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HomeMy WebLinkAboutX2020-1765 - Permits (3)t�'xtor City of Newport Beach - Building Division G 100 Civic Center Drive, Newport Beach, CA 92660 F, s Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC MECH ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiI �� COMB Permit: X2020-1765 x 2 0 2 0 1 7 6 5 Project No: 1408-2020 Issued Date : 10/26/2020 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/27/2023 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: 3514 SURFVIEW LN NB Description: SFR -ADD GUEST SUITE 409 SIF Legal Desc.: N TR 6228 LOT 3 Owner: KATZ ROBERT Contractor: RJ TANNER CONSTRUCTION Architect: RANIERI RANDY Address: 3514 SURFVIEW LN Address: 893 OAK STREET Address: 206 112 ABALONE AVE ryl CORONA DEL MAR, CA 92625 COSTA MESA CA 92627 NEWPORT BEACH CA 92662 Phone: Phone: 949-236 4856 Phone: 714-296-5502 State Lic:CO24225 Applicant: TANNER JEFF Con State Lic: 744104 Engineer: MORRIS KYLE Address: 893 OAK ST Lic Expire: 1213112021 Address: 1401 DOVE ST #520 COSTA MESA CA 92627 Bus Lic: BT98043220 NEWPORT BEACH CA 92660 Phone: 949-235-4856 Lic Exp Date: 06130/2021 Phone: 949-502-5323 State Lic:C-072911 Code Edit: 2019 Worker's Compensation Insurance Designer: r� Type of Construction: VB Carrier: PREFERRED PRO INS Address: Occupancy Group: R3/U Policy No: ONOB97402 Added /New sq.ft. Bldg: 409 Expire: 06101/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 6 Special Conditions: No of Units : 1 Front: 20 Bldg Height: 0 Left: 6 Bldg Sprinklers: N Right: 6 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $81,000.00 Building Permit Fee: $1,328.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $978.00 Additional Fee : $0.00 Plan check Fee: $185.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $34.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $10.53 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $258.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $92.96 San Dist: $994.00 Building Green Fee : $4.00 Mechanical %: $53.12 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $3,998.61 Plan Check Fee : $1,166.00 Fee Due at Permit Issuance : $2,832.61 PROCESSED BY: PUFLIO 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 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 t0 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 Cade) 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 L) all of or L) 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 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 legall, 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty o erjury that I am licensed under provisions apter 9 commencing with Section 70 ivision 3 of the Business and Prof ssio n y license is in full force and effect. License Class �- License No Date &a ntractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: 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 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 oerfprmance of the work for which this permit is issued. Policy No. QI have and will mapqtain workers' mpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi nsurance carrier andcy numb r barrier \li- of per Expiration Date lame of Agent Phone # �I certify that, in the performance oft a rk for which this p nnit 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 :hat, if I should become subject to the a com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s0 Signature of Applicant DLt\_& r DECLARATION REG DI G CONSTR ENDING AGENCY hereby affirm under nalty of perjury t at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 owners behalf. I have read this application and the information I have provided' rect. I agree to comply with all applicable city and count rdina state laws relating to building construction. I authorize representatives of this city or county nter a-i d property for Is ecurposes. -. Signature of Property Owner or Authorized A ent Print Property Owners or Authorized Agent's a e D ACTION DATE BY D R TI COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY . 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