HomeMy WebLinkAboutX2021-2965 - Permitswt 1 City of Newport Beach - Building Division *X2021-2965*
as p. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v: $ Inspection Requests Phone (949)644-3255
Combination Type -BLDG ELEC /N!J�oa®
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COMB Permit: X2021-2965
Project No : 2572-2021
Issued Date : 02/09/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETEDQBY 02109/2025 OR PERMIT WILL BE INVALID
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: 1921 GALATEA TER NB ......
Description: SFR INSTALL (2) NEW POWERWALL BATTERY BACKUP (EMERGENCY STORAGE SYS) & NEW SUB PANEL •' •"
Legal Desc.: N TR 2813 LOT 136
m
Owner:
QUON MARGARET C
Address:
1921 GALATEA TER
CORONA DEL MAR, CA 92625
Phone:
714/394.3633
Applicant:
ANDREWS SANTO
Address:
10713 NORWALK BLVD
SANTA FE SPRINGS CA 90670
Phone:
7141464-5063
Cade Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $501.00
Plan Check Fee: $435.87
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00'
Building Green Fee :
$1.00
TOTAL FEE: $1,103.95
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
SEMPER SOLARIS CONSTRUCTION
Architect:
Address:
10713 NORWALK BLVD
Address:
SANTA FE SPRINGS CA 90670
Phone:
619-715-4054
Phone:
Con State Lic:
978152
Engineer:
Lic Expire:
1013112022
Address:
Bus Lic:
BT30075814
Lic Exp Date:
07/31/2022
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
MIDWEST INS CO.
Address:
Policy No:
BNUWC0165108
Expire:
1011012022
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
State Lic:
State Lic:
ANDREWS SANTO
10713 NORWALK BLVD
SANTA FE SPRINGS, CA 90670
Special Conditions:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$52.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$48.50
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
$65.58
San Dist: $0.00
$0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee:
$566.88 Fee Due at Permit Issuance :
$537.07
_
PUBLIC WORKS APPROVAL:
_
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements %rgnpt intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for t41 a urpese of sale).
I, as owner sf the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
gpopvt$ an ovme ref 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:
'B1Fgig%ignature 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
sell a�structure t?i9t!I"hpve 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
grafesaions Code! B^available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Sigrfature of Property Owner or Authorized Agent Date
LICENSED C'QMYRACTOR'S DECLARATION ��/
i 19CICfly affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) f Div. io of the Business and PP ns Code, a my Iicensin full force
and evoct. License C.jass License No ti `( Contractor Signatu ice®
WORARS' CODQPIINSATION DECLARATION
WARMt". FAILURE=O SWJJRE 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
eg5g. 1COMPENFATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have 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 th
performance 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' compensatiol
i Sura carrier a rlic r number are:
Carrier /�/� .�l _ e. T Polici,�Number /V �iC (�i 2 Lr $ / Expiration Date
Name of Agent w.� 7c710` Phone # C_ IF9 - %(05 ('/
I certify that, in the perfor once 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' compensation laws of California, and agre
that, if I should become u ect he workers' o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant D t
DECLARATION REGAR IN NS RUCTION LENDING AGENCY
I hereby affirm under perialty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci iI Code).
Lender's Name Lender's Address
By 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 cifunty ordinances and to laws relating to building construction.
I authorize representatives of this city or cou t to ter the above= tified pr for inspection purposes. stC
Signature of Property Owner or Authorized A en Print Property Owners or Authorized Agent's Name' ate l
ACTION DATE Y LARATION Ot dOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
.ri14Al 3-24_Lz 4403
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
IS NOTAPPLICABA TO
U