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Home My WebLink AboutX2019-2025 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIII�IIIIIIIII COMB Permit; X2019-2025 888-657-6527 Phone:. State Lie: Applicant: STANTON DEANA Con State Lie: 750184 Engineer: KUBITZ KRISTOPHER Y Address. 20512 CRESCENT BAY #108 Lie Expire: 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 0 2 5 Address: Project No : 1468-2019 a Permit Counter Phone (949)644-3288 LAKE FOREST, CA92630 Bus Lie: Inspection Requests Phone (949)644-3255 Combination Type- SFP ELEG Issued Datei 0 711912019 Phone: 949-460-3433 Inspection Area : 6 04130/2020 Phone; 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: 14 BAFFIN BAY NB Description: SFR BATTERY STORAGE SYSTEM & 100 AMP SUB PANEL Legal Desc,: N TR 15851 LOT 15 Worker's Compensation Insurance Designer: - Z Owner: REDA ZACHARIA Contractor: SUNRUN INSTALLATION SERV Architect: Type of Construction V13 Address: 14 BAFFIN BAY Address: 775 FIERO LANE #200 Address: t81 20512 CRESCENT BAY NEWPORT COAST, CA 92657 SAN LUIS OBISPO, CA 93401 V n Phone: Phone: 888-657-6527 Phone:. State Lie: Applicant: STANTON DEANA Con State Lie: 750184 Engineer: KUBITZ KRISTOPHER 1 1 1 Address. 20512 CRESCENT BAY #108 Lie Expire: 0613012020 - Address: 44 KNOX LAKE FOREST, CA92630 Bus Lie: BT30Q66837 DENVER, CO 80219 .. Phone: 949-460-3433 Lie Exp Date: 04130/2020 Phone; 720-475-7999 State Lic:C-073643 Code Edit 2016 Worker's Compensation Insurance Designer: FARIAS STEFAN 0 Type of Construction V13 Carrier: ZURICH AMERICAN INS CO Address: 20512 CRESCENT BAY Occupancy Group: U Policy No: WC013696003 LAKE FOREST CA 92630. DO Added /New sq.ft. Bldg: 0 Expire: 10/01/2019 Phone: 949-460-3433. Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: LANDSLIDE AREA No of Units: 1 Front: I Bldg Height: 0 left: Bldg Sprinklers: Right: Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $3,000.00 Building Permit Fee: $120.00: Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $104.40 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: $0.00 Grading Permit Fee: $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 Disabled Access: $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $8.40 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $273.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee ; $104.40 n e ooa am •�! !• Fee Due at Permit Issuance : $169.40 APPROVAL: PLAN CHECK BY: ` ; APPRII)VAL TO ISSUE: u w`o n c c ! O C 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 U 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 �a ly 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 Property Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Profess'ons C Icense is in full force and effect. License Class License No Date f - I Contractor Signatur JYORKERS' COMPENSATION DECLARATION ` NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 e of the 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 performance of the work for which this permit is issued. My workers' rance carrier altl nolicv number we: _ IS of Agent orink3V. XN6.1 a rvl ill certify that, in the performance of the work for which if I should become sgbject to the workers' comD"s Expiration Date 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 s, i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. "" nature of Applicant 7L Dotall,,.. 7 • 11 �9 CLARATION REGA�DING CONSTRUCTION ENDING AGENCY Heby affirm under 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 ordinan s and state laws relating to building construction. I authorize representatives of this city or county jv ante ova -identified property for inspection purposes. �� nature of Prooertv Owner or Authorized AcentY Print Prooertv Owner's or Authorized ADent's Nam P.GNG ACTION DATE BY 1 DECLARATION OF I I REGULATIONS PA T 61 OF COMPLIAIITLE 40 AND QMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NO1JFJCATI* TO �• : - PERMITCANCELLED• EPA • • •• PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATIO I NOTAPPLI BLE TO CERTIFICATE OF P OP ED EMOLITION ••• • • • • ••• OCCUPANCY ISSUED SIGNAT . . : s