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Home My WebLink Aboutx2022-1256 - Permitsr> City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIII�IIIIIIIIIII II COMB Permit: X2022-1256 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 2 5 6 Project No : 1150-2022 4 n Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �'�{tsSlt s Combination Type - SFP ELEC Issued Date : 2022 Inspection Arearea : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 2839 ALTA VISTA DR NB Description: SFR -ENERGY STORAGE SYSTEM 13.5 KW Legal Desc.: N TR 501 B LOT 132 Owner: RAMEZAN-ARAB NIMA Contractor: TESLA ENERGY OPERATIONS Architect: Address: 2839 ALTA VISTA DR Address: 2102 ALTON PARKWAY #B Address: NEWPORT BEACH CA 92660 IRVINE CA 92606 Phone: Phone: 650-638-1028 Phone: State Lic: Applicant: FOXXSARMIENTO MELISSA Con State Lic: 888104 Engineer: HECHT NIELSEN MARCUS Address: 2102 ALTON PKWY STE B Lic Expire: 12/31/2022 Address: 3055 CLEARVIEW WAY IRVINE CA 92606 Bus Lic: BT30026827 SAN MATEO CA 94402 Phone: 702-785-2998 Lic Exp Date: 02/28/2023 Phone: 650-638-1028 State Lic:C-073045 Code Edit: 2019 Worker's Compensation Insurance Designer: SCRIBNER DANNY Type of Construction: Carrier: ZURICH AMERICAN INS Address: 2102 ALTON PKWY STE B Occupancy Group: U Policy No: EWS107458504 IRVINE CA 92606 Added /New sq.ft. Bldg: 0 Expire: 1013112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 6' Special Conditions: No of Units: 1 Bldg Height: 24 Front: 6' Left: 6' 9 SIP Bldg Sprinklers: Right: 6' 9 '�a.J/' Flood Zone: Use Zone: R-1-6000 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8,000.00 Building Permit Fee: $212.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $184.44 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $48.50 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 %: $27.75 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing W $0.00 $0.00 TOTAL FEE: $525.69 Plan Check Fee : $297.85 0 Fee Due at Permit Issuance : $227.84 0 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: Ct4c� o o °� PLAN CHECK BY: GRADING APPROVAL: _ o O' O pO G APPROVAL O OOJ TO ISSUE: _ ,.✓O ON OV G O O O G O O m80 UCJ O o w0 000 o V VO 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 3rofessions 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 tot more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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-Builderwill have the burden of proving that it was not built or mproved for the purpose of sale). 1 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: 3y 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, all 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.htmi. Signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjyyrr��((��that I am licensed under provisigF�ap�e� 9 (commencing with Section 70 ) of Ivisio 3 of the Business and PrgPfon^ ode, and cense is in full forcg, Ind effect. License Class _�"l7� License Nc �!Z[1_l�'fi Date � Contractor SignatuGyJ,/��16 iLt�/f 1 VORKERS' 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 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 mance of the work for which this permit is issued. Policy No. ve 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 isu arriflr awn fd`-polic I number are: -I, rn ter W\ r� Policy Number S ��1 �'�"�n �—V Expiration Date Lb i apa� lame of Agent Phone # 11 certify that, in the performance 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 iat, if I should becomes ct to,, the workers' qpensatiqp provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^X�/ lignatureof Applicant (3AA1!a Date/ \� IECLARATION REGARDING- CONSTRUCT N ENDING AGENCY ✓�� hereby affirm under penalty of perjury that there i a construction lending agency for the performance of the work for which this permit is issued (Section 3097 .ender's Name Lender's Address ly 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 cou ty ordinances and state laws relating to building construction. I authorize representatives of this City or COIN o eler nthee abbolv)eArid'enttif�ie�d, Property for 1inspection purposes. {��(�/p/ C lignature of Propertv Owner or Authorized AdE V�S�/�ZYW IAJ Vl�l IAAA Print Prooertv Owner's or Authnri7ed Anent's NnJ AV ,� jC,< IERMIT EXPIRED 7ERMITC4NCELLED 'ERMIT EXTENDED 'ERMIT FINAL -ERTIFICATE OF OCCUPANCY ISSUED DATE I BY I DECLARATIONI`OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION LIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION ••• SIGNATURE: ° • e •°� ses •• Civil Code). ,S0{/ o°o 00 °oo eo, o 000 �o°