HomeMy WebLinkAboutX2021-0012 - Permits��Ht•rf City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC
COMB Permit: X2021-00 2
x 2 0 2 1 e 0 1 2 Project No: 0013-2021
Issued Date: 03/0112021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310112024 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: 1022 WEST WIND WAY NB
Description: SFR (2) 9.8 kw BATTERIES
Legal Desc.: N TR 4224 LOT 184
Owner:
LEVINSON RONNI
Address:
1902 SUVA CIR
COSTA MESA CA 92626
Phone:
Applicant:
DJOKOVICH TOM
Address:
65 ENTERPRISE
ALISO VIEJO CA 92656
Phone:
714.269-6995
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $280.00
Plan Check Fee: $243.60
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
$1.00
TOTAL FEE: $655.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
SOLAR ENERGY BUILDERS INC
Address:
65 ENTERPRISE
ALISO VIEJO, CA 92656
Phone:
(714)269-6995
Con State Lic:
378817
Lic Expire:
0413012022
Bus Lic:
BT300TI977
Lic Exp Date:
0613112021
Worker's Compensation Insurance
Carrier:
Policy No: WC EXEMPT
Expire:
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer: DJOKOVICH TOM
Address: 65 ENTERPRISE q
ALISO VIEJO CA 92656
Phone:
Special Conditions: PV2021.0044 R '✓'
®�'
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 %:
$36.65
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
: $354.40
Fee Due at Permit Issuance :
$300.60
PUBLIC WORKS 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 p'jnalty of
not 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,
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
improved 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).
❑ 1 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 legal
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.htmi.
Signature of Property Owner or Authorized Agent to
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 D Di 'ion 3 of the Business and Profes 1 Code, full force
and effect. License Class License No Da t Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THI
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:
111 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 tl
performance of the 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 performance of the work for which this permit is issued. My workers' compensatiol
rance carrier and policy number are:
ier Policy Number Expiration Date
I7� of Agent Phone #
Eertify that, in the performance of the w rk�fhich this permit is issued, I s loy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should become subjecttothe wo erspensa 'on ovisions ection 3700 the Labor Code, I shall forthwith comply with those provisions.
ature of Applicant I Da
i nenr�nu oor_eona _ rnrie it Inure IY _ er•_eu v
�reby affirm under penalty of perjur//that there is a constructiod.lenTing 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 pPv4dpd is correct.
I agree to comply with all applicable city and county or inan es and state laws r ilding construction.
5t R
I authorize representatives of this city or county toe er above 'G property for' spection purposes.
of Property Owner or Authorized
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
CERTIFICATEOF
OCCUPANCYISSUED
I DATE I
Print Property Owner's or Authorized Ag
OFCQ`MPJLA110E WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PARTTI OF TITLE 40 AND AQMD RULE
1403
LJ I SUBMITTED ASBESTOS NOTIFICATION YO
EPA_rV—
QMD
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
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