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Home My WebLink AboutX2020-0197 - Permitsy stor City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0197 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 1 9 7 p Project No :0171-2020 M � '°`� �^ Permit Counter Phone (949)644-3288 u a Inspection Requests Phone (949)644-3255 `.��u�,>a` Combination Type - SFP ELEC Issued Date : 0112312020 Inspection Area : 2 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: 2900 CLIFF DR NB Description: SFR ENERGY STORAGE SYSTEM (2) BATTERIES, (2) 200 AMP SUBPNLS Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 13 LOT 22 INSPECTOR Owner: KINDER THOMAS Contractor: TESLA ENERGY OPERATIONS Architect: Address: 2900 CLIFF DR Address: 2102 ALTON PARKWAY #B Address: NEWPORT BEACH, CA 92663 IRVINE CA 92606 Phone: Phone: 650-638-1028 Phone: State Lic: • • • ° v ease Applicant: TESLA ENERGY OPERATIONS Con State Lic: 888104 Engineer: DE VERA ABELARDO e Address: 2102 ALTON PARKWAY #B Lic Expire: 12/31/2020 Address: 22701 RASHDALL AVE e ° e IRVINE CA 92606 Bus Lic: BT30026827 CARSON CA 90745 s ° Phone: 650-638-1028 Lic Exp Date: 0212812020 Phone: 888-765-2489X7526 State Lic:S-005185 eo e Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: ZURICH AMERICAN INS Address: � - f : i;�, .� .... .. v io-;. .° -„ ° • ° Occupancy Group: R31U Policy No: EWS107458502 O Y O 0A Added/New sq.ft. Bldg: 0 Expire: 10/31/2020 _ Phone: (EM -1) IS NIi.i F °4•4O° Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: E _F=T n j 7 r`f_'sr,%', No of Units : 1 Front: I 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 Building Permit Fee: $392.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $341.04 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 $129.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $14.00 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 WO 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 %: $51.31 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 : $968.35 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $968.35 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: -' GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION If I hereby affirm under penally 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) action 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 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 ifessions 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 more than five hundred dollars ($500). 1, 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, :mess 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 Irovements 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 moved 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 )Iy 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: 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 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 Ifessions Code, is.auailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Pro%Jy QQMer or Authorized Agent Date =ED COUTRAICTOR'S DECLARATION :rebytffirm ufleer• salty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 00),Q( iyision 3 f the Busi a nd Professions Cod my license is in full force I effect. License Class License No D e 1 G �7.! Contractor Sig ature )R44ERS' COAP50SATION DECLARATION PNINO: FAILURE•TO SECORE 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 i FQF•COMPENSATYClN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. lrpl;xaffirm u:Ider pQpalty of perjury one of the following declarations: '1•haie 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 the formaace of the work for which this permit is issued. Policy No. I. have•and w1`11�41nt"*in 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 imea, carrier and policy number are: t.Oaf•• • • Policy Number Expiration Date of Agent ]I certify that, in the performance of the work fo 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 Nit, if should become subject to the wor compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of AFp C te_ I i Z3�"ZO"Zee IECLARATIO GARDING CONSTRUCTION LENDING AGENCY hereby 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 3017N,Civil Code). ender's Name Lender's Address y 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 and county ordinances and stn laws relating to building nponsposes.. I authorize representatives of thi Ity or county to Identified property for inspection purposes. 0f// kmature of Prooertv Owner or h razed Agent Print Property Owner's or Auth `zed Agent's Name Dat '2 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QM D PERMITFINAL r ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF12j OCCUPANCYISSUED I PROPOSED DEMOLITION ,SIGNATURE: m W xz U' m Xco o Z O �a Oo 0 0 W U M 47 FQooa m�€ 05Z; QI 0m rn r3 Cut- r LL_ �•. Z~ zQo al �LUz Or�ai VWui o (� U) .y LOU o N �vAcH 6i a y E a1 Q a c s w Z L '°Ayia a a a L, a t C y l00 V y a7 ` y a n ° aom E ad -U)4) v om« °H yo N m € u p C O w w N N Y (n C Ip V N w°°p ° Em 3m ` mrn C 'O mO! um w fv cO 4a) c C E � E U . 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