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Home My WebLink Aboutx2022-1780 - PermitsCity of Newport Beach - Building Division $ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 sI Inspection Requests Phone (949)644-3255 e k1* Combination Type - SFP ELEC COMB Permit: X2022-1780 IIIIXIIIIII�IIIIIII�IIIIIIIIIIIIIIIIIill II Project No : 1635-2022 Issued Date: 06/2812022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1418 E BALBOA BLVD NB � �^q �+ Description: SFR - 1 ENERGY STORAGE SYSTEM R0 �40\sl Legal Desc.: BALBOA TR EAST SIDE ADD LOT 19 BLK 23 AND LOT 20 BLK 23 0 Owner: NIJJAR SANJEET Address: 2046 SEVILLE AV Contractor: - Address: BRIGHT LIFE REMODELING 933 NEWHALL ST Arc i Ad <J®�� NEWPORT BEACH, CA 92661 CA 92627 Phone: Phone: 08-489-39 1 Phone: �[Gpy�pq Applicant: BARBA VIN Con State Lic: 1029267 Engineer: -C°§�pr-' bdDGL�AyS Address: 933 NEWHALL ST Lic Expire: - 07/31/2023 Address: WE 2 KELVIN LN COSTA MESA CA 92627 Bus Lic BT30060552 HUNTINGTON BEACH CA,92656 Phone: 908-489-3933 Lic Exp Date: 09130/2022 Phone: 949-285-5104 �,J`;jSta'fe?Lio:C-069163 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMPENSATION INS FUND Address- r; �i •.Y.+J Occupancy Group: U Policy No: 9053332 Added/New sq.ft. Bldg: 0 Expire: 04/19/2023 - -Pfione:eR Added /New sq. ft. Garage: 0 , ,*) No of Stories: 0 Building Setbacks Rear: I ,Special Conditions' No of Units : 1 Front: I - - Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: S. OR $0.00 Planning Department - Fire DepartiNn Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $48.50 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 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 %: $21.07 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: $423.64 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $423.64 PROCESSED BY: � ° "" o� o ° APUBLIq WORKS APPROVAL: 000 ZONING APPROVAL: �LJL o °o °° ° ° e° PLAN 0CHECK BY: `9 J? GRADING APPROVAL: APPROVAJ TO ISSUE: U ° o° coo 0 0 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 1e 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 'rofessions Cade) 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 of 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 l_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o Diyyins s' n 3 of the Business and ProfessioC e, dlicense is in full force nd effect. License Class License No Date b �— Contractor Signature PORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST 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: 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 the errform_ance of the work forwhich this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 11 certify that, in the 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 agree tat, if I should become subject to the wor cers' co pensatio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date./t V �IZ3/2L )ECLARATION REGARDI ONSTRUCTION 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). Ender's Name Lender's Address iy 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count t entgrt abo -identified property for inspection purposes. ' / signature of Property Owner or Authorized Agent � i� Print Property Owner's or Authorized Agent's Name (/ 111e 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 L1 I SUBMITTED ASBESTOS *,4FIGR ION TO.. �•• PERMIT CANCELLED EPA • • � • • � : � • PERMIT EXTENDED L3AQMD • •• ••• ••• • •• •• PERMITFINAL's I ,_J BL ASBESTOS NOTIFICATION IS NOTAPPLICAE TO •• • •• CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: •. • • •_ _ • . _ _ _ A1< o ° o ° o 0 c�c ° c' ° °