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Home My WebLink AboutX2019-1841 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-184 .� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 6 4 1 Project No: 1328-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 08/1212019 Combination Type - BLDG PLUM Inspection Area : 3 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: 1022 WEST WIND WAY NB Description: DEMO SFR (4 BEDROOMS) 3251 SF - ®A Legal Desc.: N TR 4224 LOT 184 Owner: LEVINSON RONNI Address: 1022 WEST WIND WAY NEWPORT BEACH, CA 92660 Phone: Applicant: SAMSAMI ALI Address: 1401 QUAIL ST #120 NEWPORT BEACH, CA 92660 Phone: 949-851-8345 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $22 Building Permit Fee: $103.00 Plan Check Fee: $208.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,343.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: LEWIS R W CONSTRUCTION Architect: Address: 1863 BAYPORT WAY Address: NEWPORT BEACH CA 92660 Phone: 714-321.4126 Phone: Con State Lie: 597309 Engineer: Lie Expire: 06/30/2020 Address: Bus Lie: BT00021581 Lie Exp Date: 03/3112020 Phone: Worker's Compensation Insurance Designer: Carrier: CALIFORNIA INS CO Address: Policy No: 46864922 Expire: 1211112019 Phone: Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: I Left: / Right: I larkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Plan Check Fee LIGHT CHRISTIAN R� 1401 QUAIL ST #120 c� NEWPORT BEACH CA 92660 O 949-851-8345 State Lic:CO22334 State Lie: Special Conditions: FRANCHISED HAULER: TIGHT QUARTERS Fire 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: $0.00 NMUSD Fee: $0.00 FiretDepartment $90.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm -- General Service Refund Deposit Grading Bond: $0.00 $0.00 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $298.00 Fee Due at Permit Issuance : $2,045.27 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) (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 re ;wires 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 theBusiness 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 L) 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 rpply to,sn own..ir rf preperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). L' I a:n exempt from licensure under the Contractors' State License Law for the following reason: Py m•' 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 in 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 app r'ro-essions Code, is ac ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent LICENSED CONTRRCTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of 'AS! 3 of the Business and snd eFaot. License Class License No Date Z, C Contractor Signs COMPENSATION DECLARATION MARNINGFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE OCET 07 COMPENSATION, rAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7044 of the Business and license is in full force THOUSAND DOLLARS ($90,000(, IN ADDITION TO 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 orrnance 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 policy number are: Policy Number of Agent Date certify that, in the pert man of the wo for w i h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens on s of California, and ogre t, if I should becomes ject to a worke ' Co tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date 2 CLARATION REG DING CONSTR CTION LENDING AGENCY !reby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil 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 a property ner' half. I have read this application and the information eve provide is r ct. I agree to comply with all applicable city and con dinance an fate laws relating to building construction. I authorize representatives of this city, or county o en the ove property for inspection purposes. 7 , nature of Prooertv Owner or Authorized Arent Print ProDertv Owners or Authorized Arent's Name / f-L.�'ti DRt/-2 DATE BY / DECLARATION NS PA610 TITLE 0 ANDAQMD RULE FOR OFFICE USE ONLY REJrMT0T PERMIT EXPIRED LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EMENDED J ZQM PERMITFINAL -% S ASBESTOS TIFICATI NI TAPPLICABLE TO CERTIFICATE OF / PROPOSEDD MO N / OCCUPANCYISSUED -VITMATUR .