HomeMy WebLinkAboutX2021-0685 - Permits�( City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-06E
.`' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 6 8 5 Project No : 0626-2021
E: t� Permit Counter Phone (949)644-3288
u, '+e Inspection Requests Phone (949)644-3255 s
Miry i,yps� Combination Type - SFP ELEC y Issued Date: 04106I2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMP TED,BY 0410612024 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a. 6:D.M. No work on Sundays or Holidays
Job Address: 1807 BUTTONSHELL LN NB
Description: SFR INSTALL (1) ENPHASE ENPOWER BATTERY STORAGE SYSTEM TO (E) PHOTOVOLTAIC SY /� !�
Legal Desc.: N TR 3763 LOT 90 �\�' r\ocj + S P E C�t ) s;.,f
Owner: MAROSI HEDDA Contractor: ALTAIR SO�L.' .`INC �j itect - V 1'
Address: 1807 BUTTONSHELL LN Address: 15375 B CAP 1-104 Address:
NEWPORT BEACH, CA 92660 >- IRVINC�° p 261_Ba10
Phone: Phone: , 949-783-8�1 Phone: State Lic:
Applicant: MALLISHO SUHAIB Con Oats Lic: 001983 �O�'` Engineer:
Address: 15375 BARRANCA PKWY 1-104 plre. 0313112023 .� Address:
IRVINE CA 92618 - us Lic BT3i1053293
Phone: 949-502-0565 Lic Exp ate 08131/2021 Phone: to Lic:
Code Edit: 2019 Worker'S'C`ompensation Insurance Designer:
Type of Construction: VB farrier STATE COMP INS), Addres
Occupancy Group: R31U Policy No: 9129296
Added /New sq.ft. Bldg: 0 Expire. 0312812022, '� P,
Added /New sq. ft.Garage: 0 -
No of Stories. 1 Building Setbacks Rear I r'" s itions:
No of Units' 1 Front I
BldgHeight: 0 Left I
Bldg Sprinklers: vim' Right: 1 J�, ,a�� •�+�1�' !"
Flood Zone: X q. ,y - Use Zone Parkin Spaces: 0 .y' ,, ,� Fire Haze r one'
Construction Valu on: 14999
xP
Building Permit Fee: $331.0 Excise Tax $0 00 Planning Department-;, ;, Fire Department
Plan Check Fee: §28 7 Addi.�eta1 Fee $0.00 Plan check Fee : // �4§m3'5 Fire Inspection: $0.00
Overtime Plan Cl $0.0 el , Grading Bonds Fee: $0.00 ® Fair Share : ;/ 6.00 Fire Plan Rev $47.50
Investigation Fee: 0.00 rading PC.Consultant $0 00� SJH Trans`` s $0.00 Demolition Fee
Record Management: $1 00 ding Permit Fee $0.00 -•�� In -lieu Housing Fee $0.00 Building Dept Adm $0.00
Energy Compliance: $0. r Ing PC Fee: $0.00 Public orks Department General Service $0.00
CA Seismic Safety: $0.0 �€+ sp. Fee : $0 00 ,\ .CP, Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 sj �'' / rM Plan -Check : $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 electrical%, 4 r>;?>6�.0 I San Dist': $0.00
Building Green Fee: $1.00 MechanicaF° .Np '�-.� $0.00 NMU$D Fee: $0.00 $0.00
TOTAL FEE : $731.72 ° �,. F,�. P Cheea: i, $731.72 Fee Due at Permit Issuance : $0.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
coon 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 far
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
fessions Code) or that he or she is exempt from Iicensure 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
more than five hundred dollars ($500).
J 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (—) portions
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, th h f
mprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one ye comp
reproved for the purpose of sale).
I, as owner of the amperty, am exclusively contracting with licensed Contractors to construct the proje Section 7044,
Ipply to an owrr_r of property who builds or improves thereon, and who contracts for the projects with a-Rcensed Contractor
1 I, %,m exempt from licensure under the Contractors' State License Law for the following reason.
3y my signature behw I acknowledge that, except for my personal residence in which I must have resideQ'�r at leas] y
IEII a structure that I have built as an owner -builder if it has not been constructed in its entirety by lice contra . I un�
lrofessions Code, is available upon request when this application is submitted or at the -following I
Ite:htt Y legini
signature of Pro{ eY.7 Owner or Authorized Agent '.
_ICEN3ED Conde P.ACTOR'S DECLARATION94, mgrt fpq�4
hereby affirm tenon penalty, of pe 'qry- m licensed under provisions o��¢'(Iapter grq c t obit' n B 0) -
ind ettPct. License Cass License No YIr7 6 1 ?( Ff d't (-/�•
VORKERS' COMPENSATION DECLARATION
and. the structure is not intended or offered for sale (Section 7044,
s' aPpersonal effort, builds or improves the property, provided that the
Owne(,Builder will have the burden of proving that it was not built or
an rofe'5ions Code: The Contractors' State License Law does not
to th ontYar�tors' State License Law).
' s
t omple n Df" g improvements covered by this permit, I cannot legal
hat a copy they',' plicable law, Section 7044 of the Business and
'calaw.himl.
Date
3 of the Beaj Bess a P•r6fessiono9fiv, and my license is in full force
IAININC: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is U 'AWFUL, AND 3 LL SUS.(EqT AN EMPLQQYY�� O CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE He
:DST OF COMPEKSATION; 7AMAGES AS PROVIDED FOR IN SECTION 3703 E LABOR a E, INTERF,ST, AND ATTORN17S FEES.
lelzs; affirm under penalty of perjury one of the followln I CIS tions "
3 I have and wit ruwintain a certificate of consent at sal f'or workers' compensation issued by the Director of Industrial Rel rovided for by
ormance of the work for which this permit Is is "�d. P IO
II have and will maintain workers' earn tion in , as required by Section 3700 of the Labor,;, ode, for the perform o the ork far which thi
` e
isurance carrier and policy number e: c9 /' . - dl
;arrier _ Policy Number - Lam+ ES hatkm Date
lame of Agent -- 8. _ c_O�hone # _
certify that, in the performance of the rk fothis permit is Issued IS. all not employ any person in
IfI should beco subject to the orkers c00
nsa On provisions of&>sstion 370q of the Labor Cod ,
nature of App I /) i a>
CLARATION REGARDING CONSTRUCTI N N GENCY
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of
Ider's Name Lender's Address _
my signature below, I certify to each of the following:
I am the property owner or authodzed to act on the property pYrler s behalf.
I have read this application and the informati n I have proyfrPed is correct.
I agree to comply with all applicable city and c� ordinances an a t a us feting to building car
I authorize representatives of this cilkr�nt enter the above 't'a to er �fpr inspectiony
of
DATE I BY
PERMIT
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
o - -, ,p Print Pv5p
DECLARATION C}FtkOMPLYAfItt WITH COD FEDE
REGU TIONS PARTfi4'OF TITLE 40 AN q1 RUV
II1�4T0X- J 11
LJIsU MITTED ASBESTOS NO ICATION
EPA
QMD
ASBESTOS NOFIFICATIO�N PPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
work for which
DOLLARS 1$100,000I, IN ADDITION TO THE
of the Labor Code, for
My workers'
become sir ct to wor s compensation laws of California, and agre,
with th prov s. - / /,'//
Data
% ,LL"t
OFFICE USE ONLY
3097, Civil Code).
Date