HomeMy WebLinkAboutX2021-1510 - Permitswa•f,&F City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u r Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC
*X2021-1510* COMB Permit: X2021-151
Project No : 1323-2021
B � � y�x. -rr'� ; 1
3 �- �✓ d
Issued Date :
Inspection Arearea :2021
3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST
VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612412024 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: 401 15TH ST NB
Description: SFR 1 ENERGY STORAGE SYSTEM (ESS)
Legal Desc.: N TR 1218 LOT 31
Owner: FLORIANI DAN Contractor:
SADLER SOLAR Architect:
Address: 401 15TH ST Address:
801 GLENNEYRE
ST #A Address:
NEWPORT BEACH, CA 92663
LAGUNA BEACH CA 92651
Phone: Phone:
949-584-4800
Phone: State Lic:
Applicant: MILLER TIM Con State Lic:
982533
Engineer: MCPHERSON RYAN JAMES
,
Address: 801 GLENNEYRE ST STE A Lic Expire:
0413012023
Address: 6169 SUNNY CIR
LAGUNA BEACH CA 92651 Bus Lic:
BT30073175
MIRA LOMA CA 91752 ,
Phone: 714-906-1549 Lic Exp Date:
10/31/2023
Phone: 909-569-2244 State Lic:C-082088
'
Code Edit : 2019 Worker's Compensation Insurance
Designer: SADLER MIKE
,
Type of Construction: V-B Carrier:
EXEMPT NO EMPLOYEES
Address: 801 GLENNEYRE ST STE A
Occupancy Group: R3/U Policy No:
LAGUNA BEACH CA 92651 -
Added /New sq.ft. Bldg: 0 Expire:
Phone: 949-584-4800
Added /New sq. ft. Garage: 0
'
No of Stories: 1 Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: /
Bldg Height: 0
Left:
Bldg Sprinklers: Y
Right: /
Flood Zone: X Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $10,000.00
Building Permit Fee: $246.00 Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $214.02 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: $38.00 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 %:
$32.20
San Dist : $0.00
Building Green Fee : $1.00 Mechanical %:
$0.00
NMUSD Fee: $0.00 $0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $624.97
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$260.27 Fee Due at Permit Issuance : $364.70
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 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 (_) 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-Builderwill 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 legall3
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 Codo, it available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
JCFN�iED CONTRACTOR'S DECLARATION
hereby affirm under oenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0)�pf Division 3 of the Business and Pr ions Code, and my license is in full force
al.d ef.ect. License Class License No Dat Co— Contractor Signatur
.VOR;(ERS' COMPENSATION DECLARATION
N..RNING FAILURE TO'JECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH USAND DOLLARS ($100,000), IN ADDITION TO THE
-:OST OF COMPENSAf ION, UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herPhy affirm unoe. 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
c-nnnce of the work for which this permit is issued. Policy No.
I have 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' compensatio
!, iGe carrier and policy number are:
iurriz. Policy Number Expiration Date
Jame of gent Phone #
card 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
at, I hould becom su act to the wo kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J %
3i ture of Applicant .� >" Date GyL�
CLARATION REGAAAAbIN NSTRU TION LENDING AGENCY
hereby 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, Civ' 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 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 unty ordinances and state laws relating to building construction.
I authorize representatives of this city or c y to enter ab = ified party for inspection purposes. >'/1 A `-
Signature of PropertyOwner or Authorized Age �� Print Property Owner's or Authorized Agpnt's Na
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 610F TITLE 40 AND AQMD RULE
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMIT CANCELLED
EPA
PERMIT EXTENDED
AQMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
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'BESTS �PTIFICATION IS NOT APPLICABLE TO
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