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Home My WebLink AboutX2021-0669 - Permits��tr IF4 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 i.. Inspection Requests Phone (949)644-3255 Combination Type -SFP ELEC 111111111111111111111p11111111111p1111111111111111 JillCOMB Permit: X2021-0669 x 2 0 2 1 0 6 6 9 Project No : 0610-2021 Issued Date : 04/26/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412612024 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: 205 CANAL ST NB Description: SFR ENERGY STORAGE SYSTEM (PV2021.041) Legal Desc.: N TR 772 BILK 11 LOT 3 V MOELLENHOFF LIVI DAVID Contractor: SADLER SOLAR Architect: ess: 205 CANAL ST t04drnr: Address: 30502 S COAST HWY #B4 Address::NEWPORT BEACH, CA 92663 LAGUNA BEACH CA 92651ne: Phone: 949-584-4800 Phone: State Lic: M Applicant: MILLER TIM Con State Lic: 982533 Engineer: MCPHERSON RYAN JAMES Address: 801 GLENNEYRE ST STE A Lic Expire: 04130/2021 Address: 6169 SUNNY CIR LAGUNA BEACH CA 92651 Bus Lic: BT30073175 MIRA LOMA CA 91752 Phone: 714.906-1549 Lic Exp Date: 10/31/2023 Phone: 909-569.2244 State Lic:C-082088 Code Edit : 2019 Worker's Compensation Insurance Designer: SADLER MICHAEL Type of Construction: V -B -SPR Carrier: EXEMPT NO EMPLOYEES Address: 801 GLENNEYRE ST#A ^" Occupancy Group: R3/U Policy No: LAGUNA BEACH CA 92651 Added /New sq.ft. Bldg: 0 Expire: Phone: 949-906-1549 Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: LIQUEFQCTION AREA No of Units : 1 Front: 5 AND 5 Bldg Height: 0 Left: 3 Bldg Sprinklers: Y Right: 3 Flood Zone: X Use Zone: R-1 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12.000.00 Building Permit Fee: $280.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $243.60 Additional Fee : $0.00 Plan check Fee : $46.25 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: $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 %: $36.65 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 : $655.00 1 Plan Check Fee : $260.65 Fee Due at Permit Issuance : $394.35 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: �a PUBLICINO&S APPROVAL: PLAN CHECK BY: 'APPROVAL TO ISSUE: J(.. `04 DG ) 4 LOO elJ OWNER -BUILDER DECLARATION a 'S - 1. ._ 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 itelt(i 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). 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 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) f Divisio-3 of the Business and Pro s s CoddQ, and my license is in full force and effect. License Class License No Date Contractor Signatur 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 ($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. 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 the Derformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work forwhich 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 agree t, if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant �..,��\ Dap ZG -91 IECLARATION RE*RDING CONSTRUCTION LENDING -AGENCY / — hereby affirm under(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). -ender's 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 owner's behalf. I have read this application and the information I have provided is correct. ` Iagree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coun to nter the above -identified property for inspection purposes. r signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 sat + •+• PERMITEXPIRED (SUBMITTED ASBESTOS Nt1TIFICA�ION TFT • ••• PERMITCANCELLED EPA i• • + + PERMITEXTENDED PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION •+ +•• " • ' +'• OCCUPANCYISSUED SIGNATURE: . . < •-• •-+ "