HomeMy WebLinkAboutX2021-3109 - PermitsCity of Newport Beach - Building Division
is ? 100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC
`X2021-3109' COMB Permit: X2021-3109
Project No: 2696-2021
Issued Date: 02/08/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210812025 OR PERMIT WILL BE INVALID
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 or Holidays
Jab Address:
1324 E BALBOA BLVD NB
Description:
SFR INSTALL (3) ENERGY STORAGE
SYSTEM TO (E) PV SYSTEM (PV2016-007)
Legal Desc.:
BALBOA TR EAST SIDE ADD LOT 13 BILK 21 ALL -INC PORSTS ADJ-(AND AL L
f�
Owner:
BLUE SKY NPB LLC
Contractor: RENEWABLE ENERGY ADVANTAGE Architect: 6
Address:
301 SHIPYARD WAT #B
Address: 2815 JUNIPERO AVE #115 Address: �d=,. °N
NEWPORT BEACH CA 92661
SIGNAL HILL CA 90755
State Lic:
Phone:
Phone: 888-416-1415 Phone:
Applicant:
RYAN BRADY
Con State Lic: 982201 Engineer:
Address:
2815 JUNIPERO AVE HILLS
Lic Expire: 03131/2023 Address:
SIGNAL HILLS CA 90755
Bus Lic: BT30076463
Phone:
888-416-1415
Lic Exp Date: 09130/2022 Phone: State Lic:
Code Edit:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units:
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation: $37,000.00
Building Permit Fee: $643.00
Plan Check Fee: $559.41
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: $2.00
TOTAL FEE: $1,337.08
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP INS
Policy No: 9221975
Expire: 11/30/2022
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: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$84.17
$0.00
$0.00
Designer: GILLETTE JAMES
Address: 2815 JUN IPERO AVE #115
SIGNAL HILLL CA 90755
Phone: 888-416-1415
Special Conditions
Fire
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
Plan Check Fee : $647.07
Fire Department
$0.00
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
Fee Due at Permit Issuance : $690.01
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
he 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
'rofessions 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
lot more than five hundred dollars ($500).
I, 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,
3usiness 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
Tlprovements 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
Tlproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ipply to a:; owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am e;,empt from Iicensure under the Contractors' State License Law for the following reason:
ty my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
sell a structure tha` I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rCession. rode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Propcl:y Owner or Authorized Agent Date
JUENSEC CONTRACTOR'S DECLARATION
Lereby affirm under penalty of perjury that I am licensed under provisions of Chapter )(commencing with Section 0 O) of Division 3 of the Business and Profes io s C aDd li is in f II force
Ind effect. License Class n License No z, Z a ( Date 'L Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOL I S I$100,0001, IN ADDITION TO THE
:OST 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:
have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Tnance of the work for which this permit is issued. Policy No.
Eve 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' compensal
Policy Number % ZZ /q7 7 � Expiration Date
of Agent
I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agm
iat, if I should become s bject to or�prs' cam sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iignature of Applicant : - �7A Dat�
IECLARATION REG DI STRUC N LENDING AGENCY
hereby affirm under penalty of perjury that ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Code).
ender's Name Lender's Address
ly 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 Aq state laws relating to building construction. ,,/
I authorize representatives of this city or county to ente o = er�tih�rcperty for inspection purposes.
I / ' y �-b [� G� Iionature of Prooertv Owner or Authorized Aaent ` Print Prooertv Owner's or Authorized Aaent's Name / /\ Date{
ACTION DATE BY V DECLARATION OF CQMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY �' \
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I I I SUBMITTED ASBESTOS NOTIFICATION TO
PE CAN EPA
PERMIT EXTENDED I AQMD
PERMITFINAL ;N.51ESTOS S TIFICATIONI OT APPLICABLE
CERTIFICATE OF J _ ll )) rJ PROPOSED DE OLITION/{7J
OCCUPANCYISSUED SIGNATUREa " G / _,-�7/