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HomeMy WebLinkAboutXR2023-0642 - Permits�FWPORT City of Newport Beach 111111111111111111111111111111111111111111111111111111111111jj COMB Permit : XR2023-0642 o`< @ Community Development Department - Building Division X R 2 0 2 3 0 6 4. 2 too Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0512 r+� ? Permit Counter Phone: (949) 644-3288 Issued Date : 0412112023 ,>. Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 �glrpnpN`P newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 4910 NEPTUNE AVE Description: SFR - 27 KW ENERGY STORAGE SYSTEM Owner: 4910 NEPTUNE LLC Address : 2620 WAY UN CORONA DEL MAR, CA 92625 Phone Applicant: SAM STABLEIN Address: 2102 ALTON PKWY, B IRVINE, CA 92606 Phone: (714)496-0688 Owner/Builder : Address : Legal Desc : A TR RIVER SECTION BLK 49 LOT 7 RIVER SECTION LOT 7 BLK 49 P OR OF LOT Contractor: TESLA ENERGY OPERATIONS. Address: 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone: (650)638-1028 Con State Lie : 888104 Lie Expire : 12/31/2024 Bus Lie : BT30026827 Bus Lie Expire : 02/28/2024 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No : EWS107458504 W. C. Expire: 10/31/2023 Architect Address Phone: State Lie Engineer: CHILDS JAMES Address: 3055 CLEARVIEW WAY SAN MATEO CA 94402, CA 94402 Phone: (650)638-1028 Designer: JAMESMCCARRON Address: 2102 ALTON PKWY, B IRVINE, CA 92606 Phone: Phone 2022 Fire Sprinklers : NO Construction Valuation : $18,000.00 Code Edition : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Type of Construction : No of Units : 1 Alteration sq. ft. Bldg : Occupancy Groups : U No of Stories : 2 Added/New sq. ft. Garage: 0 BldgHeight : 9 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 10 Flood Zone: X ' Use Zone: R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE & LIQUEFACTION NO CONSTRUCTION NOISE V IVJ i7 ON THE WEEKEND NEB -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors'State, License Law for the reason(s) indicated low by the checkmerk(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 ( hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from iieensure, and the basis for the alleged exemption. Any violation of Section 7 L5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 111. as owner of the property, or my employees with wages as their sole compensation, will do `) all of or L) of the the portions w, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empic Irk, and structure is not intended or offered for sale (Section 7044, yees' 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 complotio , the Owner -Builder will have the burden of proving that it was not built or E'roved for the purpose of sale), I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does Trot a,epply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant I am exempt from licensor, under the Contractors' State License to the Contractors' State License Law). Law for the following reason: By my signature below € acknowledge that, except for my personal residence in which I most have resided for at least one year ~ —"or to completion of the improvements Covered by this permit, I cannot legali Sella structure mar I have built as an owner -budder if ft 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 prat the following Web sita:httpaiwww.leginfD,ca ovlcslaw,html. Signature of Property Owner or Authorized Agent Onto LICENSED CONTRACTOR'S DECLARATION. I hereby affirm under penalty of perjury, that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Diva and effect. License Class License No Date L4 il'IContractor !on 3 of the Business and Profession e, and a is in full force Si nature NORKERS` COMPENSATION DECLARATION 9 YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 16 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRIMINAL PENALTIES A, to CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IStoe,uouJ, IN ADDITION TO THE :OST OF COMPENSATION, PARADES" PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES, hereby affirm under penalty of perjury one of the following declarations- -1 1 have and well maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Indu itrial Relations as provided for by Section 3700 of the Labor Code, for to Ia rimence of fie work for which this permit Is Issued, Policy No. have and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the perform nee of the workfor which this permit is issued_ My Workers' componsedoi isurance carrier and policy number are: ;auier Policy Number Expiration Date Jame of Agent Phone iP ]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 o become subject to the workers' compensation laws of California, and agree Tat If I shouldbecome subjec era' he visions of Section 3700 of the Labor Code, I shall forthwith Corn ly with those provisions. lignalureofApplican Dale-1tZ1�2 IE____ CLARATION RE RDf Cfi TION LENDING AGENCY v hereby affirm under pen at of perjury thatthere is a construction fending agency for the performance of the work for which this arm it Is issued (Section 3097, Civil Code). enders Name Lender's Address V 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 cc,Tp:y with all applicable city and county ordinances and state laws relating to building construction. I authorize rrp-rFur talives of this city or county ttl en Gve-Id led for inspection purposes. ACTION DATE, By ' 3 DECLAMATION OF COMPLIANCE WITH CODE OF FEDERAL I REGULATIONS PART 61 OF TITLE 40AND AOMD RULE ' 1403 FOR OFFICE USE C iNLY - YFRMfT ENPiRkJU I SUBMITTED ASBF5TOS NOTIFICATION TO PEhMiT tANCE!!vy} EPA - PEHMI EX7FNUkD 4MD— _..__9_'.__-_ FERMITFiNA! (J v _ �..r�- ___ J� L11'A58E5T05 NOTIFICATWNIS NOT APPUCABLE TO CeKn ,LATE OF �I OCCUf AMCY 15-UEO, I PROPOSED LEM SIGNATU