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HomeMy WebLinkAboutX2020-1924 - Permitsw City of Newport Beach - Building Division p: = `* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - :Inspection Requests Phone (949)644-3255 'fvroa,� Combination Type - SFP ELEC (Illl�llul�ll�l�ul��l�lll COMBoPerm it: 020-1924 zD Issued Date : 10/08/2020 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 1010912023 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: 6 VERNON NB Description: SFR PATIO COVER 360 SF (USING ALUMINUM ONLY) Legal Desc.: N TR 15333 LOT 24 Owner: BAGHERI SAEEDISUSAN Address: 6 VERNON NEWPORT BEACH, CA 92657 Phone: 949-706-3313 Applicant: CALHOUNA CHRISTINA Address: 840 S ROCHESTER AVE #C ONTARIO, CA 91761 Phone: 909-390-0555 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Valuation: Contractor: ROOMS N COVERS ETC Address: 840 S ROCHESTER AVE STE C ONTARIO CA 91761 Phone: 909-390-0555 Con State Lic: 517575 Lic Expire: 09/30/2021 Bus Lic: BT3007731638 Lic Exp Date: 1013112021 2019 Worker's Compensation Insurance VB Carder: PACIFIC COMP R3/U Policy No: WA00702200 0 Expire: 0611412021 0 Building Setbacks Rear: 10 Front: 10 Left: 5 Right: 5 X Use Zone: Parkin Soaces: Building Permit Fee: $381.00 Plan Check Fee: $266.75 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $0.00 CA Seismic Safety: $1.30 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $792.47 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect Address: Phone: State Lic Engineer: ROSEPINK DUSTIN KEITH Address: 109 EAST ESCALONES SAN CLEMENTE CA 92672 Phone: 949-388-9333 State Lic:S-005885 Designer: Address: Phone Special Conditions: SPECIAL FIRE PROTECTION Hazard Zone: Y Excise Tax: $0.00 Planning Department - Additional Fee: $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share: Grading PC Consultant: $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $26.67 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $47.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $313.00 Fee Due at Permit Issuance : $479.47 PUBLIC WORKS APPROVAL: aPLAf$ C;1ECK° B.: a 3 �.(.1t./j• ° ° ° �. A• APPROVAL TO ISSUE:o ° 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 Hem(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 ie 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 'rofessions Code) or that he or she is exempt from Iicensure 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 of 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, .usiness 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 nprovements 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 nproved 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 pply 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 Iicensure under the Contractors' State License Law for the following reason: ly 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 Iegalll ell a structure that 1 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://Wv .leginfo.ce.gov/calaw.html. ;ignature of Property Owner or Authorized Agent - Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licenseQQunder provisions of Chapter 9 commencing with Section 7 )Ill of D Isi n 3 of the Business and Pro ssi e, lice Is I oPi r nd effect. License Class � 1!� G `d`'i License No S� TE 7� Date 8 ZO Contractor Signatu VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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 erforDiance of the work for which this permit is issued. Policy No. Xhave and will ail lain 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' compensatioi surance carrier a licy numberpas;, p amer P ! Expiration Date ame of Agent k Phone # ]I certify that, in the p"pednury hi this p Issued, I sh ploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should becomensatio roo s of Se n 0 of the Labor Code, 1 shall forthwith comply with those provisions. ignature of Applicant Da� DECLARATION REGALE CY hereby affirm under pis a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cod . ender's Name Lenders Address y 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 p . d is core I agree to comply with all applicable city and county or n ces and a laws to b ' i construction. I authorize representatives of this city or county t t e a Iden ied y fo ction purposes. ignature of Property Owner or Authorized Agent I Print Property Owners or Authonzed Ag 1CTION DATE BY ECLARATION OFCOMft1AIrCE71TMbEOF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EMENDED OMD PERMIT FINAL ASBESTOS N •MAII CERTIFICATE FI TE OF � g� �'T �"� PR PO ASBESTOS NDE,, 6 I OCCUPANCYISSUED SIGNATURLI// /