HomeMy WebLinkAboutX2021-1353 - PermitsCity of Newport Beach - Building Division *X2021-1353* COMB Permit: X2021-1353
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1192-2021
Permit Counter Phone (949)644-3288 ppp
Inspection Requests Phone (949)644-3255 -q r-->
M S P E CT F - Issued Date : 06/25/2021
Combination Type - BLDG ELEC ii..JJ 1 �.f jfi
Inspection_,�Aa : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY O6 OR PERMIT WI BE IN�'AI�ID,'
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:0 o work on Sundays or olidays,
Job Address: 3051 CAROB ST NB
Description: SFR ENERGY STORAGE SYSTEM
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Legal Desc.: N TR 5018 LOT 37
Owner: DAVUTOGLU DAVID Contractor: T RGY OPERATIONS Architect: OK
Address: 3051 CAROB ST Address:, ,- 10 PARKWAY AddVfSU
NEWPORT BEACH, CA 92660 .. �IRVINE CA 926 vv
Phone: 949-300-5152 �s,'Pho e: 50-6 Bpi Phone: off, State Lic:
Applicant: FOXX-SARMIENTO MELISSA I 888104 w' -, e ine� VNh ,
Address: 2102 ALTON PKWY STE B ,y pire L 12131 2 dress: ......
IRVINE, CA 92606 ✓ '..a• - Bus is 0 --
Phone: 702-785-2998 Lic g;0 8/ State Lic: ,1
Code Edit: 2019 y- WA'�ees Oa'}npa t i Insurance ; esi r: THURNEYSSEN ASHTON
T e of Construction: arrie` ZURICH AMERI s2102 ALTONPARKWAY STE B
Ocupancy Group: U s olicy No: WCg�: �.IRVINE, CA 92606Added /New sq.ft. Bldg: 0 �5-xpire: (7?
2"a t'1 Phone:
Added /New sq. ft. Garage: 0�s�d
No of Stories. 0 -- etba R Sped li
No of Units : 0 ,+ r jz,
Bldg Height: 0 Fd *: Left: / 10
- ^'cy j A
Bldg Sprinklers: ; Right: / `
Ino 11
Construction Valuation: $8,000.00
Building Permit Fee: $212.00 Ex a Ta ,1 Tanning Department - Fi�E e{9Pv
Plan Check Fee: $184.44 Ad Tonal C;�.3° $0.00 ", � Plan check Fee : $46.25 ��Pir�lnsp$0.00
Overtime Plan Ck: $D.OD Gra g B (6* Fair Share : $0.0�� F $47.50
Investigation Fee: $0.00 Gradi PC onsultant: \ $0.00 SJH .00 _ emolition Fee
Record Management: $0.00 Gradin Permit Fee: $0.00 n-lieu Housing Fe Building Dept Adm $0.00
Energy Compliance: $0.00 Gradin PC Fee: $0.00 Puhlic Wo party General Service $0.00
CA Seismic Safety : $0.00 WQ Ins Fee : .00 edi $D.00 Refund Deposit $0.00
Disabled Access: $0.00®te" P Check : $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical an Dist : $0.00
Building Green Fee : $1.00 Mechanic %: NMUSD Fee: $0.00 $0.00
Plumbing $0.00 $0.00
TOTAL FEE : $518.94 Plan Check Fee : $291.10 Fee Due at Permit Issuance : $227.84
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 items)
(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 nroperty, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Plofessio.is Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds .mproves the property, provided that the
il,nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder wi "'ia Eden of proving that it was not built or
improver for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Busines, rofessions Code: The Co tractors' 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 nt to the Contractors' State Licens Law).
I am exemp'trom li nensure under the Contractors' State License Law for the following reason:
ky my signature below 1 acknowledge that, except for my personal residence in which I must have reside east on year phi pletion of t(la ant overed by this permit, I cannot legall
sell a structure tiat I have built as an owner -builder if it has not been constructed in its entiretyb Ed contractors� d that a yppy , lA licable law, S ction_ 7044 of the Business and
Professions Code, is -.vailable upon request when this application is submitted or at the f g Web site:http://www.IE Info.ca.gov/c�l� h
Signature of Property Owner or Authorized Agent 0 to
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm Cri penalty of perjury that I am licensed under ons of Chapter 9 (co cing with SeG n 7 0 of i he as and Prof s Co , and my li s is in full force
: r.o cffa-t. License Class ense N _ Late - ontractor Signature
NGRKERS' CONDENSATION DECLA 3'
YARNING: FAILURE TO SECURE WORKERS' SATION COVE E U F LAND SHAI,U SUB AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TX dtsgrp DO ARs I$100,0001, IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS VIDED FOR IN SF�pTlO 3 I THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.,'y. _.
hereby the oB decI'a
affirm under penalty of per] onerof wi g atOns
I have and will maintain a certifl to of consent to self In'sure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 37
of the Labor Code, for thl
rerformance of the work forwhich thls'tpermlt is issued ''Policy No. -`
ve and will maintain workers coFnpensatlon Insurance, as required by Section 3700 of the Labor Code for the performance of the work for hic 't issued.
surance carrienan IlTolicy umber re; G� L�,s��,, - ?
y workers' compensatior
:arrier W'i ...-_Polk Number may -% � �. E*ratlon
y
Vame of Agent �;',G' "` 'PFione # ' s
lisEpermit is Issued] hall not employ any person m any`Lnanner so'.ato become spb)$C`� a wor s' co ensaC
I certify that, in the performance of the"cs�'Non
ws f California, and agree
hat, if should beco t o th worprovisions of'Section 3700 of the Labor Code, shall9orth l comffp>y(xsi Ii 1ii- rowsions.
Signature of Applica t -,� \ a
)ECLARATION RE(tAREI4GCdNSTRUCTI G AGENCY
hereby affirm under penalty of perjury that ther is a construc on lending ag th rmance of the work for which this permit i Ed (Section 9R, I I Co
.ender's Name ° and r' ddress S9'
3y my signature below, I certify to each of the foll ing:
I am the property owner or authorized to act o he p PIIPn s behf� ( CON /
I have read this application and the information haveEd is c Y
I agree to comply with all applicable city and ou ty p inance and state laws elating t Ing constructo
I authorize representatives of this city or cou e e b i fi p or inspection ses.
' S(,Jq
Y,
Signature of Property Owner or Authorized Agent, P rop ner's or Authorized Agent's Name
D t
ACTION
DATE
BYOF
COMPLIAN COQ; - DERAL
FOR OFFICE USE ONLY
R LATIONS PART 6 TLE AOIV D RULE
14
PERMITEXPIRED
' 27 J,{
U MI ESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMITEXTENDED
q D _
PERMIT FINAL
EST S TIF CATION IS
OT APP B E�TO
CERTIFICATE OF
PROPOSED E OLIT r (�
OCCUPANCYISSUED
SIGNATURE: i n P