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Home My WebLink AboutX2019-3600 - Permitswro� City of Newport Beach - Building Division '* 100 Civic Center Drive, Newport Beach, CA 92660 H, �^ Permit Counter Phone (949)644-3288 sx. Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC IIIIII�IIIII�IIII�II�IIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3600 x 2 0 1 9 3 6 0 0 Project No : 2471-2019 Issued Date: 0110812020 Inspection Area : 8 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: 2352 REDLANDS DR NB Description: SFR - 27 kW BACKUP ENERGY STORAGE SYSTEM Legal Desc.: Owner: DINH WINNIE Contractor: TESLA ENERGY OPERATIONS Architect: Address: 2352 REDLANDS DR Address: 2102 ALTON PARKWAY #B Address: NEWPORT BEACH CA 92660 IRVINE CA 92606 Phone: 714-720-9343 Phone: 650-638-1028 Phone: State Lic: Applicant: STABLEIN SAM Con State Lic: 888104 Engineer: DE VERA ABELARDO Address: 2105 ALTON PKWY #B Lic Expire: 12/31/2020 Address: 22701 RASHDALL AVE IRVINE CA 92614 Bus Lic: BT30026827 CARSON CA 90745 Phone: 714-496.0688 Lic Exp Date: 02128/2020 Phone: 888.765.2489X7526 State Lic:S-005185 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: ZURICH AMERICAN INS Address: Occupancy Group: U Policy No: EWS107458502 Added /New sq.ft. Bldg: 0 Expire: 10/31/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10.000.00 Building Permit Fee: $232.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $201.84 Additional Fee : $0.00 Plan check Fee: $0.00 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat -$0.00 Electrical %: $30.37 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 : $465.21 Plan Check Fee: $215.97 Fee Due at Permit Issuance : $249.24 PROCESSED BY: ZONING APPROVAL: • • . • • • • ° PU$Llt WbRICS RPPROVAL: c o 0 0 0 0 0 • o PLAN CHECK BY:�{ftl�J��/11` GRADING APPROVAL:°/IPPR(5VAL° 5'a ISSUE: c ooa c o c o 0 o° o00 0 0 0o ao ova 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nproved 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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.html. - ignature of Property Owner or Authorized Agent Date, .ICENSED CONTRACTOR'S DECLARATION of hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of. D' isi 36the Business and Pro ss' ns Code, a cense is in full force nd effect. License Class License No Date \�L�! �"�Contractor Si natur YORKERS' 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 YHOUSAND 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: ❑ 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 th ormance of the work for which this permit is issued. Policy No. I ave 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' compensatiol insur ce carrier and policy number are: "am Policy Number Expiration Date Na a of Agent Phone # 131 certify that, in the p rmance of t work for w ch 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 'hat, if I should beco a subject to the orkers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. % Signature of Applica Z'Z DECLARATION REG INSTRUCTION LENDING AG 9—`"1�� hereby affirm under p 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 3y my signature bdrow, 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 pr2oyvidad4sqorrect. I agree to comply with all applicable city and count Inances a state Is elating to building construction. I authorize representatives of this city or coun o enter the ab e-identi ropert ✓1L'ns��rl� rposes. Signature of Property Owner or Authorized Age Print Pro ert Owner's or Authorized Agent's Na a Date f7 ACTION DATE BY ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED ISUBMITTEDASBE50 NOWFICATION70• PERMIT CANCELLED TEPA • • • PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF fI,C. Zpj PROPOSED DEMOLITION •:• ••• ••• �•• e• �•� OCCUPANCYISSUED L ! SIGNATURE: