HomeMy WebLinkAboutX2021-1885 - Permitsaat City of Newport Beach - Building Division *X2021-1885* COMB Permit: X2021-1885
c. 100 Civic Center Drive, Newport Beach, CA 92660
PP v !+o Project No: 1622-2021
Permm , , n
Inspection
ion Req Phone (949)443288 X ZC) Z� _ p o s � p
c�: � Ins ection Re nests Phone (949)644-3255 � J
-rlrra�u+"`� Combination Type - BLDG ELEC T/n^1 ars �� Issued Date : 07/23/2021
.. - 121 J c E.. -t 1 Ve Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0712312024 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: 127 JADE AVE NB
Description: SFR - ENERGY STORAGE SYSTEM (PV2021-115)
Legal Desc.: BALBOA ISLAND SEC 5 BLK 3 LOT 16
Owner: BAKSHI BOB & GAYLE
Contractor:
ENLIGHTENED
SOLAR Architect:
Address: PO BOX 801504
Address:
927 CALLE NEGOCIO UNIT D Address:
SANTA CLARITA CA 91380
SAN CLEMENTE CA 92673
Phone:
Phone:
949-427.8400
Phone:
State Lic:
....
m e
Applicant: HELD JOSH
Con State Lic:
1064613
Engineer:
e...
Address: 927 CALLE NEGOCIO
Lic Expire:
03/31/2022
Address:
SAN CLEMENTE CA 92673
Bus Lic:
BT30073693
e m
. m
Phone: 480/221-3639
Lic Exp Date:
12/3112021
Phone:
State Lic:
em c
Code Edit: 2019
Worker's Compensation Insurance
Designer:
o. e
® e e
o m
Type of Construction:
Carrier:
STATE COMP
Address:
.
Occupancy Group: U
Policy No:
9283669
Added /New sq.ft. Bldg: 0
Expire:
09/05/2021
Phone:
Added/New sq. ft. Garage: 0
°
c00000
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
e. e
No of Units: 0
Front:
Bldg Height: 0
Left: /
o e
.O..°.
Bldg Sprinklers:
Right: /
......
....
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $10.000.00
Building Permit Fee: $246.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $214.02
Additional Fee :
$0.00
Plan check Fee, $52.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$48.50
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 %:
$32.20
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 : $593.72
Plan Check Fee :
$314.52 Fee Due at Permit Issuance :
$279.20
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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)
ction 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
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
fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
(roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
fly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall}
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
�fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Prop@R? %vner or Authorized Agent Date
:ENgED CONTOACTOR'S DECLARATION
a?" -affirm ulndel.penalty of pey that I am licensed under provisions of Chapter$ (commencing with Secti 00) of vi 'on 3 of the Business and Profe siops-Gads, n rpytic a is in full force
1 effect. License Class C��/L-� License NoyG- / 5 Date Contractor Signatur G�
)2KERS' COMPENSATION DECLARATION J
ZNING: FAILURE 40 SECYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE
tj OR JOMPEN!?ATI601U, IMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Irdbq affirm ander penalty of perjury one of the following declarations:
T te1se and will�melntain 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
PI'Mance of the work for which this permit is issued. Policy No.
have
�hav� and wiIF main�lain 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
ir>Tree carriereoJ policy number are:,+ Expiration Date
ri� a: . . < / �'��_ Policy Number P
me of Agent - e Irnone s
I certify that, in the performance of the work for which 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
I, if I should becomeAubject to theworker s:compensati provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Inature of Applic nt /'\ �~� j Date
CLARATION RE§i�+RD _ STRUCTION LENDING AGENCY
areby affirm unde 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 C de).
ider's Name Lender's Address
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.
I agree to comply with all applicable city and co my ordinances and state law Iating to building construction. n ppp /
I authorize representatives of this city or ceu t to enter t ove�id tifi operty for inspection purposes. Ay //[/,� �/t \/ r� /
Inature of Pmoertv Owner or Authorized ADen ;� ! Print Property Owner's or Authorized Agent's Name \bS , Iter-- r/ Daten 7 /1
ACTION DATE BY y 15 CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMITFINAL TOS OTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF /J /) �/,�(�� ROPOSE MOUTION
OCCUPANCYISSUED //' I �/I/Vp SIGNATOR. � �]�
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