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Home My WebLink AboutX2021-2670 - Permitsvrr�e City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC COMB Permit: X2021-2670 IIIIXIIIIIIIIIIIIIIIIIIII�llllll�llllllll�llllu II Project No: 2312-2021 Issued Date : 10/13/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011312024 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: 623 IRVINE AVE NB - - . - - - - - Description: SFR ENERGY STORAGE SYSTEM 27 KIN Legal Desc.: NEWPORT HEIGHTS LOT 28 SWLY 40 FT SELY 145 FT Owner: SPETH DOUGLAS ROBERT Address: 623 IRVINE AVE NEWPORT BEACH, CA 92663 Phone: Applicant: FOXX-SARMIENTO MELISSA Address: 2102 ALTON PKWY STE B IRVINE CA 92606 Phone: 702.785-2998 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: TESLA ENERGY OPERATIONS Address: 2102 ALTON PARKWAY #B IRVINE CA 92606 Phone: 650-638-1028 Con State Lie: 888104 Lie Expire: 1213112022 Bus Lic: BT30026827 Lie Exp Date: 02/28/2022 2019 Worker's Compensation Insurance Carrier: ZURICH AMERICAN INS U Policy No: WC107458303 0 Expire: 10131/2021 0 Building Setbacks Rear: / Front: I Left: I Right: I Use Zone: Parking Snares n Building Permit Fee: $331.00 Plan Check Fee: $287.97 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: $663.30 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: LL Stc: DE VERA ABELARDO 22701 RASHDALL AVE( , CARSON CA 90746 ��"� 'p 888.765-2489X7526 StkUic:S-005185 OL Special Conditions: Fire Hazard Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 Electrical %: $43.33 San Dist: $0.00 Mechanical %: $0,00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: • o •°°•° 0 0 • o .• .• •• • �$OK81• • °•°•• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $360.13 Fee Due at Permit Issuance : $303.17 PUBLIC WORKS APPROVAL: PLAN CHECK BY: \ ' APPROVAL TO ISSUE: K`� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far 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 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 theqQ�6giness 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 peTw Iy 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 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 0 'a year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. l 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://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of jyry rat I am licensed under provisions pf �elv� r Wmmencing with Section 70 I�),o D si 3 of the Business and Profs slit s Code, and y cel se is in full force and effect. License Class L License No XX CS l(Jf Date '.� Contractor Signatu WORKERS' COMPENSATION DECLARATION v T 7 NARNING: FAILUX&F SMURE 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. Thereby of irm�Mter%enalty of perjury one of the following declarations: 4 I hale and 1116Aaintain 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 thI rptance of tht work for which this permit is issued. Policy No. have and J'1"Ifi;tain workers' compensation insurance, as required by Section 3700 of the Labor Code, for they performance of the work for which this permit is issued. My workers' compensatior /" /' �T Policy Number `yA"U cl a Expiration Date 4Z.;� Agent Phone # tTlgy that, iR the,performance of the work for which this permit is issued, I shall not employ any person in any if Ishould bggdh},Qsuo�iqt to the workers; cgm)Jensation provisions of Section 3700 of the Labor Code, I shall of so as to become subject to the workers' compensation laws of California, and agree r comply with those provisions. DatE iECCARATION REGARDING CONSTRUCTIO J ,ENDING 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 Ender's Name Lender's Address y 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. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cou ty tt rr above --id Pied property for inspection purposes. /J�/p/ lnn.h,re of PrnnaAv owner nr Aufhnrizeri Aoe=S/'r/�1% %�G/iSl/,11. Print Prooertv Owner's or Authorized Aaent's Named ell S� Civil Code). ACTION DATE BY DECLARATION OFKOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED UEPA PERMIT EXTENDED QM D PERMITFINAL CERTIFICATE OF �P� b ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: