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Home My WebLink AboutX2021-1285 - Permits, ,Wj%k City of Newport Beach - Building Division )^. �R ��, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 C!, i u +` Combination Type - SFP ELEC II IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1285 Project No : 1120-2021 Issued Date: 06110/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611012024 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 Job Address: 310 APOLENA AVE NB Description: SFR (1) ENERGY STORAGE SYSTEM (PV2021-081) Legal Desc.: BALBOA ISLAND SEC 3 BLK 17 LOT 6 Owner: ARDR REALTY LLC Address: 318 AMETHYST AVE NEWPORT BEACH CA 92662 Phone Applicant: FOX-SARMIENTO MELISA Address: 2102 ALTON PKWY #B IRVINE CA 92606 Phone: 702-785-2998 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: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $212.00 Plan Check Fee: $184.44 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: $554.94 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: TESLA ENERGY OPERATIONS Architect: Address: 2102 ALTON PARKWAY #B Address: IRVINE CA 92606 Phone: 650-638-1028 Phone: State Lic: . Con State Lic: 888104 Engineer: PATNUDE GREGORY �i- Lic Expire: 1213112022 Address: 765 MONTAGUE EXPY 155 Bus Lic: BT30026827 MILPITAS CA 95035 Lic Exp Date: 02/28/2022 Phone: State Lic:C-0086020 LU Worker's Compensation Insurance Designer: SERVIN LUIS py CL Carrier: ZURICH AMERICAN INS Address: 2102 ALTON PKWY #B Policy No: WC107458303 IRVINE CA 92606 U) Expire: 10/31/2021 Phone: 702-785-2998 Z Building Setbacks Rear: I Special Conditions: 0 Front: / Left: / Right: / Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee: $46.25 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $47.50 - Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $27.75 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee $291.10 Fee Due at Permit Issuance : $263.84 PUBLIC WORKS APPROVAL: PLAN CHECK BY: AFPROVAL 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 ie 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 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply to an 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 exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally ell a structure that 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) i i 3 f the Business and Pr s ode, nd y as �II force nd effect. License Class License No Date 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 THOUSAND DOLLARS ($1(10,000), IN ADDITION TO THE 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: I 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 `ormance of the work for which this permit is issued. Policy No. and will mai "n workers' compensation insurance, ier carrand olio number are:, n t\ ie of Agent �— certify that, in the performance of the if I should become�sutbdect t wo latureofAoolicant K required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ _ — ^ ,v �J� Ireby affirm under peolty of perjury that there is a constr1f6tion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Ider's Name Lender's Address 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$$rdi antes and state laws rela A to building construction. I authorize representatives of this city or county j nter (i� robov -j(iJ nti ie pr P y tspection purposes. r� / j /� , /t )q �S //f x iu/ nature of Prooertv Owner or Authorized Agent KK I'\ (f U not Prooertv Owner's or Authorized ADent's Names IA 1''l�/L1 "` ACTION DATE BY DECLARATION OF REGULATIONS PART0630 TIITLE 0CE WtAND ACMD RULECODE OF FOR OFFICE USE ONLY1403 PERMITCANCELLED OEPA PERMIT EMENDED 13AQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF QQ PROPOSED DEMOLITION OCCUPANCYISSUED 1 "Jn L3 SIGNATURE: \ /