HomeMy WebLinkAboutX2022-0340 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0340
4 �! 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 3 4 0
Project No : 0306-2022
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date : 03/08I2022
r:,t YV1u.y Combination Type - SFP ELEC Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/08/2025 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: 2300 WINDWARD LN NB
Description: SFR - 4 TESTA POWERWALL BATTERY BACKUP UNITS
Legal Desc.: N TR 7693 LOT 3
Owner: HORNER EMILY Contractor: SEMPER SOLARIS CONS,$$ULZtGN--AMT fect:
Address: 2300 WINDWARD LN Address: �j,13°Bt@R+lW4YR'�f D Address:
NEWPORT BEACH CA 92660 SANTA FE SP NG CA 9� �{ applicable:
Phone: " Phone: 619-715-4054 — Phone: jQ e
01�� / r��o i&i'U, ,..
Applicant: ANDREWS SANTO Date. Co State-Li� 2C y ngmeeo CSYYIOMAROLUPING--HUNG �[
Address: 10713 NORWALK BLVD Tic Expire 10/3112022 - ddress: 1168 N SAN GABRIEL BL, STE N
SANTA FE SPRINGS CA 90670 Bus Lic BT30075814: R SE D CA 91770
Phone: 714-404-5063 7 is Exit Date " 0713112022 t0 V1 State Lic:C-035693
Code Edit : 2019 Work' 's Coi I nsu race.. Its Designer:
Type of Construction: V-S Jame". I MIDWEST INS CO. Ad ss:
Occupancy Group: U olicy N. SNUWC0155108 puss
Added /New sq.ft. Bldg: 0 Expire--1OI10/202�" e'wI_o)neAdded /New sq. ft. Garage: 0'r4s+No of Stories: 0 ulldng SetbacksRear I Conditions:
No of Units: 1 Front. 1_,
Bldg Height: 0 '. Left. /
Bldg Sprinklers: Right: / v]A 51
Flood Zone: Use Zone: Parkinq Spaces: 0 ire a
Construction Valuation: $45,000.00 r�p�_a� a d�,1)\))
Building Permit Fee: $739.00 xcis T c�Ua Pi ll I
ing Department - (no �,;ofk Stripe Department
Plan Check Fee: $642.93 dditi $0.00 ,,1 Plan check Fee : \ $52.00 Fire Inspection: I
00
Overtime Plan Ck: $D.00 adi Bonds Fee: (`n'Qrkii%Tted) Fair Share : $0.00 Fire Plan Rev.$§IS
Investigation Fee: $0.00 G ding PC Consultal : $0.00 SJH Trans : $0. o i ion Fee
Record Management: $0.00 G ding Permit Fee: $0.00 In -lieu Hou $0.00 Buildin - d Oft
Energy Compliance: $0.00 G din P Fee: $0.00 is orks Department- JnSpd Aral i - 2q,
CA Seismic Safety: $0.00 W*k&.: 0.00 Park Dedication : 0��- $0.00
Disabled Access : $0.00 �2oA'-P eck : rading Bond: $0.00
Hazardous Mat $0.00 Ele trical %:—$96:7��— $0.00
Building Green Fee : $2.00 Me a °: NMUSD Fee: $0.00 $0.00
Plu $0.00 $0.00
TOTAL FEE : $1,581.17 Plan Check Fee : $788.44 Fee Due at Permit Issuance : $792.73
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: t >•'y£ , V
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)
ction 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
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
fessions Code) or that he or she is exempt from Iicensure 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
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,
iness 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
rovements 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
roved 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 Cod The Contra tors' State License Law does not
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant tom sL9TjP tate License 1w).
LJ I am exempt from Iicensure 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 musLU t "or at least one year prior to cp�rgpletion of the improvements vered by this permit, I cannot legalll
sell a structure that I have built as an owner -builder if it has not been const IrwIS�EP rf�ety by licensed contractors. I rjgrs=r ��-I L�py of the applicable law, Se tion 7044 of the Business and
Professions Code, is available upon request when this a mitted o flowing Web site:http://www.le f . ov/calaw.html. 0/ CeiUCiC
Signature of Property Owner or Authoriz JJ i0 D to
LICENSED CONTRACTOR'S ARATION o
I hereby affirm under penalty of Be ry th arrya� nsed and s of Chapter 9 (commencing with Section 70 f Is' f the Business and Proles s C e, and y license is ull force
and effect. License Class Ag! License No Date Contractor
WORKERS' COMPENSATION ECLARATION /', 1
NARNING: FAILURE TO SECURE WORKERS': OMPEN RAGE'IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONORED THOUSAND LLARS I5100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS P VIDED'FOR IN SE N 370A.OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjd one of the following declara4onSW "'� ;,
ZI I have and will maintain a certif to of onsent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 700 of the Labor Code, for th
D}e�rfrmance of the work for which this ermltissued Policy No. -
,CH-h ve and will maintain workers c pensatton insurance as required by Section 370 !of Je't o""1�&Pde. fortBe performance of the work for which this permit is is ad.' My workers' compensatiol
nsur nce cprrigr asd pAlicypumber are` e � ,e�
ie of Agent ,. ✓ -" • 1 IL L
certify that, in the performance of the ork for which this permit is issued, shall rrr���t employ any person any an r o e subject t t to workers co aAir !3"x+s of California, and
if I should become subje the wo ers' pensation pr "ts1o�fPSyect!9�p,31 l e�abor Code, I rthwl compl, w ih t 1pt Is. tp //
Iature of Applicant l�'e ,vry ® g OWN � ino �(tl 1 t� 5 9 ;. /—
na}e / /,
:reby affirm under penalty of perjury the
Ider's Name
my signature below, I certify to each of III
I am the property owner or authorized to
I have read this application and the infor
I agree to comply with all applicable city
I authorize representatives of this city or
nature of Property Owner or Authorized A
TION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
atjle performance of the work for which this permit
Lender's Address
on the property owner's behalf
Fordinances and state laws DO 11g-le-bviRfing constr
inter the abo - Hf primp peel purposes.
Print Property Owner's or Authorized Ag
ffrCrT-RATION TF,tOMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
140
I SUBMITTED ASBESTOS NOTIFICATIOP' TC
EPA
LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION