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Home My WebLink Aboutx2018-0268 - Permitswt p City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 °u Inspection Requests Phone (949)644-3255 P"t�arriXs Combination Type - MFP ELECMECH PLUM COMB Permit: X2018-0268 x 2 0 1 s e z s a Pr9jeclYo 0F9Jro10170 • • ° ° Issded Ddte : 08102P2®i8 Inspection Area : 5 ° PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. • ° • ° e ° ° • ° 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. Ntswork OA7 Sua•deys or Holm s°.° Job Address: 703 112 JASMINE AVE NB Description: MFR DETACHED BONUS ROOM 379 SF Legal Desc.: CORONA DEL MAR BLK 736 LOT 3 Owner SZIGETI JOSEF C O C H® ontractor: M R OS CONSTRUCTION Architect. Address: 12 CORPORATE PLAZA DR #250 Address: 151 S. DONNA COURT Address: NEWPORT BEACH CA 92660 ANAHEIM CA Phone: 949-981-3300 Phone: Phone: State Lie: Applicant: MELILLO DAN Con State Lie: 728851 Engineer: DE CUIR JON Address: 2961 W COAST HWY #200 Lie Expire: 09/3012018 - Address: 5924 S PCH NEWPORT BEACH CA 92663 Bus Lie: BT30055998 REDONDO BEACH CA 90277 Phone: 949375-8310 Lie Exp Date: 0713112018 Phone: 310-849-2044 State Li¢C-054914 Code Edit : 2016 Type of Construction: V-BSPR Occupancy Group: R31U Added /New sq.ft. Bldg: 379 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: $67,462.00 Building Permit Fee: $3,238.00 Plan Check Fee: $2,467.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $9,976.80 PROCESSED BY: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9153615 Expire: 07129/2018 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: ZONING APPROVAL: ur �G`, GRADING APPROVAL: tJTA Rear: 5 Front: 20 Left: 3 Right: 3 $80.64 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $226.66 $129.62 $291.42 Plan Check Fee Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $2,387.00 NMUSD Fee: $706.66 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $9,976.80 PUBLIC WORKS APPROVAL: r PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER RECLARATION.. ... . . . I hereby affirm urlde►peneity of perjury thatd 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 items) (Section 7031.5, Business and P:Assions Code: Aril 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 sigr1& sl0meRt that'he orShe fa0litensed 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 Inyerrlplayees 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 Lode: line Contractors: SCate,Liaense 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 A4 TntP,tipd or p6A.red I& sale.' Jr hCuy6ver, 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 legally 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.html. 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 7000 iv' io 3 of the Business and "THOU 6 ase is in full force lIand effect. License Class z�9 License No -7-4-,-' G� Dat L Contractor Signal Y RKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDOLLARS I$100,000L IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 ice 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' compensa ,carrier and policy number are: Policy Number Agent Date I certify that, in the performance oft a 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 t, if I should becom subjec h ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) /� nature of Applicar�i D*<_ CLARATION REGARIDIAG CONSTRUCTION LENDING AGENCY :reby 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). 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 owners behalf. I have read this application and the information I have provided ' correct. I agree to comply with all applicable city and county o in s and s ate laws relating to building construction. I authorize representatives of this city or co gbea i enIifi�yGip-roo e�rty for inspection purposes. nature of Prooertv Owner or Authorized AGent —PfRnt Prooertv Owner's or Authorized ADent's Name/Y�/'( !J � Date 41 ACTION DATE BY/ DECLARATION OF COMPLIANCE WITH CODE OF II I REGULATIONS PART 61 O TTLE 40 AND AQMD RULE FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL 9j' y_ZI- D�� ❑ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF CPROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: