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HomeMy WebLinkAboutX2020-1955 - PermitsCity 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 aRai k Combination Type - SFP ELEC *X2020-1955* COMB Permit: X2020-1955 Project No: 1570-2020 Issued Date: 09/14/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0911512023 OR PERMIT Wl! 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 Job Address: 2000 DEBORAH LN NB Description: SFR - ADD 50 SF @ KITCHEN Legal Desc.: N TR 1805 LOT 40 Owner: DRAKE DAVID Address: 2000 DEBORAH LN NEWPORT BEACH, CA 92660 Phone: 949-400-6065 Applicant: DRAKE DAVID Address: 2000 DEBORAH LN NEWPORT BEACH, CA 92660 Phone: 949-400-6065 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 50 Added/New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Flood Zone: X Construction Valuation: Building Permit Fee: $836.00 Plan Check Fee: $647.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $16.00 Energy Compliance: $61.00 CA Seismic Safety: $1.17 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,848.69 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: LINCOLN BUILDING & WOODWORK Architect: Address: PO BOX 9323 Address: LAGUNA BEACH CA 92672 Phone: 949.584-6259 Phone: Con State Lic: 604131 Engineer: Lic Expire: 04/30/2022 Address: Bus Lic: BT30072132 Lic Exp Date: 0613012021 Phone: Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: Building Setbacks R-1-6000 Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6 Front: 20 Left: 6 Right: 6 Parking S $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $58.52 $0.00 $0.00 Plan Check Fee: Designer: Address: Phone: DRAKE DAVID JOHN 2000 DEBORAH LN NEWPORT BEACH CA 92660 • o e o 949-400-6065 State Lic:C916618 m m mm.m FONG DARIN m • m 16700 VALLEY VIEW #220 a • i o e ° LA MIRADA CA 90638 .: 714-522.0030 State Lic:S-005188 m ° m4mmL0 m Special Conditions: Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check : $43.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $186.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $832.00 Fee Due at Permit Issuance : $1,016.69 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: mmaoe m oommo maaaoo o � o mommso ® o oaam 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 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 of 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, 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 nprovemenls 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). 11, 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 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!isevailable upon request when this application is submitted or at the following Web site:http://Www.leginfo.Ca.gOVIGalaw.htMi. signature of Prop'arty Qher or Authorized Agent Date IGFNMD CONTRACTOR'S DECLARATION Mereby Affirm uRg%rJ)ghally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 iv' 'on of the Business and Pro ion , an m e is' full force Ind effect. License Class License No Date7� Contractor Signature . VOR ERS' CO1APEWSATION DECLARATION I,AArJNG. FAILUREY•U BlL91f2E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED NOU�DIRS00,00, IN ADDITION TO THE PST QF.COMPENSATION, D MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. bere"affirm ulll&rrbenalty of perjury one of the following declarations: • .... �•I•Ftdbe and will irlaintain 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 t I erfon,nence of the work for which this permit is issued. Policy No. 1i P • . 1 have'and wiflJprTint•'gin 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' compensaho tMM y carrier %ro policy number are: ;afrfef • Policy Number Expiration Date a of Agent ertify that, in the performance of the if I should become subject to the w of Applicant this permit is issued, hall not employ any person in any manner so as to become subject to the workers' compensali n laws of California, and agree I ions of S. c on 3700 of the Labor Code, I shall forthwith comply with those provisions. "? l l Date N GENCY Ireby affirm under penalty of perjury t at there is a c truction lendi g 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 stale skrew building construction. I authorize representatives of this city or county topinspection purposes. ��.� %I% Date/4/_/A nature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's Name TION DATE BY 7 DECLARATI OF COMPLI CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU NS PART 610E T TLE 40 AND AQI RULE I SUBMITTED ASBESTOS PERMIT EXTENDED rcrtrvn� nrvn� CERTIFICATE OF •� OCCUPANCYISSUED