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Home My WebLink AboutX2020-0928 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit : X2020-0928 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0655-2020 Permit Counter Phone (949)644-328B .,y Inspection Requests Phone (949)644-3255 Issued Date : 0512212020 Combination Type - SFP ELEC Inspection Area : 8 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 of l'SP E CTQ R Job Address: 2901 CAROB ST NB �y AND DISCONNECT Description: SFR 27 kw ENERGY STORAGE SYSTEM, 2 POWER WALLS, 2 LOAD CENTERS Legal Desc.: N TR 5018 LOT 102 Owner: RODOVANOVIC KAMERON Contractor: TESLA ENERGY OPERATIONS Architect: Address: 2901 CAROB ST Address: 2102 ALTON PARKWAY #B Address: NEWPORT BEACH, CA 92660 IRVINE CA 92606 Phone: 310-756-2714 Phone: 650-638-1028 Phone: State Lic: Applicant: FISHER JONAH Con State Lic: 88B104 Engineer: Address: 2102 ALTON PKWY Lic Expire: 12131/2020 Address: IRVINE, CA 92606 Bus Lic: BT30026827 Lic Exp Date: 02128/2021 Phone: State Lic: Phone: 949-812-9325 „ Code Edit: 2019 Worker's Compensation Insurance Designer: THURNEYSSEN ASHTON , Type of Construction: Carrier: ZURICH AMERICAN INS Address: 2102 ALTON PKWY Occupancy Group: U Policy No: EWS107468502 IRVINE, CA 92606 Added /New sq.ft. Bldg: 0 Expire: 1013112020 Phone: 949-812-9325 _ I J I )CAL fig,_ �;';;_LaL T, ;✓'sa �'.a Added /New sq. ft. Garage: 0 Building Setbacks Rear: 6' LOW � I,;-jR No of Stories: 0 Special Conditions: No of Units : 1 Front: 20' CASSIA ('�� !�O �L Bldg Height: 0 Left: 6' sC + r'.�.-}. Right: 6' I�<.3 Bldg Sprinklers: Use Zone: R-1-6000 Parkin Spaces: 3 Fire Hazard Zone : N FPIan ld Zone: uction Valuation: $16,000.00 g Permit Fee: $326.00 Excise Tax: $0.00 Planning Department- Fire Department heck Fee: $285.36 Additional Fee : $0.00 Plan check Fee : $$0.00 Fire Inspection: 57.00 me Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share$0.00 Fire Plan Rev $57.00 igation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee d Management: $10.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 General Servieng Dept dm $000 y Compliance: $56.00 Grading PC Fee: $0.00 Public Works DepartmentRefund Deposit $0.00 - cation $0.00 ismic Safety : $0.00 WQ Insp. Fee: $0.00 PAN plan Check: $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $22.96 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FE $800.32 Plan Check Fee : $438.36 Fee Due at Permit Issuance : $361.96 PUBLIC WORK: PROCESSED BY: PLAN CHECK B ZONING APPROVAL: APPROVALTO GRADING APPROVAL: OWNER -BUILDER DECLARATION I hereby afrm under penalty of perjury that 1 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). I, 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 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). ❑ 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 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:httpl/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date I hereby affirn!rnder penalty of per ury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of Divlsion 3 of the Business and Profession de, and p'1y,Lsens Is in full force and effect. License "lass C4(? License No R88'1�4 Dat'^�erni/?7� Contractor Signature �GbIZCc{Li NOR<ERS' COMPENSATION DECLARATION �i �+`� NARNING: FAILURE YO SLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (§700,000), IN ADDITION TO THE COST 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: 7 1 Save am wil: 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 thi ante of the work for which this permit is issued. Policy No. ,' 'I and will ntal,ntain 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' compensatior nsur2 'It carrier and policy number ars: Iri hAmerican PotioyNumberEWS1074585-02 Expiration Date 10/31/2020 dame cf Agent .__ Innah Fichar Phone# 949-81 - �i 9325 c.f f h that, in 'h= 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 agree Fa'., if I should Jecome subject tot workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tgnature of Applicant �-% Date 5/22/2020 )ECLARATION REGp4il N CO TRUCTION LENDING AGENCY h=reb ff y a Irm under penalty of penury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name my signature below, I cert fy to each of the following: Lender's Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to "r the ab5wej�eatif'pd property for inspection purposes. GL91GP PERMIT FINAL CER77FIGATE OF OCCUPANCY ISSUED u l5,L , By" 0tQARATION6FCOMFUANCEWmTNCODEoFFEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE f el 1J ASBESTOS NOTIFICATION 1S NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY