Loading...
HomeMy WebLinkAboutXR2022-2777 - PermitsCity of O��EWPOR @ Community Devellopmmet Depaarrtmtent- Building Division IIII�IIIIIIII IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII COMB Permit : XR2022-2777 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No • PC2022-2616 T Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Issued Date : 2/08/2022 C9�/FORN�P newportbeachca.govfnspections Inspection Areea : 3 Combination Type - SFP ELEC Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 519 FULLERTON AVE Description: SFR INSTALL 13.5 KWH ENERGY STORAGE Owner: FULTS DAVID A TR D & S Address : 519 FULLERTON AVE NEWPORT BEACH, CA 92663 Phone: (323)791-0038 Applicant: TESLA ENERGY OPERATIONS Address: 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone : (650) 638-1028 Owner/Builder : Address Phone: Code Edition : 2019 Type of Construction : V-B Occupancy Groups : U,R-3 Bldg Height: Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: BLK 38 LOT 20 PERATIONS Architect :WAY #B:. 6S:Address Phone: State Lie Lie Expire : 12/31/2022 J Bus Lie : - BT30026827 Engineer : CHILDS JAMES Bus Lie Expire : 02/28/2023 Address : 3055 CLEARVIEW WAY SAN MATEO CA 94402, CA 94402 Workers' Compensation Insurance Phone: (650) 638-1028 Carrier: ('ZURICH AMERICAN INS CO Policy No: EWS107458604 Designer: TESLA ENERGY OPERATIONS W. C. Expire: 10/31/2023 Address : 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone: (650)638-1028 Fire Sprinklers : NO Construction Valuation : $9,000.00 Fire Hazard Zone 3 NO Added/New/Ti sq. ft. Bldg : 0 No of Units : 1 Alteration sq. ft. Bldg : No of Stories: ' 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 <J efC ..Vd JOV 'lr 6 �JE SPECIAL CONDITIONS: o ° a ea o ^ e o 0 00 b© O� nOti a � oco oe eoo o c o o OWNER -BUILDER DECLA f hereby affirm under penalty o 1, as owner of ,lY to an owner I am exempt f in exempt from the Contractors! State. License Low: for thereasani offered for sale. If, however, the bulk: I exclusively contracting with licensed builds or improves thereon, and who mantis sold within one-year of construct the project:{Section 1 e projects With a licensed Conti ing reason ppYcarrt for a permit subjects the applicant to a civil penalty of 'ucture is not intended proffered for sale (Section 7044, trial effort, builds Or Improves theproperty, provided that the under will have the burden of that it was not built or Salons Code; The Contractors' State License Law does not reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 dF Division 3;of the Business and Professions C my liretyse is In full force effect. License Class License No Date �' Z Contractor Signature / �'� �` RKERS' COMiPENSATION DECLARATION 7 NIND: FAILURE TO SECURE wOalCER3' COMPENSATION COVERAGE 19 UNLAwFSll.. AND SHALL. SUBJECT AN.EMPLOYER TO GRAUNAL PEN0.L ANe CNIC FIHE9 UP TO ONE HUNDRED THOUSAND DOLLARS (9i00,906); IN AUDITION TO T T OF COMPENSATION, DAMAOESAS PROWDED:FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEY'SFEES: reby affmtn under papally 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 or industrial :Relations as provided for -by Section3700 of the labor Code;:: for gnnance of the wok for which Ibis permit is Issued.. Policy No. to 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` compensai r nee Garrier,and policynumber are:, Policy Number Expiration Date is of Agent: Phone # certify that, intheperformance of the work for which this permit is issuet3, Lshall not employ any person in any marm;So as to become subjectto the workers' compensation laws ofCalifom a. andIt I ag M1�..... ............. _p_..,.,.. comply v,*iththosE provisions. c� Iaty a atdAppkcante sub'ect l e sahon r nswf'Section 3T00 of the Labor Code I shall forthwith Date l Z � d i2 7i ny Signature below, I Derhily to each of the following:: j am the property owner or authorized to act on fhe 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 €aw5: relating to building construction. : authorize representatives of this city Or county Wender-t e-itlantifte�d propeFFy-far inspection purposes. PERMIT CANCELLED OEPA i • a • ... • •°• ••• PERM1TEXTENDED LJADm4. •� n i • i i ••• '• • •" �•• ••• PERMIT FINAL 'Z ASHESTDS NOTiHCATIONiS NOT APPLICABLE 70 CER1'rFICATEoTPROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE; •r•