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Home My WebLink AboutX2019-2104 - Permits1. City of Newport Beach - Building Division IIIIIIIIIIIIilillll�lllilllllllllllllllllllllllll COMB Permit: X2019-2104 `, 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 0 4 Project No : 1533-2019 r Permit Counter Phone (949)644-3288 '"u Inspection Requests Phone (949)644-3255 Elax�}vs'• Combination Type - SFP ELEC Issued Date: 0711512019 9 Inspection Area : 5 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 orHoliLlays Job Address: 187 SHORECLIFF RD NB Description SFR (2) TESLA 5KW ENERGY STORAGE SYSTEM Legal Desc : N TR 1116 LOT 102 r Owner SACHI MARGAUX PRICE Contractor .TESLA ENERGY OPERATIONS Architect � Address: 187 SHORECLIFF RD Address: 3055 CLEARVIEW WAY Address: CORONA DEL MAR CA 92625 SAN MATEO, CA 94402 e ° Phone Phone. 650-638-1028 Phone: State Lie: Applicant: MELENDREZ ADELA Con State Lic: 888104 Engineer MCDONALD BRYAN Address: 1831 RITCHEY ST Lie Expire: 12/3112020 Address: 4405 AVONDALE CIR SANTA ANA CA 92705 Bus Lie: ST30026827 FAIRFIELD CA 94533 oosome Phone; 562-329-1413 Lie Exp Date: 02/28/2020 Phone: State Lio:C-080064 • ° ° eoe •o Code Edit: 2016 Worker's Compensation Insurance Designer: THURNEXSEN ASHTON - • • ° Type of Construction: Carrier: ZURICH AMERICAN INS Address: 1831 RITCHETY ST 'Occupancy Group: U Policy No: EWS107468501 SANTA ANA, CA 92205 Added /New sq.ft. Bldg: 0 Expire: 1 0/3112 01 9. Phone: 650-638.1028 Added /New sq. ft. Garage: _ 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: s °° o o • e ° o <: No of Units: 1 Front: I Bldg Height:. 0 Left: Bldg Sprinklers: Right: Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N 11 Construction Valuation: $8,000.00 Building Permit Fee: $200.00 Excise Tax:. $0.00 Planning Department - Fire Department Plan Check Fee: $174.00 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: $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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $26.18 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: $453.18 Plan Check Fee : $226.18 Fee Due at Permit Issuance : $227.00 PROCESSED BY: 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, 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 (_) 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 im roved 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 struptule 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 Profession? ISbde, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. §iQnatureof PRiperty Owner or Authorized Agent Data LleENSEW CONTRACTOR'S DECLARATION pp I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) fDion vi of the Business and Profs Sion od and rf license is 1 A f ador aeffect. jicenaeClass License No Dat Contractor Signature MRKERVt!6MPENSATION DECLARATION iNING: FA4-ygE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDKEO THOUSAND DOLLARS ($100,000), IN ADDITION Tf9'1 PT OF COMPENSA J ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. /ll� irfaby affirm under penalty of perjury one of the following declarations: A have anj 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 folmance-of Stfe'vQork for which this permit is issued. Policy No. 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' caltier.ani'policy number are: Policy Number Date me of Agent vnone P certify that, in the performance o the rk for wh' this permit is issued, I shall not employ any person in any manner so as to become subject to the worker 'compensation laws of California, and agre t, if I should become subj to e w era' co ens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant te_ % CLARATION REGA D G CONSTRUCTION LENDING AG NCY -reby affirm under pen Ity of perjury that there is a con c' n lending 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 provided i orrect. I agree to comply with all applicable city and cou y oydinobe d stat aws relating to building construction. I authorize representatives of this city or county o e er fe ve-ids Ifie roperty for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam 1_ ACTION DATE By I. DECLARATION I REGULATIONS OF CO 1 LIANCE TITLE A2 D AQMDDE F FEDERUDERAL I FOR OFFICE USE ONLY r PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EJEPA PERMIT EMENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED L PVBESTOS N IN TIO S N APPLICA ROPZr5ILD DE U N SIGNATURE: