HomeMy WebLinkAboutX2020-2328 - PermitsCity of Newport Beach - Building Division
off: 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
'?r Inspection Requests Phone (949)644-3255 �( 2-0 2-0
�s Combination Type - SFP ELEC
III IXIIII ILII 0IIII Ilul VIII 333333 IIID IVII VIII III II
COMB Permit: X2020-2328
Project No : 1869-2020
Issued Date: 10/2012020
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4 Ll (o 1E I M we vio ,QN/e Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST` B1 E- COMPLETED BY 1012112023 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: 446 EL MODENA AVE NB
Description: SFR -(1) TELSA POWERWALL BATTERY BACKUP W/SUB-PANEL
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 27 LOT 12
;�P7T=TSA%Rr371:/A9CIL51a1:Y1
Address:
446 EL MODENA AVE
Investigation Fee:
NEWPORT BEACH CA 92663
Phone:
$0.00
Applicant:
FISHER ZACK
Address:
4085 E LA PALMA AVE
Disabled Access :
ANAHEIM CA 92807
Phone:
951-285-9828
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 : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $195.00
Plan Check Fee: $169.65
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
TOTAL FEE: $484.93
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: SUN SOLAR ENERGY SOLUTIONS INC- Architect:
Address: 8803 SCOBEE ST
BAKERSFIELD CA 93311
Phone:
Con State Lic:
1065395
Lic Expire:
04/30/2022
Bus Lic:
BT30072620
Lic Exp Date:
07/31/2021
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 1934264
Expire: 0510112021
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: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$25.53
$0.00
$0.00
Address:
Phone:
State Lic:
Engineer: HAKHAMANESHI MANOUCHEHR
Address: 317 N SAN FERNANDO BLVD
BURBANK CA 91504
Phone: 747-333-5991
State Lic:C-088083
Designer:
Fair Share:
Address:
SJH Trans :
Phone:
In -lieu Housing Fee
Special Conditions:
Public Works Department -
Park Dedication:
$0.00
Piro W....r Inn- - M
$0.00
Planning Department -
Fire Department
Plan check Fee:
$46.25
Fair Share:
$0.00
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee
$0.00
Public Works Department -
Park Dedication:
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
PlanCheckFegeo $235.28°°
°
mree Due at Permit Issuance : $209.65
°PjS bC WORKS APPROVAL: /` r�` /�j�
PLAN CHECK BY: A
SG ( 1% .
co oco 0 0 00o T�
APPROVAL TO ISSUE:
�oc c c o 0 0
e c e o o c
00 000 0 0 °o co 000
Fire Department
$46.25
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$47.50
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
mree Due at Permit Issuance : $209.65
°PjS bC WORKS APPROVAL: /` r�` /�j�
PLAN CHECK BY: A
SG ( 1% .
co oco 0 0 00o T�
APPROVAL TO ISSUE:
�oc c c o 0 0
e c e o o c
00 000 0 0 °o co 000
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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<equlres 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 theBusiness 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 (_) 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
improved 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 Iegall
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.htmi.
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 7000) of Division 3 of the Business and Professy�B�'�de, aD tem lic�Prr e' in full force
and effect. License Class License No Date /(Q�� Contractor Signature
WORKERS' COMPENSATION DECLARATION LA •T
WARNING: 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.
I hereby affirm under penally 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 thr
performance 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
I certify that, in the performance of thewo for which this ermit 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
that, if I should become subject a work ' comp ns provisions f Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applican Cate
DECLARATION REGARDING)20NSTRUCTION LENDING AGENCY
I hereby affirm under penalty erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 county o dinances and s ate laws relating to building construction. /7
I authorize representatives of this city or county t er t ataeue- c ntitied opert inspection purposes. /_�
Sianature of PrODertv Owner or Authorized Aae1� _ Print Property Owners or Authorized Agent's Nam ��Gt(...tL_ I Date
ACTION DATE B'I'B Lf DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
I
OCCUPANCYISSUED
UASBESTOS NOTIFICATION 15 NOT APPLICABLETO
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