HomeMy WebLinkAboutXR2023-0642 - Permits�FWPORT City of Newport Beach 111111111111111111111111111111111111111111111111111111111111jj COMB Permit : XR2023-0642
o`< @ Community Development Department - Building Division X R 2 0 2 3 0 6 4. 2
too Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0512
r+� ? Permit Counter Phone: (949) 644-3288 Issued Date : 0412112023
,>. Inspection Requests Phone: (949) 644-3255 Inspection Area : 1
�glrpnpN`P newportbeachca.gov/inspections
Combination Type - SFP ELEC
Work Class - Other
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 4910 NEPTUNE AVE
Description: SFR - 27 KW ENERGY STORAGE SYSTEM
Owner: 4910 NEPTUNE LLC
Address : 2620 WAY UN
CORONA DEL MAR, CA 92625
Phone
Applicant: SAM STABLEIN
Address: 2102 ALTON PKWY, B
IRVINE, CA 92606
Phone: (714)496-0688
Owner/Builder :
Address :
Legal Desc : A TR RIVER SECTION BLK 49 LOT 7 RIVER SECTION LOT 7 BLK 49 P OR OF LOT
Contractor:
TESLA ENERGY OPERATIONS.
Address:
2102 ALTON PARKWAY #B
IRVINE, CA 92606
Phone:
(650)638-1028
Con State Lie
: 888104
Lie Expire :
12/31/2024
Bus Lie :
BT30026827
Bus Lie Expire : 02/28/2024
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No : EWS107458504
W. C. Expire: 10/31/2023
Architect
Address
Phone:
State Lie
Engineer: CHILDS JAMES
Address: 3055 CLEARVIEW WAY
SAN MATEO CA 94402, CA 94402
Phone: (650)638-1028
Designer: JAMESMCCARRON
Address: 2102 ALTON PKWY, B
IRVINE, CA 92606
Phone:
Phone
2022
Fire Sprinklers :
NO Construction Valuation :
$18,000.00
Code Edition :
V-B
Fire Hazard Zone :
NO Added/New/TI sq. ft. Bldg
: 0
Type of Construction :
No of Units :
1 Alteration sq. ft. Bldg :
Occupancy Groups :
U
No of Stories :
2 Added/New sq. ft. Garage:
0
BldgHeight :
9
TOTAL sq. ft.
0
Building Setbacks :
Front: 10, Side: 3, Side: 3, Rear: 10
Flood Zone:
X
'
Use Zone:
R-2 - Two -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
HIGH DENSITY ZONE & LIQUEFACTION
NO CONSTRUCTION NOISE
V IVJ i7
ON THE WEEKEND
NEB -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors'State, License Law for the reason(s) indicated
low by the checkmerk(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 (
hapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from iieensure, and the basis for the alleged exemption. Any violation of Section 7
L5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
111. as owner of the property, or my employees with wages as their sole compensation, will do `) all of or L) of the
the
portions w,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empic
Irk, and structure is not intended or offered for sale (Section 7044,
yees' 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 complotio
, the Owner -Builder will have the burden of proving that it was not built or
E'roved for the purpose of sale),
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business
and Professions Code: The Contractors' State License Law does Trot
a,epply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant
I am exempt from licensor, under the Contractors' State License
to the Contractors' State License Law).
Law for the following reason:
By my signature below € acknowledge that, except for my personal residence in which I most have resided for at least one year ~
—"or to completion of the improvements Covered by this permit, I cannot legali
Sella structure mar I have built as an owner -budder if ft 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 prat the following Web sita:httpaiwww.leginfD,ca
ovlcslaw,html.
Signature of Property Owner or Authorized Agent
Onto
LICENSED CONTRACTOR'S DECLARATION.
I hereby affirm under penalty of perjury, that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Diva
and effect. License Class License No Date L4 il'IContractor
!on 3 of the Business and Profession e, and a is in full force
Si nature
NORKERS` COMPENSATION DECLARATION 9
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 16 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRIMINAL PENALTIES A, to CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IStoe,uouJ, IN ADDITION TO THE
:OST OF COMPENSATION, PARADES" PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES,
hereby affirm under penalty of perjury one of the following declarations-
-1 1 have and well maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Indu itrial Relations as provided for by Section 3700 of the Labor Code, for to
Ia rimence of fie work for which this permit Is Issued, Policy No.
have and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the perform nee of the workfor which this permit is issued_ My Workers' componsedoi
isurance carrier and policy number are:
;auier Policy Number Expiration Date
Jame of Agent Phone iP
]I 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 o become subject to the workers' compensation laws of California, and agree
Tat If I shouldbecome subjec era' he visions of Section 3700 of the Labor Code, I shall forthwith Corn ly with those provisions.
lignalureofApplican Dale-1tZ1�2
IE____
CLARATION RE RDf Cfi TION LENDING AGENCY v
hereby affirm under pen at of perjury thatthere is a construction fending agency for the performance of the work for which this arm it Is issued (Section 3097, Civil Code).
enders Name Lender's Address
V 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 cc,Tp:y with all applicable city and county ordinances and state laws relating to building construction.
I authorize rrp-rFur talives of this city or county ttl en Gve-Id led for inspection purposes.
ACTION
DATE,
By ' 3 DECLAMATION OF COMPLIANCE WITH CODE OF FEDERAL
I REGULATIONS PART 61 OF TITLE 40AND AOMD RULE
' 1403
FOR OFFICE USE C
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I SUBMITTED ASBF5TOS NOTIFICATION TO
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SIGNATU