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Home My WebLink AboutX2019-3214 - Permitstr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 2 1 4 ,+ Permit Counter Phone(949)644-3288 'cT Inspection Requests Phone (949)644-3255 "aS.csra'`b Combination Type- SFP GRAD ELEC COMB Permit: X2019-3214 Project No : 2220-2019 Issued Date : 1012212019' - 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 Sundays or Holidays $412.00 Job Address: 26 HERMITAGE LN NB Plan Check Fee: $365.00 Additional Fee: . Overtime Plan Ck Description: SFR -DETACHED OPEN LATTICE PATIO COVER 261 SF WIYARD DRAINAGE Grading Bonds Fee:. Z -. Legal Desc : N TR 7223 LOT 109 Grading PC Consultant: Record Management: $0.00 Owner: Yl CHIN Contractor. MICHAEL ROBERTS HOME BUILDER Architect: SKENDERIAN TODD �u '. Address: 26 HERMITAGE LN Address: 6 CALLE ALIMAR Address: 1100 S COAST HWY, #316 WQ Insp. Fee: NEWPORT BEACH CA 92660 RANCHO SANTA MARG CA 92688. LAGUNA BEACH CA 92677 p� f � 1 Phone: 949-858-7540 Phone 949-858-7540 Phone: 949.715.5461 State Lic C030518 p� Applicant SKENDERIAN TODD Con State Lic: 681116 Engineer: KHOURY NADER `J, - Address 1100.S COAST HWY, #316 Lic Expire: 09/30/2021. Address: 1278 GLENNEYERE ST#201 !®7 LAGUNA BEACH CA 92677. Bus Lic BT30060668 LAGUNA BEACH CA 92651 Phone: 949-715-5461 - Lic Exp Date: 09/30/2020 Phone: 949-637.8357 State Li¢C-061402 Code Edit 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier. BENCHMARK INS CO Address: Occupancy Group: U. Policy. No: CST5015128 Added /New sq.ft, Bldg: 0 Expire: 01/2412020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: Bldg Height:. 0 Left: / _ Bldg Sprinklers: Right: /. Plead Zone: X Use Zone' Parkinn Rnarwc 0 Fire Hazard 7nne N Construction Valuation: $3.550.00 Building Permit Fee. $412.00 Excise Tax. Plan Check Fee: $365.00 Additional Fee: . Overtime Plan Ck $0.00 Grading Bonds Fee:. Investigation Fee: $0.00 Grading PC Consultant: Record Management: $0.00 Grading Permit Fee: Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access: $0.00 Hazardous Mat $0.00 Electrical W Building Green Fee : $1.00 Mechanical %: Plumbing W TOTAL FEE : $1,470.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00.. Planning Department- $0.00 - Plan check Fee: -$0.00. Fair Share: $0.00 SJH Trans : $312.00 In -lieu Housing Fee: - $312.00 Public Works Department - -$0.00 Park Dedication: $0.00 PAN Plan Check: $0.00 $28.84 San Dist: $0.00 $0.00 NMUSD Fee: .$0.00 $40.00 $0.00 $0.00 $0.00 ` Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Plan Check Fee : $405.00 Fee Due at Permit Issuance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,065.84 ®gym m t®o 000 it awe, ;DRF£'S APPROVAL: PLAN CHECK BY: v: o APPRGV'RL TOO ISSUE: E c c r cm. 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 he 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 )rofessions 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 lot 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 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 mprovements 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 Jroved for the purpose of sale). 1, 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 Ipply 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below 1 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 legally 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 'rofessions Code, is available upon request when this application is submitted or at the following Website: httpl/www.leginfo.ca.gov/calaw.htmi. iignatureof Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Proff�@��,,sslIons Code, an y e e In full force Ind effect. License Class License No Date D Contractor Signaturg�CN YORKERS' COMPENSATION 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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 thr erfgrmance of the work for which this permit is issued. Policy No. and1 alntain 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' carria ar policy numbK are: n of umber Expiration Date of Agent< _ r ( Phone# 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 agree I, if I should become, subject to the w9C e c p nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s,� nature of Applicant /� Ali/.�/^/ Datc�L1 21-4 CLARATION REGAVDIRG CONSTRUCTION LENDING AGENCY areby affirm under p nalty 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). 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 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. I authorize representatives of this city or county tgenter the aboye jdgntijied property for inspection purposes. Owner or Authorized Agent Print Property Owner's or Authorized Agent's N e nL/�✓c' V" DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • y•• ••• I SUBMITTED ASBESV,5 NOT(FICATION•"AJ •� PERMITEXTENDED ZX> UAQMD PERMITFINAL LttU ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION •• ••• • • • ••• OCCUPANCY ISSUED SIGNATURE: _