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HomeMy WebLinkAboutX2018-2985 - Permits. City of Newport Beach - Building Division COMB Permit: X2018-2985 100 Civic Center Drive, Newport Beach,. CA 92660 11111 X 2 0 1 8 2 -9_-e _ 51111 Project No: 2367-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued bate : 0 8123/2 01 9 Inspection Area : 8 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 Job Address: 2501 BUNYA ST NB Description:. SFR ADDITION 252 SF & REMODEL 800 SF Legal Desc.: N TR 4893 LOT 69 Owner: TARKESHIAN KOMRON Address: 2501 BUNYA ST NEWPORT BEACH, CA 92660 Phone: Applicant: LIGHT CHRISTIAN R Address: 1401 QUAIL ST #120 NEWPORT BEACH CA 92660 Phone: 949.851.8345 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 252 Added /New sq. R. Garage: 0 No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Contractor: THE FALBO COMPANY Architect: LIGHT CHRISTIAN R $0.00 Planning Department- Address: 5100 CAMPUS DRIVE #200 Address: 1401 QUAIL ST #120 Plan Check Fee: $1,721.07 Additional Fee : $0.00 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 Fire Inspection: $0.00 Phone: 949-794-9534 Phone: 949-851-8345 State Lic:CO22334 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Con State Lic: 811059 Engineer: SKUDLARSKI JASON o ° .... Demolition Fee Lic Expire: 07/3112020. Address: 9751 OLYMPIC DR Grading Permit Feer $0.00 Bus Lic: BT03042976 HUNTINGTON BEACH CA 92646 $0.00 Energy Compliance: Lic Exp Date: 03131/2020. Phone: 949-752.1612. State Li¢C-067712 Public Works Department - Worker's Compensation insurance Designer: CA Seismic Safety: $14.10 Carrier: CALIFORNIA INS CO Address: ° 00 o Policy No: 4601141101 $0.00 ° ° o o Expire: 09101/2019 Phone: $0.00 Hazardous Mat $0.00 Electrical %: $148.12 San Dist : $0.00 ec°rc Building Setbacks 9Special Rear: 6 qq Conditions: ®� °° ° ° ° ° ° ° $84.64 Front: 20 ° o. Lel: 6. Plumbing %: $190.44 Right: 6. $0.00 c coo °oaoo� Use Zone: Parking Spaces: 0 Fire Hazard Zone : N $2,716.55 PROCESSED BY: PUBLIC WORKS APPROVAL: Building Permit Fee: $2,116.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $1,721.07 Additional Fee : $0.00 Plan check Fee: $160.00 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: $56.00 Grading Permit Feer $0.00 In -lieu Housing Fee : $0.00. Building Dept Adm $0.00 Energy Compliance: $75.93 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $14.10 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $148.12 San Dist : $0.00 Building Green Fee : $5.00 Mechanical %: $84.64 NMUSD Fee: $0.00 $0.00 Plumbing %: $190.44 $0.00 TOTAL FEE : $4,612.55 " Plan Check Fee: $1,896.00 Fee Due at Permit Issuance : $2,716.55 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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 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 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 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 apply town 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: By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.html. Signature of Proparty.Owner or Authorized Agent Date LICENSED ctW,;F ACTOR'S DECLARATION P herp4taffirm ugdefyenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Profs I edeas and my license is in full force and effflact. License Class License No Date -Z"�i 2cw Contractor Signature WQRKfRS' COOIPENSATION DECLARATION NARMNG: FAILURE I0 SF�CjIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRININ L PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CgST OF COMPENSdTIQ 4, 6AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hheTWaffirm udder p4nalty of perjury one of the following declarations: Z14 -hove and wilhmelhtain a certificate of consent toself-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th r�tfptrpance of etre work for which this permit is issued. Policy No. I"VI and w%l ainjain 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 Aanoe carrier end policy number are: rdar• • Policy Number Expiration Date rRa, WAgent- Phone# certify that, in the perfoance of th which this permit is issued, I shall not employ any person in any manner so as to become subject to the workerscompensation laws of California, and agre t, if I should become subj ct a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Da e> DECLARATION REGARDING CONSTRUCTION LENDING AGENCY herebyaffirm under pe�alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , 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 count ordinance to laws relating to building construction. I authorize representatives of this city or county ove-identified property for inspection purposes. Signature of Property Owner or Authorized Agent iL Print Property Owner's or Authorized Agent's Nary ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AgMD RULE PERMITEXPIRED PERMITCANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF 371r OCCUPANCYISSUED I SUBMITTED ASBESTOS UASBESTOS 1 \ PROPOSED DI TO n GD n 5 DZ 6 i O c O .i 13 I NIa) cc ca 0 Z F4q. 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