HomeMy WebLinkAboutX2019-1732 - Permits1r City of Newport Beach - Building Division
? 100 Civic Center Drive, Newport Beach, CA 92660
1+ Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
"w r# Combination Type - SFP ELEC
IIIIIIII�IIIII�IIIIIQIIIIIIIIIIIIIIIII��IIIIIIII II COMB Permit: X2019-1732
x 2 0 1 9 1 7 3 2 Project No : 1238-2019
Issued Date: 06125/2019
Inspection Area : 1
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 8:00 p.m. No work on Sundays or Holidays
Job Address: 104 VIA ORVIETO NB
Description: SFR -LG CHEM BATTERY BACKUP
Legal Desc.: TR 907 LOT 94(AND SWLY112 LOT 93
Owner: KIM PAUL
Contractor:
PEAK POWER SOLUTIONS INC
Architect:
Fire Hazard Zone : N
Address: 104 VIA ORVIETO
Address:
151 KALMUS DR #L2
Address:
W
LL
NEWPORT BEACH CA 92663
Phone:
COSTA MESA CA 92626
Building Permit Fee: $184.00
Excise Tax:
O
Planning Department -
Phone:
800-265-6357
Phone:
State Lie:
Plan Check Fee: $160.08
Applicant: TOOMAY
$0.00
Plan check Fee :
$40.00
Fire Inspection:
SEAN
Con State Lie:
973253
Engineer:
I" 1
Address: 151 KALMUS DR
Lie Expire:
0513112020
Address:
Grading PC Consultant :
$0.00
COSTA MESA 92626
Bus Lie:
BT30053976
Demolition Fee
■
Record Management: $0.00
Phone:
Lie Exp Date:
02128/2020
Phone:
State Lie: p
•�'°�.
LULU
Code Edit: 2016
Worker's Compensation Insurance
Designer:
$0.00
Public Works Department-
Type of Construction:
Carrier:
STATE FUND
Address:
WQ Insp. Fee:
$0.00
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Policy No:
Expire:
9204002
02101/2020
Phone:
$0.00
V J
e
G
Added /New sq. ft. Garage: 0
PM Plan Check,
$0.00
Grading Bond:
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
San Dist:
$0.00
No of Units: 0
Front: /
Building Green Fee : $1.00
Mechanical %:
$0.00
Bldg Height: 0
$0.00
Left: I -
$0.00
Bldg Sprinklers:
$0.00
Right: I
Flood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $7.000.00
Building Permit Fee: $184.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $160.08
Additional Fee:
$0.00
Plan check Fee :
$40.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00
Fire Plan Rev
$0.00
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
PM Plan Check,
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$24.09
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $409.17
Plan Check Fee:
$409.17
Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
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) 1 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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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
nprovements 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
n roved for the purpose of sale).
1, 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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)
ell 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
'rofessions 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 Date
hereby affirm under penalty of.perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class:`; License No Date Contractor Signature
VORKtRS' COMPENSATION DECLARATION
rARNING: 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 ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DO OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herebyfeffirm 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 IN
erformance'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'
rance carrier and policy number are:
Policy Number
Date
is of Agent r"""W ^
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant ware_ _
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
Iy 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 comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
i-+.— .,f or....od„ nu,ner nr A,uhnrlecd Ancnf Print Pmnertv Owner's or Authorized ADent's Name
DATE BY DECLARATION OF II REGULATIONS PARTO610 TIIT E 40 AND AQMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY
TO
PERMIT EXTENDED I LIAQMD
PERMITFINAL \ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF %^Z-Z—Lc) J�Ziz_ PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
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