HomeMy WebLinkAboutX2019-3943 - Permits044*',�
City of Newport Beach - Building Division II III I III II I IIII I I IIII II COMB Permit: X2019-3943
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 9 4 3Project No: 2718-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC Issued Date: 12019
Inspection Arearea :3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, ,%,
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to�6�Og..psYtt No Work on Sundays or Holidays
Job Address: 1723 TERRAPIN WAY NB
Description: SFR ENERGY STORAGE SYSTEM (13.5 KWH)
Legal Desc.: N TR 3097 LOT 26
Owner: LINWOOD & SARAH DANIEL Contractor: TESLA ENERGY O,REAXTIONS `3&chitect-
Address: 1723 TERRAPIN WAY Address: 2102ALTONP.AWkWAY#Bx�� �,i,^°� Addre t'1O10 C tl a/�, y/'��
NEWPORT BEACH, CA 92660 IRVIyF�3C'92606 nest'"` ,� ne 4 Stag ! S P CCT R
Phone: Phone: 638-1028 �� Ctr''0
Applicant: MELENDREZ ADELA Con ic:868104 O i�� Engineer: CHER PAUL
Address: 2102 ALTON PKWY #B xpire: 121 20 d 1478 STONE PT DR 90
IRVINE CA 92606 Bus Lic 30026627 ""d ROSEVILLE CA 9566 r
Phone: 562-329-1413 �> Lic Exp 02/28/2020 ' "" 1Q pis Phone: 916-961-3965 te�Lrp 5��03878
c
Code Edit: 2016 2 rs Compensation Insurance �`� Designer: THURNEYSSEN ASHT " _
Type of Construction: VB - 2�^ l V Carrier ZURICH AMERICAN INS Address: 2102 ALTON PARKWAY '� r�;, r J
Occupancy Group: -R3/U .y ,/ .-.Policy No:_ EWS107458502 IRVINE CA 92606
Added /New sq.ft. Bldg 0 '4^ . Expire' 11113112020 f ' r,. Phone: Yam'• _;,r�,
Added. /New sq. ft. Garage.. 0 ��°' `'
No of Stories: 2: .� s Bwlding Setbacks Rear / , i. t4. Special Conditions.
No of Units : 1 Front /
Lek /
Bldg Height: 0 �' ,\ ~>v� .... , ......
Bldg Sprinklers: r, Right l., • A.z ^},,, -�ri�
Flood Zone: tin Use Zone: Parkin Spaces: 0 f6-Aazar `N
Construction Valuation: 1 gwoo "y %A k,`';,y '3` �q v�` ^;�� � .. ,
€,
Building Permit Fee: $264.0 \ /7111ding
ise $0.00 Plan ' .g>[hti partrr�q'nFk Fire Oelpa$ nt
Plan Check Fee: $229.66itio $0.00 Plan check Fee : $4 ���y; I�spegtiofi'.`� $0.0® �>>
Overtime Plan Ck: $0.00 " Bonds Fee: Oa0¢�, Fair Share : $0 00 Or0 Fire arPRev
'b'd1T0
Investigation Fee: $0.00 b-w_:-W Grading PC Consultant : t�fY� SJH Trans : olition Fee
Record Management: $0.00 Grading Permit .00 In is Housin 0.0uilding Dept Adm $0.00
Energy Compliance: $0.00 Gradin, g-RC�e1 �Q�Q 0 Public W epartment General Service $0.00
CA Seismic Safety : Woo � e �VVQ Insp y�ee.� � �`_(410 P edication � $0.(y0-� Refund Deposit $0.00
Disabled Access : $0.00 _t P/W Plan C v ,:�$ .00 Grading Bond: $0.00
Hazardous Mat $0.00 V+� ectrical °/ ;dU $34.56 San Di $0.00
Building Green Fee : $1.00 F Mechanical %: SDve€: $0.00 $0.00
Plumbing %: $0.00;F'"y $0.00
TOTAL FEE : $569.24 y �5 .kp • an Fee: $0.00 Fee Due at Permit Issuance : $569.24
PROCESSED BY: .-n 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, ovftair 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 (Qtiaptr= (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Secti. a031.5 by applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property
improvements are not intended or offered for sale. If, however, the building or improvement is sold within on
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the led I
apply to an owner of property who builds or improves thereon, and who contracts for the projects a licein
i I am exempt from licensure underthe Contractors' State License Law for the following
By my signature below I acknowledge that, except for my personal residence in which I mi
sell a structure that I have built as an owner -builder if it has not been constructed in its.
Professions Code, is available upon request when this application is submitted or a `e fp
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisio•of Chapter c
and effect. License Class Licensei
IRKERS' COMPENSATION DECLARATION
NING: FAILURE TO S=^I'RE WORKERS' COMPENSATION CO
T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECT
lacy affirm under panalty of perjury one of the follc
I hi ve and will maintain a certificate of co nt
%rance of the work for which this perm iis�su�e(
%;rT�CA. a and w I r. J.T;ain workers' c ' ensa; ir}
rrr:e carrier and policy numbe e: ✓�
-.E cfAgent
'vehi, y that, inthe pi
, if I bhould bea.nna
laturi of Appli-ont
affirm undei penalty of perjurk.that there is a
Name
I am the property owner or authorized to act on the
I have read this application and the information I ITS
I agree to comply with all applicable city and county
I authorize representatives II y or county.to e
ature of Prooertv Ownelcerf{uthorized Agent •a
ACTION
PERMIT EXPIRED
PERMITC4NCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
DATE I BY
by
ripyt of the work, and th
rough employees'
of completion, tt n
`` �U
a 7044„�Oyihess and I
ntr ctbi( pursuant to t
one year pr to cor
Dirs. I undepri that a
I cing with 700 ) of ivision 3 a1
o t
I EMP.L ER TO CRIMINAL PENALTIES AND CI (\ L`
VTORNEY's FEES.—,
ire is not intended or offered for sale (Section 7044,
effort, builds or improves the property, provided that the
,kr will have the burden of proving that it was not built or
T,he Contractors' State License Law does not
e License Law).
of the ap)olicake law, Section
Date _
;ins s and Profession
Sign
T,Pf1\�0RED THOUSAND D
xbre fo�wprkers compensation Issued by the Dtector of Industriallions a ovided for
No k' ' Cy. �. �P.v
'C
ak'3�,r,Wquired by Section 3700 of the LaboPAode, for thepe of th0 ork for whi >g his
employ any person in a nner so as to
of the Labor Code, I sha forthwith comply
for the p&Ffdren)Ae of the work for whIplh-this perrp is ed (Section 3097
nets behalf.
'rni ,,
Is correc�,6o � �. ��rT.�`�
gyn�+ st .lea I, relab tc
iGe ' d 9' rrtty for
r
I OF COMPLIAN ITHHe
i PART 61 OF TITLE 4"ND
LJASBESTOS NOTIFICATION;ISNOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
USE
Code).
this permit, I cannot
of the Business and
IN ADDITION TO THE
the Labor Code, for
My workers'
)n laws of California, and
Ili //1i
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