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Home My WebLink AboutX2021-2197 - Permitswr , City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 'st Inspection Requests Phone (949)644-3255 M-` Combination Type - SFPELEC IIIIII�II�IIIIIIIIIIIIII�IIIIIIIII II COMB Permit: X2021-2197 X 2 0 2 1 2 1 9 7 Project No : 1901-2021 Issued Date : 11/0112021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110112024 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 ga.m. to 6:00 p.m. No work on Sundays or Holidays Job E DR NB Description: SFR2ENERGY ress: 2695 BAY RSTORAGE SYSTEMS Npg� CONSTRUCTION @(� ION NOISE Legal Desc.: N TR 1014 LOT 13 8�® 6,g®N��r36E &A� Owner: BELLING PHILLIP A Address: 2696 BAY SHORE DR NEWPORT BEACH, CA 92663 Phone: Applicant: RODRIGUEZ LUIS Address: 358 CORAL CIRCLE EL SUGUNDQ, CA 90245 Phone: 310-376-8740 Code Edit, 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 11 Construction Valuation: $11 Building Permit Fee: $263.00 Plan Check Fee: $228.81 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: $627.74 eeH ®6 0 A PROCESSED BY: ZONING APPROVAL: Contractor: XERO SOLAR Architect: Address: 358 CORAL CIR EL SEGUND �; yp® 9("FAE NNE D Phone: 310-376-8740 Phone: Con State Lic: 992157 Engineer: Lic Expire: 0413012022 Address: Bus Lic: BT30076760 Lic Exp Date: 09/30/2022 - Phone: Worker's Compensation Insurance Designer: Carrier: SENTINEL INSURANCE CO LTD Address: Policy No: 72WEAAG5YDG Expire: 07/01/2022 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: OOGI 0 Ok3 f) OV:J tJ C G C� lJ O V GRADING APPROVAL: °F oGo �Ga v,Ja voJ 0 3 0 0 Rear: / Front: / Left: / Right: / parking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.43 $0.00 $0.00 Plan Check Fee 0 State Lic: State Lic: LOCHTENBERG BEN 358 CORAL CIR EL SEGUNDO CA 90245 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $48.50 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $345.33 Fee Due at Permit Issuance : $282.41 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 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 Iicensure 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). .l I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of a nproved for the purpose of sale). 7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra 7 I am exempt from Iicensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least o ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.1( signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 nd effect. License Class _ License No Date�,G COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. work, and the structure is not intended or offered for sale (Section 7044, oloyees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year that a copy of the applicable law, Section 7044 of the Business and Date of the Business and Profess) ns - d�.anrLmyJicause is in full force Contractor Signature �is� TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Directo I of Industrial Relations as provided for by Section 3700 of the Labor Code, for gNrmance of the work forwhich this permit is issued. Policy No. Ive and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for ncenDcarn Jand pof"i��Y numbe�lr are: �y /1 (� Qbn Vt`S�e GA�{S14'ra / Policy Number Y21nl r�l�i7 �/ of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall nature of Applica CLARATION R RDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. mature of ProDertv Owner or Authorized ADent / Print Property Owner's ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMIT EXTENDED 0AQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED �� ?i�L SIGNATURE: _ performance of the work for which this permit is issued. My workers' Date 7(_/ so as to become subject to the workers' compensation laws of California, and agre i comply with those provisions. this permit is issued (Section 3097, Civil Code). FOR OFFICE USE ONLY • • • • • • • •• • •• •• • • •• • • •• ••• • • • ses e• Date IAV r 4, 0 0 o a a o 0 0 000 00 0� o 0 000 oc