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HomeMy WebLinkAboutX2022-1159 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111[1111111111 COMB Permit: X2022-1159 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 1 5 9 Project No : 1065-2022 ''{ n Permit Counter Phone (949)644-3288 7� Inspection Requests Phone (949)644-3255 Issued Date : 0611412022 °tii�,r.ary;,n* Combination Type - BLDG ELEC Inspection Area :3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1113 KINGS RD NB Description: SFR (5) ENERGY STORAGE SYSTEMS Legal Desc.: N TR 1219 BLK E LOT 31 Owner: REED GREG & CAROLYN Contractor: SUN ENERGY BUILDERS Architect: Address: PO BOX 1245 Address: 4085 E LA PAMA AVE Address: NEWPORT BEACH, CA 92659 ANAHIEM CA 92807 Phone: 949-698-2091 Phone: 951-285-9828 Phone: State Lic: Applicant: FISHER ZACK Con State Lic: 1033340 Engineer: HAKHAMANESHI MANOUCHEHR Address: 4085 E LA PALMA AVE, STE B Lic Expire: 1113012023 Address: 317 N SAN FERNANDO BLVD ANAHEIM CA 92807 Bus Lic: BT30076867 BURBANK CA 91504 Phone: 9511285-9828 Lic Exp Date: 10/31/2022 Phone: 747-333-5991 State Lic:C-088083 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: CAROLINA CASUALTY INS Address: Occupancy Group: U Policy No: BNUWC0152753 Added /New sq.ft. Bldg: 0 Expire: 11/20/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / Bldn Sorinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30,000.00 0 iz, Building Permit Fee: $559.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $486.33 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $48.50 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $73.17 San Dist : $0.00 $0.00 Building Green Fee : $2.00 Mechanical W $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,221.00 Plan Check Fee : $620.87 Fee Due at Permit Issuance : $600.13 PROCESSED BY: �pc _ _ _ _- PUBLIC WORKS APPROVAL: ZONING APPROVAL: ;+ PLAN CHECK BY: GRADING APPROVAL: _ 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 im roved 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 apply 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: By 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f 'viS n 3 of the Business and Professio de, and lic se i in full for and effect. License Class License No Dat L Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,D06), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th once of the work for which this permit is issued. Policy No. h ve 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' compensatiol insura ce carder and policy number are: `B�r Policy Number Expiration Date Vame of Agent Phone # ❑1 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 become subject to the workers' compensation laws of California, and agre hat, if I should become subject to thew ot, compe ation�ision�ction 3700 of the Labor Code, I shall forthwith comply with those provisions. CIE, �/d / �d signature of Applicant 'i< .1.i it )ECLARATION REGAR NG O CTION LENDING hereby affirm under penalty of pXrjury that there is a cons ction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 r lating to building construction. I authorize representatives of this city or county toe a abo = ntifie o erty for inspection purposes. Signature of Property Owner or Authorized Age, Print Property Owner's or Authorized Agent's NaCJDate ��yy ACTION DATE BY ECLARATION OF PUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION PERMIT EXTENDED L_IAQM D PERMITFINAL `erg' sf ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: