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HomeMy WebLinkAboutX2019-0863 - PermitsQ ° Gity of btgwport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-0863 a4 fol) Aims Center f)ritje, Newport Beach, CA 92660 X. 2 0 1 9 0 8 6 3 A, ° Project No: 0586-2019 ", 'eBrmit Goustar Pj1oJe (949)644-3288 - ?`r Inspection RBques!s Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 0411612019 --- • ®• ° • o e Inspection Area : 6 • • ` ; • . ; eo PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Constraotioa /fours: 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: 45 RENATA NB - Description: SFR - ADD 298 SF @ 1ST FL, 157 SF BALCONY. CITY STANDARD DRAINAGE Legal Desc.:. N TR 15491 LOT 20 Owner: MATTAR PETER Contractor: M K B HOME DESIGN Architect: HANNA REMON Address: 15076 CANON LN Address: 23615 FALCONSVIEW DR Address: 19201 NORDOFF ST 3327 CHINO HILLS CA 91709 - DIAMOND BAR CA 92765 NORTHRIDGE CA 91324 Phone: 909-973-7772 Phone: (562) 862-0279 Phone: 818-671-7477 State Uc:C036271 Applicant: MATTAR PETER Con State Lie: 1007360 Engineer: HANNA JOHN F Address: 15076 CANON LN Lie Expire: 09/3012019 Address: PO BOX 4141 CHINO HILLS CA 91709 Bus Lie: ST30067117 PASO ROBLES CA 93447 Phone: 909-973-7772 Lie Exp Date: 11/30/2019 Phone: State Lic:C071506 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: EXEMPT NO EMPLOYEES Address: Occupancy Group: R3IU Policy No: Added /New sq.ft. Bldg: 298 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 0 Special Conditions: VHFHSZ - No of Units :.. 1 Front: 10 WASTE MGMT TO Bldg Height: 0 Left: 0 HAUL DEBRIS a Bldg Sprinklers: N Right: 0 , k s Flood Zone. Use Zone: ParkinSpaces: ru G 0 Fire Hazard Zone : N 'fit, "� ' Construction Valuation: $270.000.00 W a -- 111 %am 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 : $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: $36.00 Grading Permit Fee: $0.00 In -lieu Housing Fee:. $0.00 Building Dept Adm $24.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $0.00. PAN Plan Check : $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $87.85 Sad Dist: $0.00 Building Green Fee : $11.00 Mechanical %: $50.20 - NMUSD Fee: $0.00 $0.00 Plumbing %: $112.95 $0.00 TOTAL FEE : $3,450.25 Plan Check Fee: $1,112.25 Fee Due at Permit Issuance : $2,338.00 Ij�� PROCESSED BY: PUBLIC WORKS APPROVAL: � 1 ZONING APPROVAL: (r,���+ PLAN CHECK BY: GRADING APPROVAL:. APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 ' 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 p14;et next4o fir;apbligab% ilern(j). lection 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 iserjarce,•a'Iso require% 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 '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 9f of more than five hundred dollars ($500). . • ' • . • : e o 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 intendedbr 5ffered for sglb2Seation 7044,• a lusiness 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 propertf, pjljvjded teat 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 buA%nofyRQving that it was not built or nproved 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legall) 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 Web site:http://www.leginfo.ca.gov/calaw.html. 'signature of 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 AloyRilyrzon 3 f,(ha Business and Profe Sion o a my Ii is in full not effect. License Class License No Date 't'/Contractor Signature VORKERS' 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 HUND HOUSAND DOLLARS ($100,000), INA TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 3760 of the Labor Code, for Drmance of the work for which this permit is issued. Policy No. have and will 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' compensa rance carrier and policy number are: Policy Number Agent Date )ce ify that, in the performanc f the 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 agre should become subje o e rk s' compensati ro ' ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.��re of Applican Dat CLARATION REG G CONSTRUCTION LENDING AdENCY -reby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi 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 countt o enter the above -identified property for inspection purposes. ,^` �L) - /nf2� 1` __...._ _a n.___..., n..._..... A.a..,,.._..a n,...... Y - Dd.a omneav n... a '. nr A,rfhmorrd anunYe Mnme 1 \/ P , , v/ •✓I / / A to DATE I BY I /REGULATIONS 01 CO 1 OF NT E CE ITH AND DE OF RUDERAL I FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL PA,.,. CERTIFICATE OF 6.g_Z4 OCCUPANCY ISSUED rMS