HomeMy WebLinkAboutX2022-1047 - PermitsCity of Newport Beach - Building Division *X2022-1047* COMB Permit: X2022-1047
r; =� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0962-2022
Permit Counter Phone hone(949)644-3288
9)644 ' N P LU 9 O
Inspection Requests Phone (949)644-3255
Issued Date
Combination Type - BLDG ELEC
Inspection Area : 3
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: 1720 KINGS RD NB
Description: SFR ENERGY STORAGE SYSTEM 10 KW
Legal Desc.: N TR 1221 LOT 15 - - -
Owner: WERNER ERIC
Address: 1720 KINGS RD
NEWPORT BEACH, CA 92663
Phone:
Applicant:
FERKETIC MIKE
Address:
360 E 1ST ST #947
TUSTIN CA 92780
Phone:
949-200-0942
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
Contractor: PEAK POWER SOLUTIONS INC
Address: 360 E 1ST STREET #947
TUSTIN, CA 92780
Phone: 800-265-6357
Con State Lie:
973253
Lie Expire:
05/31/2024
Bus Lie:
BT30053975
Lie Exp Date:
0212812022
Worker's Compensation Insurance
Carrier: STATE COMPENSATION INS FUND
Policy No: 9204002
Expire: 02/01/2023
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Architect:
Address:
Phone:
State Lie:
Engineer:
WANKET NEAL
Address:
27537 COMMERCE CENTER DR _
TEMECULA CA 92590
Phone:
951-506-6507 State Lic:C-068856
Designer:
STOUTENBURG MATT - -
Address:
360 E 1ST ST #947 . .
TUSTIN CA 92780
Phone:
714-258-3900
Special Conditions
Flood Zone: X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $10,000.00
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
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical W
$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
Plan Check Fee
: $329.50
Fee Due at Permit Issuance:
$264.22
PROCESSED BY:
ZONING APPROVAL:
VL
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
IC op 5Z
OWNER -BUILDER DECLARATION 1,
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
ie 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 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
of more than five hundred dollars ($500).
D I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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).
D 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 ofproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 1 am exempr from licensure under the Contractors' State License Law for the following reason:
;v 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,
ell a structure :ha: 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
'rofes5ions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
tiguabRe of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm unda. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) 1 n 3 of the Business and Professios'Cond y license is in full force
nd effect. LicerE': Class License No Date ZContractor Signature X
VORKERS' CCrAPENSATION DECLARATION
!ARNING: FAILURE TG SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OS r Or ,:OMPENSATION. 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:
J I Iyakt-a—nd w:ll mi.itain 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
PW"ance of th=work for which this permit is issued. Policy 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' compensatioi
urance carrier an polic numberAre fir'
rrier<,. � .,� � —/� Policy Number C/ Z..� ZZCJ Y/')7� Expiration Date � / — 2-Z
me df Agent Phone If �%/if — �S(—S 7 C9�'
certify that, in the performance o e wor f rwhich 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 the wor 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Datery,
CLARATION REGARDIN CONST UCTI ENDING AGENCY
areby affirm under penal of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).
lder'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 county ordinances state laws relating to building construction.
I authorize representatives of this city or county to enttpr the ^identified property for inspection purposes.
DATE I BY iECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
j'REG ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DEPA
PERMIT EXTENDED
QMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCVISSUED
3��'L'j
ASBESTOS NOTIFICATION IS OTAPPUCABLE TO
PROPOSED DEMOLI ION
SIGNATURE: X r' c�.r