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Home My WebLink AboutX2018-2820 - Permits1q} City of Newport Beach - Building Division t74 ` 100 Civic Center Drive, Newport Beach, CA 92660 µ s Permit Counter Phone (949)644-3288 0 Inspection Requests Phone (949)644-3255 cxrna'g " Combination Type - SFP COMB Permit: X2018-2820 IIIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIIIIIIIIIIII�NI Project No : 2988-2016 Issued Date : 10/1112018 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 225 VIA LIDO SOLID NB •- Description: DELTA 2, REVISE PLANS & CHANGE OF DESIGNER OF RECORD(tk+AN.G°G 6 -� ''CSN _r"al7Drt- Legal Desc.: TR 907 LOT 895 AND SELY1/2 LOT 894 AND NWLY 5 FT LOT 896 �•.-a-rm 1..; Owner: CURCI JANET Contractor: SKIBICKI CONSTRUCTION Architect: Address: 225 VIA LIDO SOLID Address: 12 BOXTHORN -' Address: NEWPORT BEACH, CA 92663 RSM CA 92688 ,-- Phone: 949-922-7779 Phone: 949-858.7604 Phone: State Lic: Applicant: SIPE BRIAN - Con State Lic: 550316 Engineer: JAFARI MASOUD Address: 1630 LUNETA DR Lic Expire: 12/3112018 Address: 23 ORCHARD #250 , DEL MAR CA 92014 J Bus Lic: OT97023656 LAKE FOREST CA 92630 Phone: 858-775.8732 - / Lic Exp Date: 08/31/2019 Phone: 949.206-9929 State Lic:S-003812 Code Edit: 2016 Worker's Compensation Insurance Designer: SIMAT GEORGE � Type of Construction: V-BSPR Carrier: WC EXMEPT Address: PO 141 Occupancy Group: R3/U Policy No: (NO EMPLOYEES) - BALBOA ISLAND CA 92662 Added /New sq.ft. Bldg: 0 Expire: Phone: 949-370-7200 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: REV18-1687 No of Units r 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 - Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $35.00 Plan check Fee : $0.00 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: $0.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing W, $0.00 $0.00 TOTAL FEE : $35.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $35.00 PROCESSED BY: 2.4 E. P IBLtC eOR99 APPROVAL: ' ZONING APPROVAL: CQ� of c c c` PLAN CHECK BY: GRADING APPROVAL: , APP,ROVAk TC -ISSUE: .. a m o o e u e o e c o 0 c ro c� 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•Is: Roca, 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 property, or my employees with wages as their sole compensation, will do U 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 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, 1 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:hltp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) ofpivis! 3 a Business and - ns orce and effect. License Class License No Date ��// ontractor Signature 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 Trance of the work for which this permit is issued. Policy No. 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' carrier and 018NIumber are: Policy Number Date i�ar[ge of Agent :— F none it 1crtify 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, Iso if I should become s s the we ;ers' p ation provisi of Se 1f"700/gftthhS)Abor Code, I shall forthwith comply with those provisions. ignature of Applicant Dat DECLARATION REG D G CG TR TI LEtNnNG 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, Civil Code). ender's Name Lender's Address y 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 count rdinances and state laws rel 'ng to but onstruction. I authorize representatives of this city or county fpente".W _ perty .for s purposes. %iwA.,, w9......�< ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE PERMITEXPIRED ❑ISUBMITTEDASBES:)S•'407 ICATION•FO •� • • •:° PERMIT CANCELLED LIEPA • • •• PERMITEXTENDED QMD • ° ° • +• PERMIT FINAL ASBESTOS NOTIFICATION IS NO PLICABLE -TAP CERTIFICATE OF I q OPOSED D OCCUPANCYISSUED V I / SIGNATU . • • • •• •• ••• • • •• •• •••