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Home My WebLink AboutX2017-2268 - PermitsCity of Newport Beach - Building Division a � � 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 iJ ar Inspection Requests Phone (949)644-3255 cactsliA��a Combination Type - SFP COMB Permit: X2017-2268 Project No : 1605-2017 Issued Date : 07/1912017 Inspection Area : 4 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 Sunda' Job Address: 1902 PORT LOCKSLEIGH PL NB Description: SFR LIVING ROOM Legal Desc.: N TR 7028 LOT 65 11 Owner: CHARLU ARPITHA Address: 1982 PORT LOCKSI NEWPORT BEACH, Phone: 949-887-4290 Applicant: HOLDEN DON Address: 28892 EL APAJO LAGUNA NIGUEL, Phone: 949-279-7448 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: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $127.00 Plan Check Fee: $110.49 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 PROCESSED BY: tr�� 5t 6 If nolicable: D aaLo: ccrrcoRSTRUCTION SERVICES Ac itect: I PL Address 28892 EL APAJO F 0 26 - LAGUNA'NIGUEL-CK92 ❑ Z 6t7os: or El 100 /o refund " Phone 949-279-7448 Phone: State `. Con State Lic ..; 576388 i to mit them'. _ _ Lie -Expire 08131/201T- - Address: i7 Bus Lic. BT30058923 Lic Exp Date: 08/31/2017. D Phone: State Eli � � Worker's Compensation Insurance Designer: HOLDEN DON Carrier WC EXEMPT Address: 28892 EL APAJO 12o4icy Na, - " "- LAGUNA NIGUEL, CA 926' Expire: Phone: 949-279-7448 Building Setbacks Rear: I , Special Conditio s: �� a x I `. �Q .rm'4 NA ' � `�,E. t . t gh : I Note: Excise Tax: $0.00 TOTAL FEE: $279.99 ZONING APPROVAL: GRADING APPROVAL: Grading Bonds Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 a-T�ncTiecI(Fee: $37.50 Fair Share: ..,- -,-KOO -2JH Trans . _. ' - _ $O.bb ,2,,,inclAeu,Housing.Fee c-. .- _.-...--»$0.00- Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 or Holidays I4 ee nspeZItort< $0.00 - " Fire Plan Rev $0.00 Demolition Fee - 'Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $279.99 _ PUBLIC WORKS APPROVAL: (\ PLAN CHECK BY: APPROVAL TO ISSUE: nnono 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 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 ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner cf the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ t am exempt frcm Iicensure u er the Contrac ors 6rAiiiii reason: By my signature below I acknowle ge that, except for my per at sidenc in which I must ave _ ❑Tinto completion of the improvements covered by this arm , I cannot legal sill i structure that have built as n owee -¢ rlr� if it has no be r ct��tn Its entirety by licensed contractors. I understand that a wpymrzne"eprynea® tign 7044 o the B Siness and Professions Code, is avcilable up request w$te`n'this-appli ed ont the following Web site:http://waw.le in o.ca.gov/calaw.html. ?'- Signature. of Property Owner or A horized Agent ata'"' LiCENSED CONTRACTOR'S EC 4 I oelaoy affirm wider Do, of p jury t at I am I' nsed - "der vis ens of Chapter 9 (commencing wtty_�e on 7 3 f usiness and Profe Ions d , a license is in full force and effcct. License Class License j� Tate g itf�11�9nF('' i�RNING: FAILURE rJ SeGURE WOR :nFT OF COMPENSATION, DAMAGES herehy affirm urider penalty of I have and will mi_ a c rtific formance of the work fon I whicl this have and will malntaln1work rs' c trance carrier and policyknum er ar of Agent edity that, in the pe ma a of if I should become j 1 1 the of NSATION COVERAGE Is UNLAWFUL, AND VALL16LECTAN'EMPLOYER TO CRIMIF/•A6 PEJqaT1a5pa(IL FINES UP TO ONE FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. VV VV I I llr 1 t Ilowing declarations it to self-iriBurel9t'wor� compensation issued9tiy the7birector of Industrial Relations as provided for by ed. Policy insurance, as regwd%Sechkifri 3700 of the Labor Code, for the performance of the work for which this pe Policy Number work employ I of the CLARATION REG4RDNG ST#WCTION LENDING AGENCY t� Jv vy1J1 0I areby affirm under lanolty of there is a construction lending agency for the performance of the work for which this perms Is Is ued ider's Name Lender's Address my signature belo , I Corti o each of the following: .— I am the property owner or ub alf. I have read this applicotio ve rovided i cor c .- I agree to comply with all applicable city and county or m`nanc - vssretating:to.buildigg construction. I authorize representatives of this city or county to/s'mer th o �jidentified property for inspection purposes. - nature of Propertv Owner or Authorized Agent / X Print Property Owner's or Authorized Agent's Nam, ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY OF COMPLIANCE WITH CODE OF FEDEF PART 610E TITLE 40 AND AQN],q RU LE TO FOR OFFICE USE ONLY Date to the workers' (Section I$100,0001, IN ADDITION TO of the Labor Code, for My workers' laws of California, and rEZ