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Home My WebLink AboutX2020-1351 - Permits�Yt City of Newport Beach - Building Division # ". 100 Civic Center Drive, Newport Beach, CA 92660 �., Permit Counter Phone (949)644-3288 si Inspection Requests Phone (949)644-3255 Address: Combination Type - BLDG PLUM *X20201351* COMB Permit: X2020-1351 Project No : 1938-2018 Issued Date : 06/10/2020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611112023 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: 19 ST TROPEZ NB Description: MFR 4'H DETACHED GAS PREFAB FIREPLACE INSPECTOR Legal Desc.: TR 9858 LOT 4 UNIT 38 OF PROJECT LOCATED ON AP 461.131.39 TOGETHER Owner: MOUTSATSON SOPHIA G & JOHN Contractor: KESKY EDDIE GENERAL CONTRACTOR INC Address: 19 ST TROPEZ Address: 10841 BLOOMFIELD STREET Address: $0.00 NEWPORT BEACH, CA 92660 $0.00 LOS ALAMITOS CA 90720 $0.00 Phone: 949.400-4302 Phone: 562-795-5755 Phone: Applicant: KESKY EDDIE GENERAL CONTRACTOR INC Con State Lie: 766265 Engineer: Address: 10841 BLOOMFIELD STREET Lie Expire: 09/30/2021 Address: LOS ALAMITOS CA 90720 Bus Lie: BT30057336 Phone: 562.795-5755 Lie Exp Date: 11/3012020 Phone: Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $2.000.00 Building Permit Fee: $104.00 Plan Check Fee: $90.48 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $204.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: REDWOOD FIRE Policy No: EDWC113447 Expire: 01/0112021 Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.36 Designer: Address: Architect: State Lie: MONTGOMERY MARTELLB 2226 FARDAY AVE CARLSBAD CA 92008 .... 760-931-0290 State Lic:C-050344 0 0 ommo ommoon m m m m mo m Phone: c..L�,� Special Conditions: h10 SC's ` 0a (-S Planning Department - Fire Department Plan check Fee, Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 c m c000cc 0 co C 0 mm.. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $204.84 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 m o 0 oe m 0000co o c 0 0 ae®000 m omo0c Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: c m c000cc 0 co C 0 mm.. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $204.84 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 m o 0 oe m 0000co o c 0 0 ae®000 m omo0c 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 (_) 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 7i 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. >ignature of Property Owner or Authorized Agent Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectin70 0) fvi n.3 of the Businss and Profs ode, a Ind effect. License Class License No Da (l ContraSignatur VORKERS' CQNPUNSATION DECLARATION %RNING: FfAILURE TO ORDURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLI :OSTiQF4MPENSA'DgI� DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Rereby Affirm uad&ppalty of perjury one of the following declarations: of the Business and license is in full force ($100,000), IN ADDITION TO THE .gage and willmaintain 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 xmance of the, work•for which this permit is issued. Policy No. • .••I fitl�eand will mainlein 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' compensa inp: .... carrier number are: Policy Number Expiration Date ertik that, n the, Narforman of o 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 111 should ¢�bbmeSubje to t or rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` ••.• 6 -/o dtl]re of A f! ca0t • � RZD CLARATION REGARDING CONSTRU ION LENDING AGENCY :reby affirm under penalty of perjuryat 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 isWde I agree to comply with all applicable city and county or Inanc ws relating to building construction. I authorize representatives of this city or r�ounty toe er th ovd property forinspection purposes. ^ —+—..f 0r,.—du n...,., �r A„1hnriv, A„a,>� Print Prooertv Owner's or Authorized ADent's N e DATEI BYE DECLARATIOI REGULATIONN9PATGI OFANCE WITH TIITE 40AND ODE OF ACMD RULE AL I FOR OFFICE USE ONLY PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL I/0_,5_22 i3j,U ASBESTOS � GNATURE:NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OFPROPOSED DEMOLITION j OCCUPANCY ISSUED je,'/6 <