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Home My WebLink AboutX2018-3810 - Permits1i City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIII�IIIIIIIIIIIIIIIIII COMB Permit: X2018-3810 +3 100 Civic Center Drive, Newport Beach, CA 92660 X 2 8 1 8 3 8 1 9 Project No: 2945-2018 E~ 9 n Permit Counter Phone (949)644-3288 'c"t $ Inspection Requests Phone (949)644-3255 '"are4xn Combination Type- SFP ELEC Issued Date : 03/19/2019 Inspection Area : 4 - 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 6:00 p.m. No work on Sundays or Holidays , Job Address: 5 RIDGELINE DR NB Description: SFR -(6) TESLA 5KW ENERGY STORAGE SYSTEMS"REVISED 04/23/2019 - Legal Desc.: N TR 9862 LOT 16 ". Owner REISNERJEFFREY Contractor: TESLA ENERGY OPERATIONS .Architect: .--< Address: :. 5 RIDGELINEDR Address: 3055 CLEARVIEW WAY Address: NEWPORT BEACH, CA 92660 '. .SAN MATEO, CA 94402 Phone: Phone: 650-638-1028 Phone: State Lie: Applicant MELENDREZ ADELA Con State Lie: 888104 Engineer: HECHT NIELSEN MARCUS Address: 1831 RITCHEY ST - Lie Expire: 12/31/2020 Address: 2744 FELICITA RD - SANTA ANA IIA 92705 Bus Lia BT30026827 ESCONDIDO CA 92029 t' Phone: 562-329-1413 Lie Exp Date:: 02/28/2020 Phone: 650.638-1028 State Lic:C-073045 Code Edit: - 2016 Worker's Compensation Insurance Designer: THURNEYSEN ASHTON Type of Construction: V-B Carrier ZURICH AMERICAN INS Address: 1831 RITCHETY ST Occupancy Group: R31U Policy No: EWS107458601 SANAT ANA, CA 92705 Added /New sq.ft: Bldg: 0 Expire: 10/31/2019 Phone: .(844) 837.5201 Added /New sq. ft; Garage: 0 - -. •., ; No of Stories: 2 Building Setbacks �T Rear: I Special Conditions: REV19-0649 No of Units: 1 Front: Bldg Height: 0 Left: / Bldg Sprinklers: Right:. / Flood Zone: - Use Zane:. Parkin 5 aces: 0 Fire Hazard Zone: N -Construction Valuation: $35,000.00 Building Permit Fee $581.00 Excise Tax: - $0.00 Planning Department - - Fire Department - - Plan Check Fee: $505.47 Additional Pee : $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 $129.00 Investigation Feer $0.00 Grading PC Consultant $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $12.00 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 WO,Insp: Fee: $0.00 Park Dedication: $0.00 Refund Deposit $0.00 Disabled Access: $0.00 - P/W Plan Check: $0.00 Grading Bond: : $0.00 Hazardous Mat x , $0,00 Electrical %: $76.05 San Dist: $0.00 Building Green Fee ;• -. '$2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,345.52 »-� Plan Check Fee: $1,345.52 T Fee Due at Permit Issuance : $0.00 PROCESSED BY: " ` - ' c o PFJBk.IC WORKS APPROVAL: ZONING APPROVAL: - PLAN CHECK BY: - GRADING APPROVAL: Af3IJROVAL TO ISSUE: tl. J Liu OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 legally 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: h tp://www. leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7 9) Divi f of the Business and Pro essi s o ,and I nse'e'in full If e and effect. License Class License No Date Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the oe$formance of the work for which this permit is issued. Policy No. have and willintain 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' compensation Tance carrier d' licy number e: rier CkPIricy4unber Expiration Date 7e of Agent s Phone # certify that, in the perform ance th ork r whi hi 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 agre if I should become su ct to a rker, comp s on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/'P / nature of Applicant —,E Z-/ ?3 hereby affirm under penalty of perjury that there is a construction lendind.,(3gency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name l Lender's Address y 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 ordi n sand sta a s rel g to building construction. ^ I authorize representatives of this city or coun ente h ve-id If' pr y for i spection purposes. nature of Property Owner or Authorized Agent P❑ PropertyOwner's or Authorized Agent's Name t 1CTION DATE BY DECLARATION OF COMPLIANCE WITH FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 14na •• •s'+ • ••• • • _ PERMIT CANCELLED PERMIT EXTENDED CERTIFICATE OF q21, \q nrrllva NCYISi1jFn 1 I SUBMITTED ASBESTOS • ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION ••� ••� ••• e•• ••• •i• SIGNATURE: • + " u •. •. •••• •. •.