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Home My WebLink AboutX2019-0154 - Permits010 City of Newport Beach - Building Division IIIIIIII IIIIIII VIII IIII IIIIIIII I VIII II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9. 0 1 5 4 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC COMB Permit: X2019-0154 Project No: 0131-2019 - Issued Date : 01/15/2019 "- ) tA 4 nspec Ion rea . PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION... Construction Hours: Monday- Friday7:00 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: 1824 E NEWPORT HILLS DR NB - - Description: SFR TESLA POWERWALL,{N) GATEWAY BACKUP, 200 AMP SUB -PANEL.. Legal Desc • N TR 7031 LOT 69 Code Edit . 2016 Worker's Compensation Insurance Designer. PE Type_ of Construction. Owner: DOYLE JOHN 1532 KEEL Contractor: A P ELECTRICAL -Architect: x3f Address: 1532 KEEL DR. Address: : 7647. HAYVENHURST AVE #34 Address: Added /New sq.ft. Bldg: 0 CORONA DEL MAR CA 92625 -. VAN NUYS CA 91406 818-621-0233-` '��-�IOF,� �I ETALLICi Added /New sq. ft. Garage: 0 No of Stories: 0 Phone: Rear: I Phone: 818-373-0077 Phone:. State Lia .Applicant MEZA RUBY Con State Lia 974115 Engineer: Address: 16238 RHYMER ST #B Lie Expire: 06130/2020 Address: Left VAN NUYS CA 91406 'Bus Lia BT30061309 Phone: 818.621-0233 Lie Exp Date: 11/30/2019 Phone: - State Lie: X Use Zone: Parking Spaces: 0: Fire Hazard Zone; N - TROSYAN ARA ��' Code Edit . 2016 Worker's Compensation Insurance Designer. PE Type_ of Construction. Carrier: STATE COMP Address:. . 16238 RAYMER ST #B Occupancy Group: Policy No: 9221712 VAN NUYS CA 91406 TA; Added /New sq.ft. Bldg: 0 Expire: . 10/1912019 Phone: 818-621-0233-` '��-�IOF,� �I ETALLICi Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: ALLOWED FOR. ��-r�- IS NOT No. of Units: - 1 Front. Bldg Height: 0 - Left �+ AF�PI-I\.rATIOI�ICJ Bldg Sprinklers: 'Right. I EXTERIOR i Flood Zone: X Use Zone: Parking Spaces: 0: Fire Hazard Zone; N - Construction Valuation: $3.653.00 Building, Permit Fee: - $136.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $118.32 <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 $44.75 ' Investigation Fee. $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Record Management-: $14.00 ` ..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 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: ` $17.80 - . San Dist: $0.00 '. Building Greenfee: $1.00 Mechanical%: ,$0.00 , NMUSD. Fee: - $0.00'. .$0.00 Plumbing %n: $0.00 $0.00 TOTAL FEE: $371.87 Plan Check Fee : $166.60 Fee Due at Permit Issuance $205.27 PROCESSED BY: -� %� V C °0 , PUBLIC WORKS APPROVAL: ` LA c ,.o �V aoe ` BY: ZONING APPROVAL: - PLAN CHECK - GRADING APPROVAL: < ,. APPROVAL TO ISSUE: .. _ a ou .. c a v cco 00 I 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 p4 - _- Ple 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 (_) 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). ❑ 1 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 legall, 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:http://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 Section 70 0) f ivision of the Business and Pro lona I , d Y ' rise is in full force and effect. License Class License No Dat Contractor Signature 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 1$100,0001, 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: 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 prmance of the work for which this permit is issued. Policy No. have and will mai in 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 p number are: iPr - _ l I LA J Expiration Date of Agent 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 agre if I should become subject to the ' com n ion provisions o 'on 3700 of the Labor Code, I shall forthwith comply with those provisions. / Iature of Applicant ELL D'•a, ✓ice/ :LARATION REGA COTR CTION LENDING AGENCY ,eby affirm under p alty 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). ier's Name Lender's Address -- �:' •••. •�• ••• •• e • • • •• i i • • • • i ny signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. Ihave read this application and the information I have provided is correct. A ®� 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 �° enter th -iJer ifA property for inspection purposes. QMD Iature of Prooertv Owner or Authorized ADenf Y Print Property Owners or Authorized Agent's Name- _ ACTION DATE BY I DECLARA ONS OF CO 1 LIANTCE WITH E I AND DE OF FEDERUDERAL FOR OFFICE USE ONLY PERMITEXPIRED L -I I SUBMITTED ASBESTOS NOTIFICATION TO -- �:' •••. •�• ••• •• e • • • •• i i • • • • i PERMIT CANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL , ^ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOFQ A lA -1 1 [U(P(/A PROPOSE DE OLITI ••� OCCUPANCy155UED l SIGNATOR . ••o ••• • • ••• •• su