HomeMy WebLinkAboutX2022-1159 - PermitsCity of Newport Beach - Building Division 111111111111111111111111111111111111111111[1111111111 COMB Permit: X2022-1159
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 1 5 9 Project No : 1065-2022
''{ n Permit Counter Phone (949)644-3288
7� Inspection Requests Phone (949)644-3255 Issued Date : 0611412022
°tii�,r.ary;,n* Combination Type - BLDG ELEC
Inspection Area :3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1113 KINGS RD NB
Description: SFR (5) ENERGY STORAGE SYSTEMS
Legal Desc.: N TR 1219 BLK E LOT 31
Owner: REED GREG & CAROLYN
Contractor:
SUN ENERGY BUILDERS
Architect:
Address: PO BOX 1245
Address:
4085 E LA PAMA AVE
Address:
NEWPORT BEACH, CA 92659
ANAHIEM CA 92807
Phone: 949-698-2091
Phone:
951-285-9828
Phone:
State Lic:
Applicant: FISHER ZACK
Con State Lic:
1033340
Engineer:
HAKHAMANESHI MANOUCHEHR
Address: 4085 E LA PALMA AVE, STE B
Lic Expire:
1113012023
Address:
317 N SAN FERNANDO BLVD
ANAHEIM CA 92807
Bus Lic:
BT30076867
BURBANK CA 91504
Phone: 9511285-9828
Lic Exp Date:
10/31/2022
Phone:
747-333-5991 State Lic:C-088083
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
Type of Construction:
Carrier:
CAROLINA CASUALTY INS
Address:
Occupancy Group: U
Policy No:
BNUWC0152753
Added /New sq.ft. Bldg: 0
Expire:
11/20/2022
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: /
Bldn Sorinklers:
Right: I
Flood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone :
N
Construction Valuation: $30,000.00
0
iz,
Building Permit Fee:
$559.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $486.33
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 %:
$73.17
San Dist :
$0.00
$0.00
Building Green Fee :
$2.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,221.00
Plan Check Fee
: $620.87
Fee Due at Permit Issuance :
$600.13
PROCESSED BY: �pc _ _ _ _- 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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
im 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
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 legall)
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.html.
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) f 'viS n 3 of the Business and Professio de, and lic se i in full for
and effect. License Class License No Dat L Contractor Signature
WORKERS' COMPENSATION DECLARATION
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,D06), 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 penalty 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
once of the work for which this permit is issued. Policy No.
h ve 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' compensatiol
insura ce carder and policy number are:
`B�r Policy Number Expiration Date
Vame of Agent Phone #
❑1 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 agre
hat, if I should become subject to thew ot, compe ation�ision�ction 3700 of the Labor Code, I shall forthwith comply with those provisions. CIE,
�/d / �d
signature of Applicant 'i< .1.i it
)ECLARATION REGAR NG O CTION LENDING
hereby affirm under penalty of pXrjury that there is a cons ction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws r lating to building construction.
I authorize representatives of this city or county toe a abo = ntifie o erty for inspection purposes.
Signature of Property Owner or Authorized Age, Print Property Owner's or Authorized Agent's NaCJDate ��yy
ACTION DATE BY ECLARATION OF PUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION
PERMIT EXTENDED L_IAQM D
PERMITFINAL `erg' sf ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: