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Home My WebLink AboutX2022-0039 - Permits,• City of Newport Beach - Building Division .# 100 Civic Center Drive, Newport Beach, CA 92660 w •r <1; y` n' Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC 'X2022--0039* COMB Permit: X2022-0039 Project No : 0049-2022 Issued Date : 02/07/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02107/2025 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: 520 DE ANZA DR NB Description: SFR (2) ENERGY STORAGE SYSTEMS PV2022-009 Legal Desc.: N TR 1237 LOT 93 q Owner: GREENE DOUGLAS Contractor: TESLA ENERGY OPERATIONS Architect: Address: 520 DE ANZA DR Address: 2102 ALTON PARKWAY #B Address: NEWPORT BEACH CA 92625 IRVINE CA 92606�`� Phone: Phone: 650-638-1028 Phone: State Lic: Applicant: ALLEN BRIDGET Address: 2102 ALTON PKWY#B IRVINE CA 92606 Phone: 714-450-2839 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $13,400.00 Building Permit Fee: $314.00 Plan Check Fee: $273.18 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $40.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $769.78 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 888104 Lic Expire: 1213112022 Bus Lic: BT30026827 Lic Exp Date: 02/28/2022 Worker's Compensation Insurance Carrier: ZURICH AMERICAN INS Policy No: EWS107458504 Expire: 1013112022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / Engineer: CHILDS JAMES - Address: 3055 CLEARVIEW WAY SAN MATEO CA 94402 • ' s ; s ' Phone: 650-638-1028 State Lic:C-050775 Designer: WYDAJEWSKI CHRISTIAN ' Address: 2102 ALTON PKWY #B IRVINE CA 92606 Phone: 714-450-2839 Special Conditions: • ' Fire Hazard Zone : N $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 $0.00 Fair Share: $0.00 Fire Plan Rev $48.50 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $41.10 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $392.80 Fee Due at Permit Issuance : $376.98 PUBLIC WORKS APPROVAL: 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 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 L) all of or L) 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). ❑ 1, 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). ❑ I 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.html. Signature of P,opa, tv Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I herby affirm, and �- penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 ivision 3 of the Business and Professi and Ii Be is in full force and effect. L!: nse Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILUI=-C 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 COST OF COMFENSATIGN, 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: LJ 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 (!Wormance 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 cam it and policy number are: ie of Age certify that, in the performance of . if I should become subiad£ to1lhi� iature of Applicant Policy Number Date 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 �co �nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —/ Date_, Z�,&/ CLARATION REGAR_ `IDKSTWCTI(�N LENDING AGENCY ,reby affirm unde 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 county ordina nd st aws relating to building construction. I authorize representatives of this city or county to Ted r for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /. J (J!1✓(�G 1/l TION I DATE I BY N OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 0EPA PERMIT EXTENDED QM D PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: