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Home My WebLink AboutX2019-3807 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIII� II COMB Permit: X2019-3807 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 8 0 A Project No: 2618-2019 ' Permit Counter Phone (949)644-3288 ) Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date: 11/27/2019 Inspection Area : 6 TOTALFEE: PROCESSED BY: 1 ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $863.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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: 24 VERNON NB Description: SFR ENERGY STORAGE SYSTEM (27 KWH)' & 1*�� Legal Desc.: N TR 15333 LOT 17 11 19.E Owner: GOGLANIAN STEVEN Contractor: TESLA ENERGY OPERATIONS Architect: ` Address: 24 VERNON Address: 2012 ALTON PARKWAY #B Address: NEWPORT COAST, CA 92657 IRVINE CA 92606 Phone: Phone: 650.638.1028 Phone: State Lic: Applicant: TESLA ENERGY OPERATIONS Con State Lic: 888104. Engineer: DE VERA ABELARDO Address: 2012 ALTON PARKWAY #B Lic Expire: 12/31/2020 Address: 22701 RASHDALL AVE IRVINE CA 92606 Bus Lic: BT30026827 CARSON CA 90745 Phone: 650-638-1028 Lic Exp Date: 02/2812020 Phone: 888-765-2489X7526 State Lic:S-005185 Code Edit: 2016 Worker's Compensation Insurance Designer: THURNEYSSEN ASHTON Type of Construction: VB Carrier: ZURICH AMERICAN INS Address: 2012 ALTON PARKWAY #B Occupancy Group: R31U Policy No: EWS107468502 IRVINE CA 92606 Added /New sq.ft. Bldg: 0 Expire: 1013112020 Phone: ; ..... Added /New sq. ft. Garage: 0 0 ° No of Stories: 2 Building Setbacks Rear: / Special Conditions: **FUEL MOD/SPECIAL FIRE .... ° ° No of Units : 1 Front: I PROTECTION AREA** ° ® ° Bldg Height: 0 Left: I Bldg Sprinklers: Right: I ° ° ° ° ° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20.000.00 0 0 00 0®000 0 Building Permit Fee: $392.00 Excise Tax: $0.00 Planning Department - Fire Department o 000c• Plan Check Fee: $341.04 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: ° $0.40 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev P"" 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 o $"ll Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service °90'.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTALFEE: PROCESSED BY: 1 ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $863.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 items) 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 '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 lot 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, 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 Tlprovements 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 reproved 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 Code: The Contractors' State License Law does not Ipply 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: iy 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 legally 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 a 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:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 6ektion 7000)of_DIvis'on 3 of the Bus ass and Profgk2 e,� oda__nd my license is in full force Ind effect. License Class C—LAb License No z d gla. l_ / L � `1 Co, ctor Signature.T/'3 YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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. hereby affirm under penalty of perjury one of the following declarations: I have and M1'6ri2111tain 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 thI r ar1ce of the wore for which this permit is issued. Policy No. ave° and 414-lniain 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' compensatior arfc� carrier apd policy number are: �Lff LL _ dfr' 't:urL 4(r1 Policy Number Ll/`� LO-7L(S o� Expiration Date t �(3[, Zr_ of.Agent' ' 0 tpe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become become subject to the workers��pen atiion provisions of Section 3700 of the Labor Code, I shall forthwith comply with the 3ECLAI;ATIONJK9419DING CONSTRUCTION LENDING AGENCY .Igje.bY.affirm under pehalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued render's-Name .. . Lender's Address 3y r" tignature%ekkl 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 ordinances and state laws relating to building construction. I authorize representative of-tfli cl y or unty to en_ter th d I led property for inspection purposes. Signature of Property Own r or Authorized Agent�� Print Property Owner's or Authorized e�( ant's Name ACTION XTE--_ BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE U E ONLY _ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE . --` PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED SUBMITTED TO NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: compensation laws of California, and Civil Code).