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HomeMy WebLinkAboutX2019-1238 - Permits1°G City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1238 6. ` 100 Civic Center Drive, Newport Beach, 660 X 2 0 1 9 1 2 3 8 Bh, CA 92 s 1. Permit Counter Phone (949)644-3288 Project No : 0889-2019 c"i ., Inspection Requests Phone (949)644-3255 t rmxv`° Combination Type - SFP ELEC PLUM Issued Date : 0 610 3/2 01 9 0 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 fpr Holidays Job Address; 2448 WINDWARD LN NB r o- ;F @ 1'a Description: SFR -ENLARGE EXTG DECK 256 SF, ADD SOLID ROOF PATIO COVER 305 SF & RELOCATE ABOVE GROUND SPA & GAS LINE TO METER r t F e e Legal Desc.: N TR 5178 LOT 18 t t. �. F s, �� /`I 1=• ,,' Owner KROUSE SCOT Contractor: ALL HOME IMPROVEMENT Architect: 'n ui Address: 2448 WINDWARD LN Address: 24001 CALLE DE LA MAGDELENA Address: NEWPORT BEACH CA 92660 LAGUNA HILLS CA 92654 Phone: Phone: 714-398-2890. Phone: State Lic ...... Applicant: SULEIMANI BOB Con State Lic: 965105. Engineer. CHRISTIANSEN SCOTT m° • • • ° Address: 2178 CANYON DR Lic Expire: 0 713 112 01 9 Address: 1003 WILSHIRE BLVD 202 °o•o • • • O°•,°° . ° ° COSTA MESA CA 92627 Bus Lic BT30056620 SANTA MONICA GA 90401 ° ° ° ° • Phone: 818.481-9524 Lic Exp Date: .09/30/2019. Phone: 310-395-7641 State Lic:C-037989 • °.°° Code Edit: 2016 Worker's Compensation Insurance Designer: °m°• ...... ommo° Type of Construction:. V -B Carrier: EMPLOYEE SRVC GRP Address: Occupancy Group:. R31U Policy No: C66016031 Added /New sq.ft. Bldg: 0 Expire: 04101/2020 Phone: ° ° ° ° Added /New sq. ft. Garage: 0 No of Stories:. 2 Building Setbacks Rear: 10 Special Conditions: 000000 m ° [ No of Units : 1 Front: 20 ° .Bldg Height: 0 Left: 6 moo moa Bldg Sprinklers: Right: fi °°cmoo •o®.` Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $17,500.00 Building Permit Fee: $360.00 Excise Tax: $0.00 Planning Department r Fire Department Plan Check Fee: $313.20 Additional Fee: $0.00 Plan check Fee : $40.00. Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 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 Departmgnt - General Service $0.00 CA Seismic Safety: $2.27 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $25.20 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %; $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $32.40 $0.00 TOTAL FEE : $778.07 Plan Check Fee : $363.20 Fee Due at Permit Issuance : $424.87 PROCESSED BY: - PUBLIC WORKS APPROVAL: ZONING APPROVAL:. PLAN CHECK BY: lJ 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 items) 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 Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess 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 theproperty, provided that the )rovements 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 )roved 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 )Iy 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: 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) 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 ifessions Codes js ivailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date e TENSED COMMACTOR'S DECLARATION rrelry:affirm urfc6? S9nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Prof ssions ode andp�y license is in full force I effgct. License•Class License No Date 6> � — Contractor Signatur L-- iRKtRS' COMIPENSATION DECLARATION INDW: FAILURrj W MIJ1IRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE Pr OFCOMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. eliy affirm Linder penalty of perjury one of the following declarations: j J;Oe and WIII 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 thr (olippce of the -work for which this permit is issued. Policy No. •\�have and WiQ ak'I' Sin 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' compensatior yrpgr,e carrier and pClicy number are: ries' .00- ' Policy Number Expiration Date lame of Agent -""" F I ""'V ]I certify that, in the pe nuance 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 worke ' compensation laws of California, and agre( Let, if I should become ubject t0 t e workers' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant te_ IECLARATION REG RDING CONSTRUCTION LENDING AGENCY 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 3 97, Civil.Code). ender's Name Lender's Address ;y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I he v provided is correct. I agree to comply with all applicable city and county rdinances and state laws relating to building construction. 1 authorize representatives of this city or county to nter the -I tified property for inspection purposes. `_ f\,.- _ q lionature of PrODertv Owner or Authorized Agent 77`C/< Print Property Owner's or Authorized Agent's Name EIke, -C� ( S Date 3`�! PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED PERMITFINAL CERTIFICATE OF OCCUPANCVISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATJONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO ISNOTAPPLICABLE TO