HomeMy WebLinkAboutX2021-0500 - PermitsCOMts renur� .
ity of Newport Beach -Building
Division *X2021-0500" Project No: 0459-2021
@-,CP1ner`ecbon
CA 92660100CivicCenter Drive, Newpon Beach, Issued Date: 0310412021
mitCounterPhone (949)644-3288(nspectlOn Area: 3
sRequestsPhone (949)644-3255Combination Type - BLDG ELEC
6:00 p m. No work on Sundays or Holidays
INSPECTION. PROJECTS MUST BE COMPLETED BY 03,04/2024 OR PERMIT WILL li INVALID
Job Address:
Description:
Legal Desc.:
Friday 7:00 a.m. 11 6:30 p.m. and Saturday from 8:00 a.m. to
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE :0 LAST VALID
Construction Hours: Monday-
232616TH ST NB1g"=° 6 i
SFR - (2) TESTA POWERWALL BATTER BACKUP SYSTMES l Y ,� � 1 L
Archifec
RODRIGUES JASON
Owner:
Address:
2325 16TH ST
BEACH CA 92663
Phone:
NEWPORT
949.466-6851
Applicant:
85 IF LA PALMA AVE
4
Address:
ANAHEIM CA 92807
Phone:
961-285-9828
Code Edit 2019
Type of Construction: U
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height:
Bldg Sprinklers:
Building Permit Fee:
$246.00
Plan Check Fee: $21402 $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
Record Management'
$0.00
Energy Compliance:
0.00
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
I
$1.00
Building Green Fee :
TOTAL FEE: $524.49
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
Address:
Phone:
Con State Lie:
Lic Expire:
Bus Lie,
Lie Exp Date:
SUN SOLAR ENERGY SOLUTIONS INC
8803 SCOBEE ST
BAKERSFIELD CA 93311
661-379-7000
J065395
0413012022
ST30072520
0713112021
Worker's Compensation Insurance
Cartier: STATE FUND
Policy No: 1934264
Expire: 0510112021
Building Setbacks
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: I
Left: I
Right: 1
rkin S a
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$17.22
$0.00
$0.00
Address:
Phone:
Engineer:
Address:
Phone:
State Lie:
Demo
HAKHAMANESHI MANOUCHEHR •.....
317 N SAN FERNANDO BLVD
BURBANK CA 91504
:C-088083
747-3335991 State Lie
Designer:
Address: r T; e NOISE
�;�
Special Conditions:
owg g�g @ 3� p {y
S- B LrE"''it�.�r"y
..__...a 7nf P- t N
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PNd Plan Check:
$0.00
San Dist:
0 00
$0.00
NMUSD Fee:
Plan Check Fee
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
Refund Deposit
Grading Bond:
eo•o
soao•o
e•
•
o •oo
•
000..•
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$264.22
$260.27 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL: y
PLAN CHECK BY:
APPROVALTO ISSUE:
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OWNER -BUILDER DECLA � --_—
I hereb affi
Y Ra 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 (Section 7031.5, Business and Professions Code: An cR
the permR to file a signed statement that he or she is I censedcoun
Professions Code) or that he or she is exem t fro ty that requires a permit to construct, aRer, improve, dam fish
P rsuant to the provisions of the Contractors' State License LQ` �� rePair an
not more than five hundred dollars ($500). P m licensure and the basis for the alleged exem Y structure, xt to the applicable items)
ption. Any violation of Section 7031a5 br g (Commencing Pith to its issuance, also requires the -he a
I, as owner r f the property, or my emplo f with Section 7000) the
Division 3 cf+; applicant for
Business and Professions Code: The Contractors' State License Law does not a ) �Y any applicant far a e he Business and
yeas with wages as their sole compensation, will do
improvements are not intended or offered for sale. If, however, permit subjects the applicant/"to a eivil penalty of
improved for thePurposeL) all of or U Portions of the work, and the structure is not intended or o � �
Pro a sale). waver, the building or improvement s seold within one year of completion, the Owner -Builder will have the burden of proving that it was not bull
Property who, through employees' or personal effort, builds or improves the for sale (Section 7044,
El I, as owner of the property, am exclusively contracting
apply to an owner of propert 9 with licensed Contractors to construct the Property. Provided that the
y who builds or improves thereon, and who contracts for the Projects t or
Project (Section Contractor
Business and Professions Code: The Contractors' State License Law does not
I am exempt from licensure under the Contractors' State License Law for the following reason:
el my signature below I acknowledge that, except form P Jests with a licensed Contraictor sell a structure that I have built as an owner- y personal residence in which I must have resided for at least one year
Pursuant to the Contractors' State License Law).
Professions Code, is available upon request when thistapplicatton shas not nsubmitted or at followin
Signature of Pro e IY prtor to completion of the improvements covered b
Property Owner or Authorized Agent Y Y licensed contractors. f understand that a co
LICENSED COJ� �13ACTOR'S DECLARATION 9 Web site:htt:/ PY of the applicable law, Section 70441of the usine ljs cannot legall
I herebyaffirm ender Ienalt of perjury P / K' leginfo.ca.gov/calaw.hOPY
... Y P qury that 1 am licensed under provisions of Chapter g co
and effects and
. License Class
ORKERS' OOMP License No (commencing w' Date
ENSATION DECLA 9 with Segtio><j0ja0j (� ivlYdl of the Busine
and ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AN CNIL FINES UP TO ONE HUNDRED THOUSAND
Q°
e09r�OftOMPENSAMN, DAMAGES q3 PROVIDED FOR IN SECTION 3Ta60F THE Contractor 1 ature [loan .ins full force
I fjefeby affirm Y�f Pgnalty Of perjury One of the following declarations: OR CODE, INTEREST, AND ATTORNEYS FEES. `.
i have and wilt maintain a certificate of consent to self-insu a for workers' compensation, DOLLARS ance Of 1570°,0a°), IN ADDITION TO THE
e $r�rk for which this permit is issued. Policy e and will maintain workers' com e, N0 Pensation, issued by the Director of Industrial Relations as
cr a ter a okcy umber a compensation Insurance, as required b Provided for by Section 3700 of the Labor Code, for th
Garner . �. /p / - J Y Section 3700 of the Labor Code, for the --�ty/n 1 performance of the work for which this e
Ga<+te'D�Agent Policy Number_ i )L "� permit is issued. M wor
kers' rkers' compensatio
ce@ity that, in'tfie'pQrformance of the work for which this a Expiration Date ))
hat, if I sh b me subject to the workers' compensation Phone #
P ro it is issued; I shall not employ any person in any manner sc as to become subject t0 the wo kers' compensation laws of California, and a re
)ECLAre of licant Provisions of Section 3700 of the Labor Code, I shall forthwitp' comply with those provision .
hereby AT N EGARDING CONSTRUCTION LENDING AGENCY
hereby affirm Tinder penalty of pe 'u 9
snder's Name 7 ry that there is a construction lendinga
Y my signature below, 1 ce agency for the performance of the work for which,this a at
rtify to each of the fallowing: Lender's Address permit is issued (Section 3 g7
I am the Property Owner or authorized to act on the roe • Civil Code).
I have read this application and the in Property rty owner's behalf.
I agree to comply with all n and th rm tion I have provided is correct.
I authorize representatives of this i�0(ty and count dinances and state laws relating to building construction.
)nature of Property ty r coun a ter id P rtY Owner or nze Agent I! d Property for inspection purposes.
710N DATE
BY Print Pro erty Owner's or Authorized Agent's Nam
CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONSPART61OFTITLE40ANDA D e �? 4MITEXPIREO 1403 QMD RULE _i
TO
CERTIFANCYOF
OCCUPgNCYl55UED -22I / PROPOSED DEMOLITIONTION IS NOTAPPLICABLE TO