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HomeMy WebLinkAboutX2019-3424 - Permits�r�wn„w City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM COMB Permit: X2019-3424 II�IX0IIII�I3424I� II Project No: 2367-2019 Issued Date: 01/21/2020 Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours_.MMoonn ft - Friday 7:00 a m�fo 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays o ddress. 12 VIA PERAZUL NB = Description: SFR ADD SUNROOM (49A[ Legal Desc.: Owner: KIM JAE Address: 12 VIA PERAZUL NEWPORT COAST CA 926 Phone: 714.501-7864 Applicant: ZOLLER STEVE Address: 245 ASTER ST #4 LAGUNA BEACH CA 92661 Phone: 949.547-9010 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3I11 Added /New sq.ft. Bldg: 478 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $1,255.00 Plan Check Fee: $911.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $56.00 CA Seismic Safety: $10.40 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $2,706.65 PROCESSED BY: ZONING APPROVAL: .E SPACE) & ENCLOSE COURTYARD TO EXTEND DINING RM 478 SF Date: Contractor: PREMIUM BUILDERS - S E E���JJJN E 92 5. CorY`sfatd'CiC 649 Lie Expire: 05/31/2020 68 4 xpD � p suranc � ; FEN 1 ork' Camipn era ERES R 3114 Policy No: 7600018572201 Expire: 01/14/2021 Icl s e r F i -.Right: 0 Additional Fee: $0.00 r;rad'ng Bond�ee' $0.00 ,Grraadi�n�g�PC Consultant: $0.00 G- �g 7Yer'`am t'ee's"" Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $87.86 Mechanical %: $50.20 Plumbing %: $112.95 b O a pe If appiiC able: Architect: �1 V Adcq"UU% or El100% refund N Phone: State Lie: 29Py ngpe#i. ho+*%Hl-,,,,,l-t Address: 112 E. CHAPMAN #D ORANGE CA 92866 hone: 714-997-9120 State LIC:C esigner: ZOLLER STEVE Address: 245 ASTER ST #4 LAGUNA BEACH CA 92651 Phone: 949.547-9010 S ecial Conditions: V FHSZ lan Plan check Fee : $160.00 Fair Share: InF&pg in SJH Trans: $0.00 Public Works Department - Park Dedication : $0.00 PM Plan Check: $41.25 San Dist: $0.00 NMUSD Fee: $0.00 Fire Ins re Plan General Service Refund Deposit Grading Bond: Plan Check Fee : $1,511.26 Fee Due at Permit Issuance pd4 6 PUBLIC WORKS APPROVAL: o cz p p cp PLAN CHECK BY: GRADING APPROVAL: p p o c. o o p 'cc APPROVAL TO ISSUE: Ep m e a o w p c !JO U4L 9 O PO tl0 p00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,195.39 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 'rofessions Code) or that he or she is exempt from Iicensure 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). 7 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, 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 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 n 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 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 Iicensure 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 legal 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.htmi. signature of Property Owner or Authorized Agent - .ICENSED CONTRACTOR'S DECLARATION: hereby affirm under penalty of perjury that I am lice, sed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of a Busin Ss a__���d� professions Code, and m - nse is in full force nd effect. License Class ;,' igeRse'No 4/_7.. 2 9 Date G �= � ofdr� nSigtf891� NORKERS' COMPENSATION DECLARATIOq f/\1_ NARNING: FAILURE TO SECURE WORKERS' COMPENSATION CIVERAGE IS UNLAWFUL AND SQLL SUBJkG. AN EQQ�LOYE TO C I AL 4S 61 S D CIVIL F NE H��iE'!''gP DR 0 I{�tsa 00, 0), IN ADDITION TO THE DOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEG710N 3 Di'$UPifi`W. eOR Cyd. If REST. tD �1 ATT,�tiNEY{ FED hereby affirm under penalty of perjury one of the foliwincd&clarati Dave and will maintain a certificate of consent§ to slmsure word 4t',j2eQtoftl�es..provided..for-J>•y-SaGtieR-2700-ef th Labor Code, for th ante of the work for which this permit is issuE1. POa and will maintain workers' compensation isurance, as required by Section 3700 of the Labor Code, fr the erformance of the work for which this permit is issued. My rkers' compensatiolce carrier and policy number are: v' r3-, L� )arrier -���5 i- f n"ra�rf"`7 S✓Ma oli"�_-" ."� ,°a_.• xpiration Date Jame of Agent ' hone# :3I certify that, in the performance of the workfbr wh h this =nr" sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws o California, and agre hat, if I should become subject to the work ' comp nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / / signature of Applicant '11� �" ( -�' )ECLARATION REGAWbNG CON UCTION LEI DIN AG C, s A a hereby affirm under penalty of pequ that there is a ons ructio len f`rf 'aq 01. p�rrj� e �If e work for h p I�'i , -ender's Name ende �AJddress 3y my signature below, I certify to each of the follows : ((i/;l(�)) 1 3 E7r ' H)i no wor started) I am the property owner or authorized to act on t property ownees'behalf. / I have read this application and the information I iave provided is correct I agree to comply with all applicable city and coin ty!.% ' 7c9a and laws relating to building construction. I authorize representatives of this city or.county t enter the a ov ntl le property for Inspection purposes. 3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nanin late ACTION DATE BY DECJAATION OF COMPLIANCE WITH CODE OF FEDERAL 1403 + ••• •• ••• ••• PERMIT EXPIRED �7 I SUBMITTED ASBESTOS NOTIFICATION•r0• PERMIT CANCELLED TYEPA ••• •• �• •: � •`� w i PERMIT EXTENDED QMD PERMITFINAL SBESTOS NOTIFICATION IS NOTAPPLI E TO CERTIFICATE OF PR POSEDOLITION �:• • • ••• •• • • ••• • • • • • OCCUPANCYISSUED SIGNATURE. • • • • • s ••• •• •• • • ••• ••