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Home My WebLink AboutX2019-0155 - PermitsCity of Newport Beach - Building Division Permit: X2019-0155 Illllllllllllulllllllllllllllllllllllp IICOMB a 100 Civic Center Drive, NewportBeach, CA 92660 X 2 0 1 9 0 1 5 54 Project No: 0132-2019 Permit Counter Phone (949(644-3288 Inspection Requests Phone(949)644-3255 Combination Type - SFP ELEC - Issued Date : 02/1212019 _ Inspection Area : 4 PERMITS. EXPIRE 480 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 1532 KEEL. DR NB �...�_. t. Description: -. -. SFR - TESLA POWERWALL (N) 125 AMP SUBPANEL (N) BACKUP GATEWAY Legal Desc.: 'N TR 6152 LOT 115 •,.----_=^�* s y . Owner: DOYLE JOHN M Contractor A P ELECTRICAL Architect: Address: 1532 KEEL DR Address: ' 16238 RAYMER ST STE B Address: CORONA DEL MAR, CA 92625 -. VAN NUYS CA 91406 , Phone. Phone: 818-455-9293 Phone: State Lir Applicant: MEZA RUBY -- Con State Lir 974115 Engineer: Address: 16238 RAYMER ST STE IS Lie Expire: 06/30/2020 Address; • ° °qs ° s • ? VAN NUYS CA 81406 .Bus Lie: BT30061309 •., Phone: 818-455-9293 Lie Exp. Date: 11/3012019 Phone:: : State Lic: • ° Code Edit 2016 - - Worker's Compensation Insurance Designer: PETROSYAN ARA o •' Type of Construction: Carrier STATE COMP Address: 16238 RAYMER ST STE B • a ° , m Occupancy. Group: U Policy No; 9221712 VAN NUYS, CA 91406 m m ° m Added /New'sq.ft. Bldg: 0 Expire: 10/19/2019 Phone: .818-621-0233 ... ° ° • e • �p m Added /New sq. R. Garage 0 <° m No of Stories: 0 Building Setbacks Rear: I _ Special Conditions: ° m • ° No of ...... Bldg: Height. 0 - Left. / m Bldg Sprinklers: , Right' / ommoio m m o 0 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N • ° .Construction Valuation: $10.680.00 -m • .. mm•e Building Permit Fee: $248.00 Excise Tax: - $0.00 Planning Department- Fire Department' Plan Check Fee: .. $215.76. Additional Fee : $0.00 Plan check Fee: $40.00 Fire, Inspection: $0.00 Overtime Plan Ck $0.00 Grading Bonds Fee:. - $0.00 Fair Share : $0.00 Fire Plan Rev - $0.00 .Investigation Fee: $0.00 Grading PC Consultant ; - $0.00 SJH Trans : ..$0.00 Demolition Fee - Record Management: $10.00 - ` Grading Permit Feer $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 ' Disabletl Access :. $0.00. PNV Plan Check: $0.00 Grading Bond: $0.00 "Hazardous Mat -. $0.00. Electrical %: $32.46 San Dist: $0.00 Building. Green Fee : . $1.00 Mechanical %: - `... $0.00 NMUSD Fee: -$0.00 $0.00 Plumbing %: -- $0.00 - $0.00 TOTALFEE : $547.22 Plan Check Fee: $151.71 Fee Due at Permit Issuance : $395.51 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 is 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). ], I, as owner of the property, or my employees with wages as their sole compensation, will do J all of or U 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 willhave the burden of proving that it was not built or nproved for the purpose of sale). - 1 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 of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for mypersonal 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 that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am Ii ensed under provisions of Chapter 9 (commencing with Section 7 00) o Division 3 of the Business and Prof sions and license is in full force nd effect. Licriris4't',13ss�C- �'` >' I License No S Date v� /off Contractor signature / 1V1��ORKraRS' COWIPENSATION DECLARATION WlAAIIKU:FAILURrAb SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT M EMPLOYER TO CRI NAL. PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he6ebY affirm under penalty of perjury one of the following declarations: �l have and WM 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 the prforgVhce of the worlefor 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' carrier Grid policy number are: I .. , _ . i Policy Number �P?ice CA" that, in Ur pe{formance 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' c mpensation laws of California, and agre, 4-16hould bei ern ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. BY / iatureofApplicant Date :LARATION REG DING CONSTRUCTION LENDING AGENCY ,eby affirm under enalty 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). ter's Name Lender's Address PERMITCANCELLED ny signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf.. PERMIT EXTENDED I have read this application and the information I have provided is correct I agree to comply with all applicable city and c my ordinances and state laws relating to building construction. PERMITFINAL CERTIFICATEOF OCCUPANCrI55UED I authorize representatives of this city or count to enter thea ve-ide s �perty for inspection purposes. signature of Property Owner or Authorized Agent ----r- Print Property Owner's or Authorized Agent's N ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY / PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED OAQMD PERMITFINAL CERTIFICATEOF OCCUPANCrI55UED ( 10 tq ASBESTOS OTIFICATION 15 NOT APPLICABLE TO. OPOSEDD MO SIGNATU