HomeMy WebLinkAboutX2022-0525 - PermitsCity of Newport Beach - Building Division- 'X2022-0525' COMB Permit: X2022-0525
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0472-2022
Permit Counter Phone (949)644-3288
v. Ly Inspection Requests Phone (949)644-3255
Issued Date : 04/27/2022
Combination Type - BLDG ELEC Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WIL4oU 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
ays
Job Address: 25 RUE GRAND DUCAL NBt(3�
Description: SFR ENERGY STORAGE SYSTEM AND PANEL UPGRADE 200 AMPS
Legal Desc.: N TR 7788 LOT 31
c
Owner: LIN CAN
Contractor:
BAKER ELECTRIC
HOME ENERGY Architect:
Address: 25 RUE GRAND DUCAL
Address:
2120 HARMONY GROVE RD Address:
NEWPORT BEACH, CA 92660
ESCONDIDO CA 92029
Phone:
Phone:
877-578-8080
Phone: State Lie:
,
Applicant: STOA RHIANNA
Con State Lic: 858088
Engineer: VINCI RICHARD JAMES
Address: 2120 HARMONY GROVE RD
Lic Expire:
04/3012023
Address: 175 E WILBUR RD #103
ESCONDIDO, CA 92029
Bus Lic:
BT30065942
THOUSAND OAKS CA 91360
Phone: 760-310-5114
Lic Exp Date:
02/2812023
Phone: 805-496-2100 State Lic:S-004411 "
Code Edit: 2019
Worker's Compensation Insurance
Designer:
"•'
Type of Construction:
Carrier:
OLD REPUBLIC INS Address:
Occupancy Group: U
Policy No:
MWC31255521
Added /New sq.ft. Bldg: 0
Expire:
0310112023
Phone:
,
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
No of Units : 0
Front: /
> > >
Bldg Height: 0
Left: I
....,
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $35,000.00
'
Building Permit Fee: $619.00
Excise Tax:
$0.00
Planning Department - Fire Department
'
Plan Check Fee: $538.53
Additional Fee :
$0.00
Plan check Fee : $52.00 Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $124.00
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
PM Plan Check : $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical W
$81.03
San Dist : $0.00
Building Green Fee : $2.00
Mechanical W
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,416.56
Plan Check Fee :
$628.23 Fee Due at Permit Issuance :
$788.33
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)
(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 (_) 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 legall.
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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.htm].
,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 f Chapter (commencing with Section 7 ) of Di ision 3 of the Business and Professi ode, and my license i fo
and effect. License Class C,1 O , C4lo License No �' /_00 Date JV Contractor Signature AJ
WORKERS' COMPENSATION DECLARATION
WARNING: FAILUREjO 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 COMPENSA'.IUN, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I I itrdUy affirm ur,6er )enalty 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 th
p-rfor/man�ce of the work for which this permit is issued. Policy No.
Q ai'f ve and WEE mcintain 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
irsura'I ;e carrier anq podcy number
Ca. r:s:()['IC) r-` Policy Number Expiration Date
Na.ce cf Agent Phone #
oerbi t that, in the performanoie of the work for which this I
if I should bacoroe aubi#9f 0 the workers' compensation
of
.d, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date 1(
CLARATIONREGAPDING CONSTRUCTION LENDING AGENeY
;reby 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
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 county O mantes and state laws relating to building construction.
I authorize representatives of this city or county torfAr the above-identifii e r Inspection purposes.
nature of Prooertv Owner or Authorized Agent lJ✓J�) �� Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLARATION OF II REGULATIONS PA T0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND ADMD RULE RAL
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DEPA
PERMIT EXTENDED
DMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
/
s 2
/'
fJ7�/L�
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
Civil Code).
Date