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Home My WebLink AboutX2021-1236 - Permitsz��trk City of Newport Beach - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 s5...; Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC III�IIIIII�I�IIIIIIIIIIIIIIIIII II COMB Permit: X2021-1236 Project No : 1090-2021 Issued Date : 0610312021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B Y 06/03/2024 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: 1228 MARIAN LN NB ' Description: SFR INSTALL (2) WALL MOUNTED ENERGY STORAGE SYSTEMS Legal Desc.: N TR 1973 LOT 18 Owner: JONES JEFF Contractor: TESLA ENERGY OPERATIONS Architect: Cn Address: 1228 MARIAN LN Address: 2102 ALTON PARKWAY #B Address: NEWPORT BEACH, CA 92660 IRVINE CA 92606 Phone: Phone: 650-638-1028 Phone: State Lie: Applicant: FOXX-SARMIENTO MELISSA Con State Lic: 880104 Engineer: DE VERA ABELARDO Address: 2102 ALTON PKWY STE B Lie Expire: 12/3112022 Address: 22701 RASHDALL AVE IRVINE CA 92606 Bus Lie: BT30026827 CARSON CA 90745 Phone: 702-785-2998 Lie Exp Date: 02/28/2022 Phone: 888-765-2489X7526 State Lic:S-005185 0 Code Edit: 2019 Worker's Compensation Insurance Designer: TESCHENDORF GREG Type of Construction: V-B Carrier: ZURICH AMERICAN INS Address: 2102 ALTON PKWY #B Occupancy Group: 113/11 Policy No: WC107458303 IRVINE CA 92606 Added /New sq.ft. Bldg: 0 Expire: 10/31/2021 Phone: 702-785-2998 - Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zane: Parking Spaces: 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 : $46.25 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 P/W 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 %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,454.36 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $632.08 Fee Due at Permit Issuance : $822.28 rUCLI3 WORKS t Pr ROVAL: PI AN ChECK 3Y: 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(:) (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 fteapplicant 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 Cade) 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 U 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 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). ❑ I 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 legally 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.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section XM Business and P*eCadl, nd a .F ull force and effect. License Class License No Dateontractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT 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 ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th pe rmance of the work for which this permit is issued. Policy No. I have and wil tarn 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' compensatioi Insurance carrier d licy numb"re: /) _ (f J ,N co.AIA„ ,imhos Expiration Date ame of Agent c=7' 'f -il `-' Iy 151.q ' "' '" ]I certify that, in the perform nce of the work for which th' 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 lot, if I should become S be t e workers' compens do rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant D IECLARATION REGA DING C NS RU N LENDIN ENCY hereby affirm under penalty of perjury that there is a const ction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code). ender's Name Lender's Address ly 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 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. `/jA \n,� ' ( I authorize representatives of this city or coupty%toye to t'e-'In)tJ)•iedlo{]erty for inspection purposes. n pen/�1�17 ZC Iicnature of Property Owner or Authorized Agent /1 (�( (/ /t,�(, Print Property Owner's or Authorized Agent's Name - 9 D ACTION DATE BY/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA —� PERMIT EXTENDED ONO- ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO� PERMITFINAL (� CERTIFICATE OF ?'I 1� PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: