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Home My WebLink AboutX2020-0132 - Permits�' City of Newport Beach - Building Division *X20200132* COMB Permit: X2020-0132 100 Civic Center Drive, Newport Beach, CA 92660 a Project No :0105-2020 r rs �. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 xa,�` Combination Type - SFP MECH ELEC Issued Date : 02121/2020 0 Inspection Area : 4 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 wordy on Sundays or Holidays Job Address: 1708 W NEWPORT HILLS DR NB t Description: SFR - NEW POOL CABANA 356 SF Legal Desc.: N TR 7032 LOT 15 Owner: WILSON KELLAN & MAIJA Contractor: DIG Architect: t� •p. °. Address: 1708 ORT HILLS DR IN Address: 2732 E COAST HWY #A 1, ^ Address: 'I!A> ° - • NEWPORT BEACH, EACH, CA 926 0 CORONA DEL MAR CA 92625 /�•r.' ��®R. ° • • ° o Phone: Phone: 949-673-5450 Phone: State Lie: ° o Applicant: SOSKIN MARK Con State Lie: 932954 Engineer: RADVAR SHAHROKH • • ° ° ° Address: 6412 TULAGE ST Lie Expire: 05/31/2021 Address: 5 HODGENVILLE • • • ° ' ° ' ° CYPRESS CA 90630 Bus Lie: BT30026912 IRVINE CA 92620 ° ° • • • Phone: 714-270-6780 Lie Exp Date: 01131/2021 Phone: 714-270-6780 State Lic:C-066139 0..... • • • ° ° • Code Edit: 2019 Worker's Compensation Insurance Designer: o •.000 Type of Construction: V -B -SPR Carrier: SECURITY NATIONAL Address: Occupancy Group: R3 Policy No: SWC1245935 °®•° ° ° Added /New sq.ft. Bldg: 356 Expire: 0610112020 Phone: ° Added /New sq. ft. Garage: 0 ° ° ° ° 0000 No of Stories: 1 Building Setbacks Rear: 10 Special Conditions: No of Units : 0 Front: 24 Bldg Height: 0 Left: 5 Bldg Sprinklers: Y Right: 5 Flood Zone: X Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $60,000.00 Building Permit Fee: $1,255.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $911.00 Additional Fee : $0.00 Plan check Fee: $200.00 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 : $10.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $56.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $7.80 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $87.85 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $50.20 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $2,580.85 Plan Check Fee : $1,167.00 Fee Due at Permit Issuance: $1,413.85 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS 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 is 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 Irofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 nprovements 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 nproved for the purpose of sale). 7 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 pply 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). 7 1 am exempt tomlicensure under the Contractors' State License Law for the following reason: iy my signature IbalowLi 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 elHastalcture that I We 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 'rofess%ns CoE%, j3 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ftat%e of Property owner or Authorized Agent Date .ICENSED C09TRACTOR'S DECLARATION hgrebY affirm and9rbiynalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of QQlwslon 3 of the BusinesslCodkiand as my l�nse is in full force nd effect. Licetige Class License No Dat L t Contractor Si®R4<ERS'QbNReNSATION DECLARATION MINING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONND DOLLARS ($100,000), IN ADDITION TO THE p,SJ 91�COMPENSAWION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hbreby affirm.undeopenalty of perjury one of the following declarations: S 4 have and "I m9intain 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, aflance l lhewr irk for which this permit is issued. Policy No. have and wilt 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' compensatior Isu ce carrier and policy number are: carrier Policy Number Expiration Date Jame of Agent Phone # :It certify that, in the perfor%ncethe work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pensation laws of California, and agree hat, if I should become subwor ' com ens pro of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.�/�I/�Signature of Applicant Date y)ECLARATION REGARDTRUCTION LENDI AGENCY hereby affirm under pen ty 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). -ender's Name Lender's Address 3y 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 h e provided is correct. I agree to comply with all applicable city and coun ordinances and state laws relating to building construction. I authorize representatives of this city or county t e abo W entifi roperty for inspection purposes. 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name D to ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUL&TIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED CERTIFICATE OF OCCUPANCYISSUED NOTIFICATION TO IS NOTAPPLICABLE TO