The URL can be used to link to this page

Home My WebLink AboutX2021-2238 - Permitsa*� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 _4 Permit Counter Phone (949)644-3288 s:. Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC IIIIIIIIIIII�IIIII�IIIIllllllu II COMB Permit: X2021-2238 Project No : 1933-2021 Issued Date : 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: 206 42ND ST NB Description: SFR BACK-UP BATTERY SYSTEM (2) Legal Desc.: CANAL SECTION BLK 141 LOT 4 Owner: LOGAN ROBERT Contractor: BLALOCK ELECTRIC SOLAR Architect: Address: 206 42ND ST Address: 23905 CLINTON KEITH RD 9114-216 Address: NEWPORT BEACH CA 92663 WILDOMAR CA 92595 Phone: Phone: 951-762-4638 Phone: State Lie: Applicant: GRIMSHAW LINDSAY Con State Lie: 915397 Engineer: Address: 10769 WOODSIDE AV Lie Expire: 04/30/2023 Address: SANTEE CA 92071 Bus Lie: BT30072946 Phone: 808-286-4939 Lie Exp Date: 10131/2022 Phone: State Lie: Code Edit : 2019 Workers Compensation Insurance Designer: BLALOCK NICHOLAS Type of Construction: Carrier: STATE COMP Address: 23905 CLINTON KEITH RD #114-216 Occupancy Group: U Policy No: 9075584 WILDOMAR CA 92595 Added /New sq.ft. Bldg: 0 - Expire: 10/12/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: I ��*T Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N ,. y �" '$ Construction Valuation: $10,000.00 1, Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $32.20 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: $593.72 a.3 Plan Check Fee: PROCESSED BY: o o as ZONING APPROVAL: UVV GRADING APPROVAL: ar tle c ®e m e6s 4�rc . 4 O� P?a •�6 $329.50 Fee Due at Permit Issuance : $264.22 PUBLIC WORKS APPROVAL: PLAN CHECK BY: � , J� 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 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 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-Builderwill 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 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. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perry that I am licensed under provisions oLCh�a Jter 9 commencing with Section 7000) of ivisi n 3 of the Business and Professions Co and my license is in full force and effect. License Class — y O License No 7 73 9 Cat Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 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 G rmance of the work for which 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 nurmber are: _ c / f[�7� Policy Number gO7 5594 Expiration Date "a// ZI2y of Agent JI 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 agre %at, if I should become subject to thq)W r�kem' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J ignature of Applicant '�`7dI//— Datkvv'l /a iECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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, ode). ender's Name 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 owners 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 countKto enter tpA Above -identified property for inspection purposes. Signature of Property Owner or Authorized Agei ACTION I DATE I BY OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY Date 1403 ••• • ••• ••• ••• ••• PERMIT EXPIRED U (SUBMITTED ASBESTOS NOTIFICATION TO • • • • • • • •: ••• •: ••• `•• •: PERMITC4NCELLED LJEPA PERMIT EXTENDED LJAQMD PERMITFINAL (� Z� J� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION •�• ••• ••• ••• �•• a•• OCCUPANCY ISSUED SIGNATURE: o > ea. .e o0 o e aoo ea