HomeMy WebLinkAboutX2018-3810 - Permits (2)vtw City of Newport Beach - Building Division IIIIIIIIIII��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3810
100 Civic Center Drive, Newport Beach, CA 92660 X 2 m" 1 8 3 8 1 e 1 Project No: 2945-2018.
Permit Counter Phone (949)644-3288 -
cr 1 r3 Inspection Requests Phone (949)644-3255
aA tovs`s Combination Type - SFP ELEC Issued Date : 03/19/2019
Inspection Area : 4
PERMITS EXPIRE 180 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: 5 RIDGELINE DR NB
Description: < SFR- (7) TESLA 5KW ENERGY STORAGESYSTEMS
Legal Desc.: N TR 9862 LOT 16
Owner: KEI5NEK Jtz"KEY
Contractor
TESLA ENERGY OPERATIONS
:Architect:
Building Permit Fee:
•°••
Address: 5 RIDGELINE DR
Address:
3066 CLEARVIEW WAY
Address:
General Service
...... •••..
NEWPORT BEACH, CA 92660
Grading Bonds Fee:
SAN MATEO,CA 94402
Investigation Fee:
-
e • : •° .....
Phone:
Phone
650-638-1028
Phone:. ;'
State Lic:
Energy Compliance:
Applicant MELENDREZ ADELA
Con State Lic:
' 888104 -
Engineer:
HECHT NIELSEN MARCUS
° ',,'`� • o
Address. 1831 RITCHEY ST
Lic Expire: '
12/3112020
Address:
2744 FELICITA RD
°
SANTA ANA CA 92705
Bus Lic:
BT30026827
Building Green Fee:
ESCONDIDO CA 92029
°e ° e m o • o
Phone: - 562.329-1413
- Lic Exp Date:
02128/2019
Phone:
650-638-1028 State Lic:C-073045
• e. o • o
PROCESSED BY:
^
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Code Edit 2016
.Worker's Compensation Insurance
Designer:
THURNEYSEN ASHTON
°O°° ` ••oo
Type of Construction: V -B
Carrier
ZURICH AMERICAN INS
Address:
1831 RITCHETY:ST
° ° • ° ° o
Occupancy Group: R31U
Policy No:
EWS107458501
SANAT ANA, CA 92705
Added /New sq.ft. Bldg: 0
Expire:
10131/2019
Phone:
(844) 837-5201
Added/New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear:. /
Special Conditions:
° • o ° ° : a_ ° ° °
No of Units :. 1
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
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i inn a.,..e. 0..-61....
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ZONING APPROVAL: N `sw
GRADING APPROVAL:
$0.00
Construction Valuation: $35.000.00
Fire Inspection:
$0.00
Building Permit Fee:
$581.00
Excise Tax:
$40.00
Plan Check Fee: $505.47
Additional Fee
General Service
Overtime Plan Ck:.
$0.00
Grading Bonds Fee:
_
Investigation Fee:
.$0.00
Grading PC Consultant:
Record Management :.
$12.00
Grading Permit Fee:
Energy Compliance:
$0.00
Grading PC Fee:
CA Seismic Safety:
$0.00
WO Insp. Fee:
Disabled Access:
$0.00
$0.00
Hazardous Mat
$0.00
Electrical %:
Building Green Fee:
$2.00.
Mechanical %:
Plumbing %i
TOTAL FEE: $1,345.52
PROCESSED BY:
^
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ZONING APPROVAL: N `sw
GRADING APPROVAL:
$0.00
Planning Department -
Fire Inspection:
$0.00
$0.00
Plan check Fee:
Demolition Fee
$40.00
$0.00
Fair Share:
General Service
$0.00
$0.00
SJH Trans :
Grading Bond:
$0.00
$0.00
In -lieu Housing Fee:
$0.00
$0.00
Public Works Department -
$0.00
Park Dedication:
$0.00
PAN Plan Check :.
$0.00
$76.05
San Dist:
$0.00
$0.00-
NMUSD Fee:
$0.00
$0.00
Plan Check Fee
- Fire Department
Fire Inspection:
$0.00
Fire Plan Rev
$129.00
Demolition Fee
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
- $0.00
Grading Bond:
$0.00
$0.00
$0,00
$709.85 Fee Due at Permit Issuance : $635.67'
PUBLIC WORKS APPROVAL:
.PLAN CHECK BY:
APPROVAL TO ISSUE: L_SYJyV
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
.he 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
iot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
m roved 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signaturebe%w 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 Iegall
3gll a strycture 1h2tl lilive 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
: MSERIns Col available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
>i nature of Property Owne
Ur or Authorized Agent Date
AN'SED CONTRACTOR'S DECLARATION /
hereby affirm Under pwalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 ) f Divi ion 3 of the Business and Prof Bions o , a B my I' n� is in f II force
aP6gffEgt. LicdhS@GT�ss License No Dat I Contractor Sign Aur
1 ORWERS' CONIPa{EpISATION DECLARATION
a kAIAd:FAILURE'rp,Spg1iRE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE KU DRED THOUSAND DOLLARS ($100,000), IN ADO N THE
:Olt OPCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
h/reby affirm under penalty of perjury one of the following declarations:
J I have and IFiTI tflaitain 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
aBrtonrnice of the w orVor which this permit is issued. Policy No.
41 have and wlfi�ilietain 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' compensatio
nsurance carrier and policy number are:
;arrier Policy Number Expiration Date
Jame of. Agent Phone #
�I certify that, in the performs e 0 the ork f hich 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
hat, if I should become I to a rkers' omp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //'
Signature of Applicant DateL
7ECLARATION REG R ING CONSTRUCTION LENDING AGE //
hereby affirm under penalty of perjury that there is a cons to lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name - Lender's Address
3y my signature below, 1 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 Cou ty or inan s d st laws relating to building construction.
I authorize representatives of this city or county o e t a ve-i tifie roperty r inspection purposes.
Signature of Property Owner or Authorized A ant Print Property Owner's or Authorized Agent's Name ate G "�
ACTION DATE BY DECLARATION OF COMPUA ITH CODE OF FEDERAL FOR OFFICE USE ONLY If
REGULATIONS PART 63 OF TITLE 40 AND AC MD RULE
PERMIT EXPIRED i 1 Uff MITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED /1 EPA /
CERTIFICATE OF
OCCUPANCYISSUED `
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