HomeMy WebLinkAboutX2020-2935 - PermitsC�ityVic ofcenter NewDport BNewe acortBhachB Building Division i111111iip111111111111111111111111111111111111i JillCOMB Permit: X2020-2935
Permit Counter Phone (949)644-3288 Project No :2335-2020
U @ Inspection Requests Phone (949)644-3255
"ai�yosuga Combination Type - SFP ELEC Issued Date: 02103/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210412024 OR PERMIT WILL BE INVALID
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: 1924 BERYL LN NB
Description: SFR (1) LG BATTERY I I d P ECT® R
Legal Desc.: N TR 1806 LOT 33
Owner: BRONCO NATALIE
Contractor:
SUNRUN
Architect:
Address: 1924 BERYL
Address:
225 BUSH ST #1400
Address:
NEWPORT BEACH, CA 92660
SAN FRANCISCO, CA 94104
Phone:
Phone:
855-478.6786
Phone:
State Lic:
Applicant STANTON DEANA
Con State Lic: 750184
Engineer:
MASSOUMI AMIR
Address: 20512 CRESENT BAY
Lic Expire:
06/3012022
Address:
133 TECHNOLOGY DR #100
LAKE FOREST CA 92630
Bus Lic:
BT30066837
IRVINE CA 92618
Phone: ,949-460-3433 ..
Lic Exp Date:
04130/2021
Phone:
949-363-0993 State LiaC-075504
Code Edit: - 2019
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
ZURICH AMERICAN INS CO
Address:
Occupancy Group: R31U
Policy No:
WA764D446522020
Added /New sq.ft. Bldg:- 0
Expire:
10/01/2021
Phone:
Added /New sq. ft. Garage: - . 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions:
No of Units : - 1
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: - $5.000.00
Building Permit Fee: $161:00
Excise Tax:
$0.00
Planning Department -
Fire Department
0000
Plan Check Fee: $140.07
Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Inspection:
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: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building DeptfAdm
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:
Hazardous Mat $0.00
Electrical %:
$21.07
San Dist:
$0.00
•
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$940 °
° ° •
•
,
`
Plumbing %:
$0.00
$0A
TOTAL FEE : $323.14
Plan Check Fee:
$323.14
Fee
Due at Permit Issuance :
$0.0(
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL: r -
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 items)
(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 Codej'or that heorshe 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 U 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-Sullder 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 Iegalh
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:IA w .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 Sectio 0) of Division 3 of the Business and Proion C q , nd my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML 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:
I 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
performance of the work for which this permit is issued. Poircy 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' compensatiol
n mance
carrier and.policy number are:
Carrier LIBERTY INSURANCE CORPORATION Policy Number WA764D445522020 Expiration Date 6-30-2021
Name of Agent Phone #
I certifyth t� pThe performance 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 workers' compensation laws of California, and agre,
hat, if I shoold becam s )act to the work ensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
• �_ 2/3/2021
• Sigcature of �ppijpgnt Date .
' DECLARATIQN•RFOAAARD G CONSTRUCTION LENDING AGENCY
• 1 hubby affir'und'er 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 Lenders Address
By my signaluea, below, I certify 10 each of the following:
• ° I am the•propeity owner or authorized to act on the property owner's behalf.
. • . • I haveread this application and the information I have provided is correct.
. I agree (p'rpvVy with all applicable city and county ordinances and state laws relating to building construction.
=PERMITEXPIRED
thsentatives of this city or cou enter th a ve= entified property for inspection purposes.
•:Owner orAuthorized A ant Print Property Owner's or Authorized A encs Name Deana Stanton Da /3/2021
•Y ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLYR ULATIONS PART 6I OF TITLE 40 AND AQMI SUBMITTED ASBESTOS NOTIFICATION TO
I I / I _ Annan a
vtHM1J FINAL SBES705 T ICATIO PLICABLE TO
CERTIFICATE OF. 6 lk rxOPOSED DEM TION
OCCUPANCYISSUED tIr-NATI IRF-