HomeMy WebLinkAboutX2020-0958 - Permits�w City of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
'1v ar' Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC
Illl������������lllll Project No:
P0631-2019Permit:00-0958
Issued Date: 05/05/2020
Inspection Area: 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
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: 4615 ORRINGTON RD NB
Description: SFR (ADD'L SCOPE) (3) TESLA POWERWALL BATTERIES
Legal Desc.: N TR 3357 LOT 68
Owner:
MALONE MICHAEL
Address:
4615 ORRINGTON RD
$0.00
CDM CA 92625 -
Phone:
Record Management :
Applicant:
MEYERS SEAN
Address:
933 NEWHALL ST
$0.00
COSTA MESA CA 92627
Phone:
949-326-3162
Code Edit: 2019
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee:
$312.00
Plan Check Fee: $271.44
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:
$1.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
BRIGHT LIFE REMODELING
Architect:
Address:
933 NEWHALL ST
Address:
SJH Trans:
COSTA MESA CA 92627
$0.00
Phone:
908-489-3911
Phone: State Lic:
Con State Lic:
1029267
Engineer:
Lic Expire:
07/3112021
Address:
Bus Lic:
BT30060552
San Dist:
Lic Exp Date:
09/3012020
Phone: State Lic:
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9053332
Expire: 04119/2021
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
0 0o
° 6
c o 0
Rear: I
Front: /
Left: /
Right: I
irking Spa
$0.00
$57.75
$0.00
$0.00
$0.00
$0.00
$0.00
$40.84
$0.00
$0.00
Designer:
Address:
Phone:
Special Conditions: DELTA 1 (REV20-0563)
Planning Department -
Plan check Fee :
ocn
$40.00
Fair Share :
-
$0.00
SJH Trans:
000 0
$0.00
In -lieu Housing Fee:
o°
$0.00
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
N
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $330.44 Fee Due at Permit Issuance : $392.59
o c o
oc
---�o
ocn
co°
C
°oo
000 0
0
0°
o°
oo°
PUBLIC WORKS APPROVAL: ✓
PLAN CHECK BY: �,,�.
'{fir
APPROVAL TO ISSUE:
I hereby of irm under penally of perjury that I am exempt from the Contractors' State License Lew for the reasons) Indicated below by the checkmark(s) I have placed next to the applicable Item(s)
Section 703-1 .8, 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
he 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 Seelion 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 penally of
lot more than Ove hundred dollars ($500).
I, as owner of the property, of my employees with wages as their sole compensation, will do V all of or U portions of the work, and the structure Is not intended oroffered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
Inprovements 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
mproved 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 Lew does not
Ipply 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).
7 1 am exempt from Ilcensure under the Contractors' State License Law for the following reason:
ty my signature below 1 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 entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'mfessions Code, is available upon request when this application is submitted Or at the following Well elle:http:Uwww.leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent Dale
.ICENSEO CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full farce
nd effect.0�/�
.icense Class License No Dale( �- (P 2-O Contractor Signature. i cd.✓ [flL#,s;)
VORKERS' COMPENSATION DECLARATION f
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UHUW FILL, AND SHALL SUMECT AN EMPLOYER TO CFINiNU1L PENALTIES AND CML Fines UP TO ONE HUNDRED THOUSAND DOLLARS rf100,0001. IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE USOR Coca, INTEREST, AND ATTORNEYS 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 ihl
once 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' compensalior
once carrier and Dolicv number are:
Policy Number
Dale
rte of Agent
certify that, in the performance of the work forwhich this permit Is Issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions.
nature of ApplicantRUCDate S C•' 2-oCLARATION REG RDI G ONSTTION LE ING AGENCY
Heby affirm under penalty of perjury that there is a construction lending ageneyforthe performance of the wort forwhich 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 Omer or authorized to act on the property owners behalf.
I have read this application and the Information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
1 authorize representatives of this city or county to "r the above -Identified property for Inspection purposes.
AC770N DATE BY
FEDERAL REGULATIONS PART 61 OF77TLE40AND
PERMlTEXPIRED AQMDRULE 1483.
❑ ISUDMIITEDASBESTOSNOT)FICATfONTO:
PERMIT CANCELLED ❑ EPA
PERMfT EXTENDED ❑ AQMD
❑ ASSES70SN071RC1110NISNOTAPPLICABLETO
pERMITFINAL PROPOSED DEMOLITION.
CERTIFIC.4TEOF
SIGNATURE:
OCCUPANCYISSU60 �- _e- • • _ •••
••• •• •• • • ••• ••
m
xz
m
o
WUO
V o
T
w m�
Q OCT)
O
5z;
w
r3007^�
-a
aa0c)m
U)
~ H X U
W
> a
co
Zwd0
LU
� c
c
D
m
Q U
U
0
gEAC/y
o
o
U)
m
LU
D
m
a
C'1
v
O
w
Y
D
E
+
0
m
E
Eo
0-
z�
v
v
v
o
v
o
a
o
E
a
a
D
111 .0
U
�
jL
>
v
v
m
o
Z G
�
L
2
u
N
o�
Z
v
Q
u
a
M
Q)
2m
0
a)
v
v
a
Q
.0
o
Q
m0
3
CL
u
c
E
N
v
•
w
�,
�,
a
E v
y
°J
012
°
V O.
u
O
Q
C
a�
E
m
I
0
N
J
u
a
F-
Lu
v
m
v
36
.Q'.
w
Z
:3-O
CL
a
`
U
m
V1
U
z
�
4m -
i