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Home My WebLink AboutX2022-0228 - PermitsIIII erm Illll��llll Project o : 02012-2022 City of Newport Beach -Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Issued Date : 0211012022 ' Inspection Requests Phone (949)644-3255 Inspection Area: 6 Combination Type - SFP ELEC PROJECTS MUST BE COMPLETED BY 02/10/2025 O SPERda or Holidays Is BE LID Job Address: Description: Legal Desc.: PERMIT EXPIRES 180 DAYFTER romS AISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday f8:00 a.m. to 6:00 p.m. No work on un 3900 PARK GREEN DR NB SFR INSTALL ENERGY STORAGE SYSTEM TO (E) PHOTOVOLTAIC SYSTEM (PV2015-045 N TR 6634 LOT 94 Architect Owner: RHODES EUGENE Address: 3900 PARK EEN DR CORONA DEL RMAR, A 92625 Phone: Applicant: AUSTINIEPX GROUP 43223 BUSINESS PARK FDR Address: TEMECULA CA 92590 Phone: 951-331-3070 Code Edit: 2019 Type of Construction: VB R3/U Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 0 Bldg Height: Bldg Sprinklers: Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $ 0.00 Investigation Fee: $0.00 Record Management: $16.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $949.87 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PX GROUP 43223 BUSINESS PARK DR Address: TEMECULA CA 92590 Phone: 833.379-4768 Con State Lic: 1065228 Lic Expire: 0413012022 Bus Lic: BT30073995 Lic Exp Date: 01131I2023 Worker's Compensation Insurance STATE FUND Carrier: Policy No: 9274525 Expire: 0311012022 Building Setbacks Rear: 1 Front: / Left: I Right: 1 Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0,00 Grading PC consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: 0.00 WQ Insp. Fee $0.00 Electrical %: $54.45 Mechanical off; $0.00 Plumbing %: $0.00 Address: Phone: Engineer: Address: Phone: Designer: EMMITAJOSE Address: T BREA CA 92821 Phone: 714.332-2702 Special Conditions Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 plW Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $439.25 State Lic: State Lic: Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $48.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $510.62 • ° Pl„BLIC WORKS APPROVAL: . .° PLAN CHECK WY - APPROVAL TO ISSUE:* m y J° a V • fti OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) action 70o file 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 Permit to file a signed statement that he or she is licensed pursuant to [he provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division ir of the Business and 1, as owner of the property,more than Code) u that he 11 she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for it permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). love and Professions e d de: The Contractors WStateaLicensetLaw ctoes not applytto an owner of property who, throuc 'Hrovements are not intended or offered for sale. If, however, the building or improvement is Sold )within one year co' improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704 ❑apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for m sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I 1 y Personal residence in which I must have resided four at le Professions Code, is available ast onE upon request when this application is submitted or at the following Web site:http://Www.leg Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect10 7 0) and effect. License Class NORKERS' COMPENSATION DECLARATION License No �0 Dated YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEPENAI :DST 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: 7 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director o yrtp� rmance of the work for which this permit is issued. Policy No. ✓At have and will mai wokers' corn Sensation insurance, as required by Section 3700 of the Labor Code, for the pE surance carrier and licyy�umber ar . _ arrier n ame of Agent �"' P' u rr r % L `L\\ XC i It certify that, in the performance of the wo k for which this permit is issued, I shall not employ an It, if I should becomes bjec o the worker compensation Provisions of Section 3700 of the Labor Code, I shall forthwith P Y y person in any manner: )nature of Applicant /y--- :CLARATION REGARDING CONSTRUCTION LENDING AGENCY 9reby affirm under penalty of Perjury that there Is a construction lending agency for the performance of the work for which ider'r's Name my signature below, I certify to each of the following: Lender's Address _— 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 cou ty III the above -identified Property for inspection purposes. iature of Property Owner or Authorized Agent �- I/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL VWnef'S or Aul REGULATIONS PART61 OFTITLE40ANDAQMD RULE FOR OFFICE lnno PERMIT FINAL OVID � CERTIFICATE OF _ 1 ]-�3 p f ��rASTOS NOTIFICATION 15 NUT APPLICABLE TO OCCUPANCYISSUED "D&V4UTIQN 1RE; • • • ••• ••• ••• he work, and the structure is not intended or offered for sale (Section 7044DmPloees' or Personal n,the Owner-Builderffwiavle therburden of Proving that itpwas , not built to e let o Business and Professions Code: The Contractors' State License Law does not Pursuant to the Contractors' State License Law). aar prior D completion of the improvements erstand that a copy covered by this permit, I cannot leg >. ca. g ov/ca law. h [m I. . Iof the applicable law, Section 7044 of the Business and Date Avision 3 of the Business and Prof s Code, and my license is in full force LA Contractor Signature _ AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for formance of the wok for which this permit is issued. My workers' compensal Expiration Date as to become subject to the workers' compensation Imply with those provisions. laws of California, and agr6 Da Is permit is issued (Section 3097, Civil Code). ONLY -41/ Van