HomeMy WebLinkAboutX2021-1455 - PermitsCity of Newport Beach • Building Division *X2021-1455* COMB Permit: X2021-1455
•', r 1 I,I I m", rl,.i it li�a(h 160 Project NO : 0624-2020
Permit Counter Phone (949)644-328E
Inspection Requests Phone (949)644-3255
+„ Issued Date
Combination Type - SFP MECH ELEC PLUM
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 7 POINT LOMA DR NB
Description. SFR - (CHANGE OF CONTRACTOR) ADD 265 SF (BED/BATH), 400 SF DECK, & REMODEL 2,680 SF
Legal Desc.: N TR 7432 LOT 56
W
Owner: ARYA SATYA PAL
DENISE
Contractor:
OEG CONSTRUCTION & MAINTENANCE INC
Architect:
-, u.
XAGORARAKIS
Address: 7 POINT LOMA DR
Address:
186 VIRGINIA PLACE
Address:
2778 LORENZO AVE
CA 92626
■{c_y�_.
CORONA DEL MAR, CA 92625
COSTA MESA CA 92627
COSTA MESA
State Lic:C037154U
Phone:
Phone:
949-642-3899
Phone:
949-422-4364
Applicant XAGORARAKIS DENISE
Con State Lid:
846483
Engineer:
SILVA CHRISTINA
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LU
Address: 2778 LORENZO AVE
Lic Expire:
09/30/2022
Address:
24482 MUELA
n_
O_
COSTA MESA CA 92626
Bus Lid:
BT30074954
MISSION VIEJO CA 92692
State Lic:C-037201 ,
/ t�
Phone: 949-422-4364
Lic Exp Date:
04/30/2022
Phone:
949-795-6256
Code Edit 2019
Worker's Compensation Insurance
Designer:
®
Z
Type of Construction V-B
Carrier:
STATE FUND
Address:
Occupancy Group: R3/U
Policy No:
9042191
'
Added /New sq.ft. Bldg: 266
Expire:
01/0112022
Phone:
Added /New sq. ft. Garage: 0
No of Stories. 2
Building Setbacks
Rear: 52-56
Special Conditions:
ROBERT'S WASTE
No of Units : 1
Front: 6
Bldg Height: 0
Left: 5
Rldn Snrinklers: N
Right: 5
Flood Zone:
X
Use Zone: PC3
Parking Spaces:
2
Fire Hazard Gone : N
Construction Valuation:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
$0.00
Plan Check Fee: $0.00
Additional Fee :
$6,302.90
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
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
Record Management :
$56.00
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
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
P/W Plan Check :
$0.00
Grading Bond:
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist :
$0.00
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
TOTAL FEE : $5,358.90
Plan Check Fee
: $5,358.90
Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the checkmark(s) I have placed nextto 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 Sectlojt 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
U I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of tl
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e
improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of comp)
6roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor
❑ 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 y
sell a structure that I have built as an owner -builder If It has not been constructed In Its entirety by licensed contractors. I unl
Professions Code,. is available upon request when this application is submitted or at the following Web site:hftp://www.leginf
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
and effect. License Class License No Date
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE Td SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will maintain a certificate of consent to self -Insure for workers' compensatlon, issued by the Director of
performance of the work for which this permit Is issued. Policy No.
131 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
insurance carrier and policy number are:
Carrier Policy Number
Name of Agent
work, and the structure is not intended or offered for sale (Section 7044,
ployees' or personal effort, builds or improves the property, provided that the
Ion, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
13 of the Business and Professions Code, and my license is in full force
Contractor Signature
CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
certify that, in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner s4 as to become subject to the workers' compensation laws of California, and
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith qomply with those provisions.
nature of Applicant
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which
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 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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -Identified property for Inspection purposes.
nature of Property Owner or Authorized Agent Print PrODertv Owner's or Aut
Date
permit is Issued (Section 3097, Civil Code).
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMITFINAL ❑ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF r'I' D�-1�. PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
Date