HomeMy WebLinkAboutX2020-2682 - Permits�w City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII�IIIIIIII II COMB Permit: X2020-2682
100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 2 9 2 6 8 2 Project No : 0289-2018
w Permit Counter Phone (949)644-3288
u+Ct Inspection Requests Phone (949)644-3255
�'rt�rrrra�''* ' Combination Type - SFP
Issued Date: 11/1812020
9
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/1912023 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: 2889 WAY LN NB
Description: SFR •ADD'L SCOPE" INTERIOR DEMO WORK, ADD SKYLIGHTS & DECK 13 SF (DELTA 6)
Legal Desc.: CORONA DEL MAR LOT 1 BILK C-33 AND LOT 2 ELK C-33
INSPECTOR
Owner: ANIA LOWENTHAL
Contractor:
MOLA BUILDERS INC
Architect:
RADAC DARIAN
Address: 31441 SANTA MARGARITA PKWY
Address:
3334 E COAST HWY
Address:
16897 ALGONQUIN ST #C
RCHO STA MARG, CA 92688
NEWPORT BEACH CA 92625
HUNTINGTON BEACH CA 92649
Phone: 310-109-4476
Phone:
714-924-3137
Phone:
310-709-4476 State Lic:C-033451
° ° • °
Applicant: RADAC DARIAN
Con State Lie:
831729
Engineer:
SARKIS PETER
a •..:.
Address: 16897 ALGONQUIN ST #C
Lie Expire:
0212812022
Address:
20381 LAKE FOREST DR, STE 815
°
HUNTINGTON BEACH CA 92649
Bus Lie:
BT30048402
,p/tFOREST CA 92630
°
° • • ° °
Phone: 310-709-4476
Lie Exp Date:
0913012021
Phone:
r9 �A g��11 State Lic:8-005038
• °
m•••••
®N
°
••°°
Code Edit: 2019
Worker's Compensation Insurance
Designer:
C7-1 R
iA'J •
° • °
Type of Construction: VB
Carrier:
STATE FUND
Address:
�6f
• ®m • 0 0
Occupancy Group: R31U
Policy No:
9111013
• • ®° °
Added /New sq.ft. Bldg: 0
Expire:
08130/2021
Phone:
•
• • ° • ° °
°
Added /New sq. ft. Garage: 0
01V
o •. ° ®
m e
No of Stories: 2
No of Units : 1
Building Setbacks
Rear: 10'
Front: 5'
Special Conditions: REV20-1
URDe-t,,yy®�
y
° ° °
• • • •
......
° °
°.•.•°
®•®°
Bldg Height: 0
Left: 4'
Bldg Sprinklers: Y
Right: 4'
Flood Zone: AEIX
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $17,150.00
Building Permit Fee: $382.00
Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee:
$0.00 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 : $60.00
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: $2.23
WQ Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee : $1.00
Mechanical W
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $"5.23
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $445.23
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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)
-ction 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
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
�fessions 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
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 C_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
movements 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
(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
)ly 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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 legaly
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
fessions Code! isauailable upon request when this application is submitted or at the following Web site:hltp:/Lwww.leginfo.ca.gov/calaw.html.
nature of Property OQvner or Authorized Agent �a
SED CQM;F iCTOR'S DECLARATION
rreby affirm under pdhalty of perjury that I am licensed under provisions of Chapter•9 {commencing with a ton 700}1 of I ' io g e Bu iness and Professio e, a I my license is in full force
Nfget. License Class License No 0 Y� f �`"�� \ o2 vir ctor Signature
)RKERS' lWk4PNISATION DECLARATION
tZ4MPFAILURE TO SECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100,0001, IN ADDITION TO THE
IT OF COMPEN84MON.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
...
.rebyaffirm IirldeG pClnalty of perjury one of the following declarations:.
d JIgye and wilt 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 the
formrce of the work for which this permit is issued. Policy No.
e and will TnaiAain 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' compensatiol
Policy Number
of Agent
Date
ertify that, in the perfo n 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
if I shout ecco the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�
/ �nr / ,2 zo
CLARATION RpGARD11g0<0NSTRUCTION LENDING AGENCY
6reby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
lders 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 o er's behalf.
I have read this application and the information I have pr vi is correct.
I agree to comply with all applicable city and county ord' a s and slat I re stin to building construction.
I authorize representatives of this city or county to ent r t a�iove-ide Ie (� for inspection purposes.
mature of Prooertv Owner or Auth edod�RtAa A . Property Owner's or Authorized Agent'
ACTION
DATE I / BY
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
FOR OFFICE USE ONLY
Civil Code).
®'
PERMITEXPIREDLJISUBMITTED
ASBESTOS NOTIFICATION TO
win v • U 1
PERMIT CANCELL LED
EPA -
PERMITEXTE
OMD
^
PERMIT FINALL
CERTIFICATE OF
SBESTOS NOTIFICATION IS NOT APPLICABLE TO
OSED DEMOLITION
OCCUPANCYISSUED
U