HomeMy WebLinkAboutX2021-0018 - Permits.,', City of Newport Beach - Building Division IIIIIIIIIilllllllll�lllllllllllllllllllllllllllli COMB Permit - X2021-0018
�+�- 100 Civic Center Drive, Newport Beach, CA 92660 III X 2 0 2 1 0 0 1 fill/// Project No :1766-2020 -
nn Permit Counter Phone (949)644-3288
'ar Inspection Requests Phone (949)644-3255
°`.,fes, u�A* Combination Type - SFP ELEC Issued Date
r
Inspection Area : 6
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: 7 BODEGA BAY DR NB
Description: SFR (4) BACKUP BATTERIES 10 kw
Legal Desc.: N TR 7844 LOT 16
Owner: DILLION GREGORY L
Contractor:
B V I SOLAR
Architect:
Address: 7 BODEGA BAY DR
Address:
4747 EXECUTIVE DR STE 210
Address:
CORONA DEL MAR, CA 92625
SAN DIEGO CA 92121
Phone:
- Phone:
877.359-3749
Phone:
State Lic
.�
Applicant: MILLS MIKE
Con State Lic:
1033754
Engineer:
Address: 6611 LONGFELLOW DR
Lic Expire:
12/31/2021
Address:
BUENA PARK CA 90620
Bus Lic:
BT300074106
Phone: 714-336-5519
Lic Exp Date:
0210112022
Phone:
State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
-
Type of Construction: VB
Carrier:
EMPLOYEE SVC GROUP
Address:
Occupancy Group: R3IU
Policy No:
WCO27119782
Added /New sq.ft. Bldg: 0
Expire:
07/0112021
Phone:
Added /New sq. ft. Garage: 0
No of Stories:. 2
Building Setbacks
Rear: /
Special Conditions:
SOME LANDSLIDE AREA
No of Units : 1
Front: /
'
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone: X
Use Zone: P ------S aces:
0
Fire Hazard Zone :
N
-
Construction Valuation: $40.000.00
Building Permit Fee: $679.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $590.73
Additional Fee:
$0.00
Plan check Fee:
$46.26
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
.Grading Bonds Fee:
$0.00
Fair Share ;
$0.00
Fire Plan Rev
$47;50
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management: $30.00
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
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$88.88
San Dist:
$0.00
,.
Building Green Fee : $2.00
Mechanical W
$0.00
NMUSD Fee;
$0.00
$0.00
Plumbing %:
$0.00
.$0.00.
TOTAL FEE: $1,484.36
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,484.36
t:UBt`IC WORQKS Ar0PROVAL:
nc
• PLAN CHECK BY: ° •.tbA�° /
�tAPPROVAL.aO,I§SUE: ��. ..
o
VNER-BUILDER DECLARATION --
1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors' StateLicense Law for the reason(s) indicated below by the,checkmark(s) I have placed next to the applicable item(s)
action 7031, 5, Business and Professions Code: Any city or county thatrequiresa permit to construct,alter, improve, demolish, or repair any structure,prior to its issuance, also requires the applicant for
permit to file aligned 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
)fessions-Code) of 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 civil penalty of
more than fivehundred dollars ($500).
I, as owner of the property, or my employees with wages >astheir sole: compensation, will do U all of or (,portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
)rovements 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 wasnot built or
)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 ProfessionsCode: The Contractors' State License Law does not
)ly 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:
my signature below 1. acknowledgethat, except for my personal residence in which I must have resided forat least one year prior to completion of the Improvements covered .bythis permit, I cannot legail
I 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
�fessions Code, is available upon request when this application is submittedor at the following Web site:http:/Avww.leginfo.ca.gov/calaw:html.
nature of Property Owner or Authorized Agent
.....,�.,.........,.. .. Date.
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 Profs ons Ce nd my I nse is in full force
ind effect. 02/01/2021
.icense Class, License No Date Contractor Signature.
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS• COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL. PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LA13ORMOF INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
] 1 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 thl
erformance of the work for which this permit is issued. Policy No.
rhave 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' compensatior
isumnee carrier iniTnnlinv n.. hIn. re-
r���l.umner_Expiration DER
-
Ji certify that, in the performance of wark. for this pe t 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 become sublect to t �WOE kers' pensatio visions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisigns.
Signature of Applicant J%�j \, l ;K S/ Date . 02/01/2021
DECLARATION REGAwING CONSTRUCTION LENDING AGENCY
hereby affirm undsr penalty 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).
_enders Name Lender's Address
3y my signature. below, I -certify to each of the following:
I am the property owner or authorized to act on the property o s behalf.
I have read this application and the information I have prov' d.is c ect.
I, agree to comply with all applicable city and count . 0 ances and a laws, rel ng to building construction.
. I authorize representatives of this city or cou t e er a abov riffled ertyfor inspection purposes.
Signature of Property. Owner or Authorized Agent Print. Property Owners: orAuthorized Agenfs NameTyleTFieldp 01/202]
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