HomeMy WebLinkAboutX2017-2907 - Permits}r�,$ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIII�IIIIIIII�IIIIIII� II
_= 100 Civic Center Drive: Newport Beach, CA 92660 x 2 0 1 7 2 9 0 7
H. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
COMB Permit: X2017-2907
Project No: 1543-2017
Issued Date: 0912212017
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE UR LAS I VALID INSI'EC Ilurl.
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
Job Address: 2236 HEATHER LN NB a
Description: SFR ENERGY STORAGE SYSTEM 13.5 Kw `ADDITIONAL SCOPE*
Legal Desc.: N TR 3138 LOT 23
Owner:
WILLIAMS MARK & MAUREEN
Address:
2236 HEATHER LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
MELENDREZADELA
Address:
1831 RITCHEY ST
SANTA ANA, CA 92705
Phone:
562-329-1413
Code Edit: 2016
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: 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $8,000.00
Building Permit Fee: $187.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$36.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $224.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: SOLARCITY CORP
Address: 3055 CLEARVIEW WAY
SAN MATEO, CA 94402
Phone: 650-638-1028
Con State Lic:
888104
Lic Expire:
1213112018
Bus Lic:
BT30026827
Lic Exp Date:
0212812018
Worker's Compensation Insurance
Carrier: ZURICH INS
Policy No: EWS0182018
Expire: 10/31/2017
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear. I
Front: /
Left: /
Right: /
'arkina Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
State Lic:
vim••
y
P.
°
a•
CHILDS JAMES-
1504 SPICE SKY DR ° • °
LAS VEGASNV 89128 °••° °°°°°
State Lic:C-050775 • ®° ° ° °'
_ oo°o°•
• ° o o a
Designer: LIU BEN o°°o°• o •
Address: 3055 CLEARVIEW ° ,•••°•
SAN MATEO, CA 94402 °'°• o °,,,•••
Phone: 650-963-5100
Special Conditions: PC FEES PAID ON REV17.16
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
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$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
$0.00 Fee Due at Permit Issuance : $224.00
PUBLIC WORKS APPROVAL: /^
PLAN CHECK BY: � l
APPROVAL TO ISSUE: s
OWNER -BUILDER DECLARATION J
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).
111, 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 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
improved for the purpose of sale).
J I, as owner o4the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, �UE
ipply to an ow%gfpYoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor ur
J a l exemps from,licensure under the Contractors' State License Law for the following reason:
ty mysignatute�tjAJgvJ I acknowledge that, except for my personal residence in which I must have resided for at 1 st ne year
ell astructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contr ors. nde
'rbft gions Code, is available upon request when this application is submitted or at the following Web site:hftp:// .I info'.
gn4ure of Pl;tekt9 Dwner or Authorized Agent I
.I£Ut3ED CONTR'ACTOR'S DECLARATION
hereby affirmnderpenalty of per' l that I am licens�eed under provisions of Chapter 9 (comme cing with Section 70
indeTract. License Class , 1y �'-'ti9 License No �� I®Z Date
WRIKERS' COMPENSATION DECLARATION
.....
IARNINe: FAILURERO SEeURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES
DST OPCOMPERSASICIII,=)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
tleitbZ affirm p ftirpgnalty of perjury one of the following declarations:
TMave and.will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of I
ormance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfor
Isurance carrier and policy number are:
:arrier Policy Number
1e of Agent
certify that, in the pert mance he work for which this permit is issued, I shall not employ any person in any manner s
if I should become Zje o thew kArs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
nature of Applican \ /J I
CLARATION RE ARDING CONSitiITCTION LLEkDIfVJG AGENCY
ereby affirm unde penalty of perjury that there is a construction lending agency for the performance of the work for which
Ider's Name Lenders Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owl ' behalf.
I have read this application and the information I have provided is cd rect.
I agree to comply with all applicable city and c unty ordi nces and, late laws relatin building construction.
I authorize representatives of this city or cc u to ente the above entified pro for inspection purposes.
nature of Propertv Owner or Authorized Alien Print ProDertv Owner's or Aut
PERMITEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I DATE I
1Z,�-n
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
15 NOT APPLICABLE TO
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
prior to completion of the improvements covered by this permit, I cannot legall,
rstand that a co applicable law, Section 7044 of the Business and
o . tml. Date 9• 9 2_ 1` _
visio 3 of the Business and Pro Sion ode, and m Icense_is' ulfforce
Contractor Signatur � _.
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
as to become subject to the workers' pensation laws of California, and agree
omply with those provisions.
its permit is issued (Section 3097, Civil Code).
FOR OFFICE USE ONLY
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' �' 1 7