HomeMy WebLinkAboutX2021-0419 - Permitswhcrf
City of Newport Beach - Building Division
*X2021 -0419*
COMB Permit: X2021-0419
a
100 Civic Center Drive, Newport Beach, CA 92660
Project No : 0403-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
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Issued Date : 09/15/2021
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Combination Type - BLDG PLUM
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/15/2024 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: 1501 MESA DR NB
Description: DEMO SFR-3 BEDROOMS. 1900 SF. SEWER CAP INCLUDED ' •'
Legal Desc.:
Owner:
TASO NIKOLAOU
Address:
1501 MESA DR
NEWPORT BEACH CA 92660
Phone:
562-446-6265
Applicant:
TASO NIKOLAOU
Address:
1501 MESA DR
NEWPORT BEACH CA 92660
Phone:
562-446-6265
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3
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:
Building Permit Fee: $122.00
Plan Check Fee: $291.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$6.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $2,519.98
PROCESSED BY:
ZONING APPROVAL:
Contractor
Address:
Phone
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
OWNERIBLDR Architect:
Address:
O/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
rking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10.98
Phone: State Lic
Engineer:
BENESH MICHAEL
Address:
234 E 17TH ST #205
COSTA MESA CA 92627
Phone:
949-548-1192 State Lic:C-037893
Designer:
Address:
Phone:
Special Conditions: CERT MAIL RECEIPTS
ATTACHED
Ole ATTACHED
0
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
Plan Check Fee : $320.00
Zone :
Fire Department
$104.00
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
$27.00
$265.00
$1,692.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $2,199.98
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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 requires theapplicant 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
Irofessions 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
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,
iusiness 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
pprovements 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
ved for tks purpose of sale).
I, s owne, of ti is property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
,.�'• o 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).
IV exemp: '.'um licensure under the Contractors' State License Law for the following reason:
ml 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 legall,
ell 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
'roiassions CMGs, ;s available upon request when t is pplic ion is s itl d or at the following Web site:http://w .leginfo.ca.gov/calaw.html. ^ J _ �.) _Z J
igrature of Property Owner or Authorized Agent D e
.ICENSED cONLRACTOR'S DECLARATION
he�eby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
VOFKERS' COM. )ENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 ATTORNEY'S 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
erformance of the work for which this permit is issued. Policy No.
I have 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' compensatiol
nsurance carrier and policy number are:
carrier Policy Number Expiration Date
Jame of Agent Phone #
I certify that, in the performance of the wo 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
hat, if I should become Aubject tot worl r peDsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q
Signature of Applicant Daley
)ECLARATION iARDrNG CONSTRUCTION LENDING AGENCY
hereby 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).
-ender's Name Lender's Address
3y 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. n/
I authorize representatives of this city or county o ter the above-ide led propert fo spection purposes. / V y lG;, (4' 0J 4
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Cat
ACTION DATE BY DE RATION 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
PERMIT EXTENDED AQM D
PERMITFINAL SBEST TIFICATION IS NOT A LICABLE TO
CERTIFICATE OF F OP D OLITION p�
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