bus Lic: BT30026827 SAN MATEO CA 94402 Phone: 323-219-7940 Lic Exp Date: 02/2812020 Phone: 650-638-1028 State Lic:C-081774 ° • . • • , Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: ZURICH AMERICAN INS Address: Occupancy Group: U Policy No: EWS107458502 ° ° Added /New sq.ft. Bldg: 0 Expire: 10131/2020 Phone: p°� NOI ! 4-9 9944aa 44 �� !�!J NO CONSTRUCTION EMM 6.a ted °o°° Added /New sq. ft. Garage: 0 - �7 �.. ° No of Stories: 0 Building Setbacks Rear: / Special Conditions: ° • o No of Units : 1 Front: I .... ...... Bldg Height: 0 Left: / °.o°p° °..®„° Bldg Right: / FloodoodZone: F Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N ®N SATURDAYS Construction Valuation: $15,000.00 Building Permit Fee: $312.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $271.44 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 $57.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $14.00 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $40.84 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: $736.28 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $387.44 Fee Due at Permit Issuance : $348.84 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Y APPROVAL TO ISSUE: SA 1 V/� \ 0 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 (_) all of or L) 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 legall sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions•Cdde is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Signature of PrOpgrty Owner or Authorized Agent �LQeNSED 99,KTRACTOR'S DECLARATION I her@by affirm undef penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) of D'visio 3 of the Business and P fessi s Code, an my lic a is Lill force and effect. License Class License No Date LU Contractor Signatur VORKERS' EOPP.DENSATION DECLARATION t IAR111rr��G: FAILURE40 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDR OUSAND DOLLARS ($100,000), IN ADDITION TO THE ti%T, F COMP eNSAT�C" DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ille{eby affirm urlder penalty of perjury one of the following declarations: S 0 have and wdl 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 ��B�iyyyyFppppmance of We work for which this permit is issued. Policy No. aSe and wi4l4aifltain 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 eonfle carrier arldyo licy number are: AMI I' • • • • • Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the per"" n rk for whit this permit is issued, I shall not employ any person in any manner so as to become subject to the ?97, 'compensation laws of California, and agree tat, if I should become su j c to the work s' com nsation provisions of ction 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant _ L7 Z C7 iECLARATION REGARqq NG C TR CTION LENDING AGENCY hereby affirm under pen8lt perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3vil Code). Ender's Name llll Lender's Address y 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_py.ow isco rrect. I agree to comply with all applicable city and coply-ordinances a state I s relating to building construction. 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