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HomeMy WebLinkAboutX2019-4078 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 ' Combination Type - SFP MECH ELEC PLUM IIIIIXII2III�I�IIjInIIIVI4Nlllll7lll�all COMB Permit: X2019-4078 Project No : 2808-2019 Issued Date: 10/19/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 101 012023 OR PERMIT WILL BE INVALID Construction flours: 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: 2309 SANTIAGO DR NB Description: SFR DETACHED GARAGE/GYM 791/468 SF Legal Desc.: P BK 108 PG 43 PAR 2" Owner: TENORS PATRICK Contractor: OWNER/BLDR Architect: SMITH DAVID B Address: 2406 TUSTIN AV Address: TENORS PATRICK Address: 324 LOMA TERRACE COSTA MESA CA 92627 LAGUNA BEACH CA 92661 Phone: 949-903-1426 Phone: Phone: 949-433-6020 State Lic:C018181 Applicant: SMITH, DAVID B Con State Lie: O/B Engineer: TUCHSCHERJAMES TODD Address: 324 LOMA TER Lie Expire: Address: 6318 E. 2ND ST STE 639 LAGUNA BEACH CA 92661 Bus Lie: BELMONT SHORE CA 90803 Phone: 949-433-6020 Lie Exp Date: Phone: 310-613-9980 State Lic:C-077649 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 468 Expire: Phone: Added /New sq. ft. Garage: 791 No of Stories: 1 Building Setbacks Rear: 10 Special Conditions: (X2019-4077) No of Units : 0 Front: 16 Bldg Height: 0 Left: 10 Bldg Sprinklers: Y Right: 10 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $146,700.00 Building Permit Fee:, $1,328.00 Plan Check Fee: $978.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $101.99 CA Seismic Safety: $18.94 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $3,188.82 Excise Tax: $262.29 Additional Fee : $0.00 Grading Bonds Fee:: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical%: $92.96 Mechanical %: $63.12 Plumbing %: $119.62 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $43.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $1,071.00 Fire Department $186.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Feb Due at Permit Issuance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,117.82 PROCESSED BY: o ° PUOLIC W(AK& APPROVAL: _ ZONING APPROVAL: o PLQ 3 u �© ©�o kN CHECK BY. GRADING APPROVAL: _ _ APPRQVAL:)TO DSUE: 3 - o- o J U U OWNER -BUILDER DECLARATION 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 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 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 my employees with wages as their sole compensation, will do (_) all of or (_) 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 Tim,qmwents 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 imoroved for the purpose of sale). i1 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 y 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 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 legal) sell a structure that I have built as an owner-buildeVipplication as not beef c' oon', ructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busine s and Professions Code, is available upon request when is s 'tted or at tfGllow' g Web site:http://www.leginfo.ca.gov/calaw.html. �19 Signature of Property Owner or Authorized Agent Datak-0) �a LICENSED CONTRACTOR'S DECLARATI I hereby affirm under penalty of perjury that I am Ilcensed 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 and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 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' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. ❑l 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' compensatloi Insurance carrier and policy number are: Policy Number Expiration Date kme of Agent rnone � certify that, in the performance of the 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 tha , if I should become s ject to t e rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /' Signature of Applicant D ` 2 //a DECLARATION REG RDING CONSTRUCTION LENDING AGENCY I hereby 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, Civil Code). Lender's Name Lender's Address By 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 o dina ces and state laws relating to building construction. ® lZ/,r I authorize representatives of this city or county enter h above-ident' 'ed pro arty for inspection purposes. Sianature of PrODerty Owner or Authorized Apen , ZN Print Property Owner's or Authorized Agent's Nam' rl /� Date ACTION DATE BY L DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY C �. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED El I SUBMITTED ASBETO'S NOTIFICATION°TO, PERMIT CANCELLED EPA_ PERMIT EXTENDED QMD J �J PERMIT FINAL S:.Z..'LN ASBESTOS NOTIFICATION IS NOT APPLICABLE TO v J CERTIFICATE OF 1 PROPOSED DEMOLITIOfU OCCUPANCYISSUED SIGNATURE;