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Home My WebLink AboutX2021-0611 - PermitsCity 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 s?� Combination Type - SFP ELEC 111111111111111111111111111111111111111111111111111111 X 2 0 2 1 0 6 1 1 COMB Permit: X2021-0611 Project No : 0564-2021 Issued Date : 04/29/2021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/29/2024 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: 4621 ORRINGTON RD NB Description: SFR (2) ENERGY STORAGE SYSTEMS (TESLA POWERWALL BATTERIES) Legal Desc.: N TR 3357 LOT 67 Owner: WELLING GLENN Contractor: Architect: Cf) Address: 624 RAMONA OR Address: Address: CORONA DEL MAR, CA 92625 Phone: Phone: Phone: State Lic: r1i Applicant: MEYERS SEAN Con State Lic: Engineer: MORALES DOUGLAS Address: 933 NEWHALL ST Lic Expire: Address: 20751 KELVIN LN COSTA MESA CA 92617 Bus Lic: HUNTINGTON BEACH CA 92656 Phone: 949-326-6162 Lic Exp Date: Phone: 949-285-5104 State Lic:C-069163 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: Address: �J Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /Newsq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $13,400.00 Building Permit Fee: $314.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $273.18 Additional Fee : $0.00 Plan check Fee: $46.25 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $47.50 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $26.00 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 PNV Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $41.10 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: $749.03 la:lly�.�.ya.�as ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $386.05 Fee Due at Permit Issuance : $362.98 F UnlI-WORKS AP PROVAL: r PLAN CHECK BY: _ C APPROVAL i J ISSIJE: `� 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, pricrto 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 -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 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:L/www. 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 Section 0 0) o iwsi n 3 of the Business and Pro es ion ode, and mlf dense is in full force and effect. License Class License No Date 2 Contractor Signature d a0�4 INORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 Derfojmance of the work for which this permit is issued. Policy No. and will m�ieMeiLl 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 an DDlic numbera;&T-1 1 _. >1 WJ o dy u r Expiration Date of Agent ` Phone # 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 t, if I should become subject to the v�orkers' comp rise ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 1 �c9(/sav ✓�U(�/i_4 e- Date ��I-q&� CLARATION REGAf DING CONSTRUCTION LENDING AGENCY I� :reby 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). Ider's Name Lender's Address 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 coun;y ordinances and state laws relating to building construction. I authorize representatives of this city or county,16 entp the above--1 ratified property for inspection purposes. '��// �.t �,� nature of Prooertv Owner or Authorzed Agen rw-Lv/�c�tf Print Prooertv Owner's or Authorized ADent's NarulY ^-rti-/ v r-�.a9- c� ate /12-5v/ DATE BY L I GURAT/OS OF COMPLIANT 61 OF TITCE E IANDDE OF FEDERAL I FOR OFFICE USE ONLY PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFlU.TION TC EpA PERMITC4NCELLED PERMIT EXTENDED Qmb PERMITFINAL CERTIFIC4TEOF OCCUPANCY ISSUED ASBE OS NOT ATION IS NOT APPLICABLE TO OLITIO "' ATUR