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Home My WebLink AboutX2021-1457 - PermitsCity of Newport Beach - Building Division s � 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC Il i iiiiii iiiii iiiii iiiii iiiii iiiii 7 II COMB Permit: X2021-1457 Project No: 1276-2021 Issued Date : 06121/2021 Inspection Area : 5 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/21/2024 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: 216 EVENING CANYON RD NB - Description: SFR - INSTALL (2) ENERGY STORAGE SYSTEMS Legal Desc.: N TR 1116 LOT 51 Owner: MADDOCKS VANCE Contractor: BRIGHT LIFE REMODELING Architect: .-z Address: 216 EVENING CANYON RD Address: 933 NEWHALL ST Address: CORONA DEL MAR, CA 92625 Phone: 213-683-4258 Phone: COSTA MESA CA 92627 908489-3911 Phone: State Lic:y z Applicant: MEYERS SEAN Con State Lic: 1029267 Engineer: Address: 933 NEWHALL ST Lic Expire: 07131/2021 Address: " COSTA MESA CA 92627 Bus Lic: BT30060652 Phone: 949-326-3162 Lic Exp Date: 09/30/2021 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: BARBA VIN� Type of Construction: VB Carrier: STATE FUND Address: 933 NEWHALL ST Occupancy Group: R3/U Policy No: 9053332 COSTA MESA CA 92627 Added /New sq.ft. Bldg: 0 Expire: 04/22/2022 Phone: 908489-3933 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard.Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $361.92 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 : $14.00 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 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $54.45 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 IITOTAL FEE: $941.12 Plan Check Fee PROCESSED BY: - ZONING APPROVAL: GRADING APPROVAL: $481.00 Fee Due at Permit Issuance : $460.12 PUBIC WJRRS APPROVAL: PLAN CHECK BY: APPROVAL rO.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 C_) 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 licensors 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 legalh 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 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 DY Iv sion 3 of the Business and Pr fessio Code, d my license is in full force and effect. License Class License No Date 2 Contractor Signatu 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 ($100,000), 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 penalty of perjury one of the following declarations: ❑ 1 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 performance of the work for which this permit is issued. Policy No. have andQl�k 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 carrlrqr'and policy numW are: ri Date of v 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 ogre if I should becomes so elect to t workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / / nature of Applicant Y 1JY ,�/J'�.0 . Date ! Z / 2 CLARATION REGA DI CONSTRUCTION LEND( G AGENCY Ireby 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, Civil Code). 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county t ent9Q�9the above -identified property for inspection purposes. �^ ��,�// �y�� nature of Prooertv Owner or Authorized AoenV..gl�. AL4.0 COCA Print Property Owner's or Authorized Agent's Name /4t.4/," Datg'� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO ! PERMITCANCELLED EPA II PERMITFINAL C [ Ul (q Y( rU ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ii v ` 1 PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: