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Home My WebLink AboutX2017-1891 - PermitsCity of Newport Beach - Building Division V 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC MECH PLUM *X2017-1891* COMB Permit: X2017-1891 Project No : 1288-2017 Issued Date: 04126/2016 Inspection Area : 7 LOS ANGELES, CA 90049 Phone Applicant: VARISCO ROBERT Address: 19600 FAIRCHILD RD #295 IRVINE CA 92612 Phone: 949-679.6300 Code Edit: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Type of Construction: V -A -SPR Occupancy Group: 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 Added /New sq.ft. Bldg: Job Address: Description: 441 OLD NEWPORT BLVD NB St: 1 FI: 2 Unit: 200 COMM - TI "DR ROWSHAN" 2612 SF r=ya _ 3 Legal Desc.: Owner: P BK 163 PG 31 PAR 1Tkl"Y STEWARD FINANCIAL LLC Contractor: ZIGGURAT CONSTRUCTION INC Architect: JORDAN STEPHEN C r° " i? R Address: 825 S BARRINGTON AVE Address: 112 NANTUCKET LN Address: 19600 FAIRCHILD RD #295 Flood Zone: X LOS ANGELES, CA 90049 Phone Applicant: VARISCO ROBERT Address: 19600 FAIRCHILD RD #295 IRVINE CA 92612 Phone: 949-679.6300 Code Edit: 2016 Type of Construction: V -A -SPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $111.300.00 Building Permit Fee: $1,155.00 Plan Check Fee: $1,061.85 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $70.00 Energy Compliance: $77.91 CA Seismic Safety: $0.00 Disabled Access : $111.30 Hazardous Mat $0.00 Building Green Fea : $5.00 TOTAL FEE: $3,252.91 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: MIDWEST EMPLOYERS Policy No: BNUWC0140327 Expire: 04/19/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $302.38 $237.58 $194.39 Designer: Address: Phone: Special Conditions: Planning Department - ALISO VIEJO CA 92656 IRVINE CA 92612 Phone: 949326-6392 Phone: 949-679-6300 State Lic:C013586 Con State Lie: 1011940 Engineer: Lie Expire: 03/31/2020 Address: Bus Lie: BT30062903 $0.00 Lie Exp Date: 04/30/2019 Phone: State Lie: Worker's Compensation Insurance Carrier: MIDWEST EMPLOYERS Policy No: BNUWC0140327 Expire: 04/19/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $302.38 $237.58 $194.39 Designer: Address: Phone: Special Conditions: 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 PfW Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $1,424.41 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: omom o m omme comm mom. mo 0 a o 0 o mo • ° �iSOo ' $O.ob 0 am000 .$0100 $o 05 $0.00 $0.00 $1,828.50 o m m m c om � omm•o m mm..c m o 0 0 0000mr 0 0000 Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $1,424.41 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: omom o m omme comm mom. mo 0 a o 0 o mo • ° �iSOo ' $O.ob 0 am000 .$0100 $o 05 $0.00 $0.00 $1,828.50 o m m m c om � omm•o m mm..c m o 0 0 0000mr 0 0000 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 -Builder will have the burden of proving that it was not built or Im roved for the purpose of sale)., 1, 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 legal) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 704 he 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.html. Signature of Property Owner or Authorized Agent D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 f Divis' n 3 f the Bus rotes i my license is in full force and effect. License Class License No t Contra for Si ture WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H121RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under 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 perfor1wnee of the work for which this permit is issued. Policy No. I ave and will mamiain 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 incumncgcarrier aha t5licy number are: • Her ••.• Carrier . Polic umber Expiration Date .. Phone # Name of Agent ... I ceftfiy that, in tjle pp.Vorm nce e r w ' this permit is issued, I shall not employ any person in any manner so as to become subjecfto a workers' compensation laws of California, and agre thg?, if I should be Mme jact a co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision % [ Sigg ure of /• to DELA E NG CONS UC 0 ENDING AGENCY I R affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Se n 3097, Civil Code). LP4r1q?19 Varna—ender's Address By my signature below• .Certify to each of the following: • •I•am the property owner or authorized to act on the property owner alf. •.I•hGue read tblsapplication and the information I have provide sect. I agree to compl�uLith all applicable cit county ordin and sta s relating to building construction. Jue I authorize representatives of th' y or county to ant h abov 1 e ' ed property for inspection purposes. ` Si nature of Pro erty caner u rizec Agent Print Property Owners or Authofl Ag nt'ame a i ACTION DATE BY DgCle0ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE U E ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMITEXTENDED MD PERMITFINAL - -� tis TOS NOTIFICATI T BLE TO CERTIFICATE OF PRO SED DEMOUT OCCUPANCY ISSUED SIGN TUBE: (/