HomeMy WebLinkAboutX2019-3619 - PermitsgN•lrr4,, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-3619
c� a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 6 1 9 Project No : 2193-2019
N Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
dtarhw�`ti'"` Combination Type - SFP ELEC Issued Date: 11/1212019
Inspection Area : 3
Applicant:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Address:
151 KALMUS DR #L2
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:
1392 GALAXY DR NB
800-265.6357
Description:
SFR - BACK UP BATTERY FOR SOLAR VOLTAIC
Disabled Access :
Legal Desc.:
N TR 4224 LOT 80
$0.00
Owner:
ASHY JEAN G
INSPECTOR
Address:
1326GALAXY DR Address 151KAMUSD #L2TIONSINC Address:
NEWPORT BEACH CA 92660 COSTA MESA CA 92626
Phone:
Phone: 800-265-6357 Phone:
State Lic:
Applicant:
PEAK POWER SOLUTIONS INC
Address:
151 KALMUS DR #L2
Record Management:
COSTA MESA CA 92626
Phone:
800-265.6357
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $264.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$19O.,
TOTAL FEE: $299.56
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
973253
Lic Expire:
05/31/2020
Bus Lic:
BT30053975
Lic Exp Date:
02/28/2020
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9204002
Expire: 02101/2020
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
- Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$34.56
$0.00
$0.00
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee :
Fire Inspection:
Fair Share:
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee :
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:
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$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $299.56
_ PUBLIC WORKS APPRO L: \ CC
PLAN CHECK BY: L
APPROVAL TO ISSUE:
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Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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400A00
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$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $299.56
_ PUBLIC WORKS APPRO L: \ CC
PLAN CHECK BY: L
APPROVAL TO ISSUE:
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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 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
im 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
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 legal)
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 ��72
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 70 i on 3 of the Business and Professio s end my license is in full force
and effect. License Class License No Da Contractor Signature
WORKERS' COMPENSATION DECLARATION 101,
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm Wo4efpgnalty of perjury one of the following declarations:
I have and will IT
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
nca 0, Wok for which this permit is issued. Policy No.
• : and will jnaintain 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
i su ace carrier and policy number are:
.,erne• •.•••. Policy Number Expiration Date
4ameof Agent -.� Phone a
31•c•eVy that,igfhe performance of the hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I f California, and agree
fibf, ff4 should begome sub' ct to pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
...••• i'
�ignatul� of Appp�gap� • Date
5ECLAAATIONREGA ING CO T UCT N LENDING AGENCY
;I%ic.;affirm uNder p alty of jury th ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-"SPs Name* • Lender's Address
3y my signature below, I certify to each of the following: 15
I am the property owner or authorized to act on the property owner's behalf. �� ,J' O(/'„%�
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county or inan s agstate laws relating to building construction. ///Z
I authorize representatives of this city or cou ty to ant r ntified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name at
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
PROPOSED DEMOLITION
TO
ISNOTAPPLICABLE TO