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Home My WebLink Aboutx2018-3360 - Permitst _ City oUNewport Beach - Building Division II�IIIINi�inIllllIIIIIII�IIIIII�IVIII� COMB Permit: x2o1 s-33so o 100 Civic Center Drive,. Newport Beach, CA 92660 H + Permit Counter Phone (949)644-3288 Project No : 2163-2018 r Inspection Requests Phone (949)644-3255 Fe WMIQ +M Combination Type - SFP ELEC MECH PLUM Issued Date : 11/06/2018 Inspection Area : 1 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: 936 VIA LIDO NORD NB Description: SFR ADD 206 SF (MST BEDRM) @ 2ND FL, ALT OF 5,821 SF. EXTERIOR FINISHES, DOORSIWINDOWS, INSTALL ELEVATOR Legal Desc.: N TR 907 LOT 326 Owner. HARDER CINDY & STEPHEN - Contractor:. PMR CONSTRUCTION Architect: Address: 936 VIA LIDO NORD Address: 2061 FAIRWEATHER RD Address: NEWPORT BEACH CA 92663 SANTA ANA, CA 92705 Phone: Phone: 714-231.7272 Phone: Applicant: Address: THORPE RON 1401 QUAIL ST STE 120 Con State Lie: 716745 Engineer: NEWPORT BEACH CA 92660 Lie Expire: Bus Lie: 1213112019 30053615 Address: Phone: 949-851-8345 Lie Exp Date: 01/3112019 Phone: Code Edit: 2016 Type of Construction:. V-BSPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 206 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: _Y Flood Zone: X Building Permit Fee: $4,256.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $94.00 Energy Compliance: $0.00 CA Seismic Safety: $65.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $20.00 TOTAL FEE: $6,112.45 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9024949 Expire: 09101/2019 Building Setbacks Rear: 4 ST Front: 10 WATER Left: 4 FRONT Right: 4 FRONT Use Zone: R-1 Parkino Rnacac- Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $297.92 $170.24 $383.04 Plan Check Fee Designer: Address: Phone: Nv '� LIGHT CHRISTIAN R �I 1401 QUAIL ST #120 NEWPORT BEACH CA 92660 949-851-8345 State Lic:CO22334 SKUDLARSKI JASON 9751 OLYMPIC DR HUNTINGTON BEACH CA 92646 949-752-1612 State Lic:C-067712 Special Conditions: LIQUEFACTION AREA Planning Department - Plan check Fee : Fair Share: SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication: $0.00 PM Plan Check : $41.25 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $6.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: 4->V PLAN CHECK BY: Iwo' APPROVAL TO ISSUE:-1"'�--� 9G J00 ° o. ° ° $0.i .$16�$564.$0.$0.$0.$6,112.45/ 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) 1 have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requir 't ; olish, 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 p 0 i or �a c aw (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 alleg n 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 U 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 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). ❑ 1 am exempt from licensum under the Contractors' State License Law for the following reason: By 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 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S n 700 ) o Divi 'on 3 of the Bush esaii�� an y ' in It force and effect. License Class License No Da vb Contractor ORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN A ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: I have Awlwripl maintain 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 performance of the work for which this permit is issued. Policy No. �av an; W.1r;aintain 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' compensation. insurance carrier and policy number are: .a❑2r S—r'.41"T,� G'D N1(� . Expiration Date Policy Number e of Agony . rtify than ivt0ie pertorman 'ch 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 agree ,if I shoutli tfepvme su ' orkers' compensa ro isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � � pp atur o p - — Date Z2 L2 I f � t ING CONSTRUCT ON LENDING AGE C - elYy affirm under penalty of perjury that there is a construction le ng agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lers Name . Lender's Address /ySignatum tfB1W,, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and count I nces and state laws relating to building construction. I authorize representatives of this city or coun 3oP1 denti ed r ¢e y for inspection purposes. - _ . ,. :__� „__ �_ i Print Pr ❑ertv Owner's or Authorized Agent's Nam ACTION DATE BY DECLARATION OF COMPLIANCE VH CODE OF FEDERAL FOR OFFICE USE ONLY C/ v REGULATIONS PART 61 OF TIT 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED EPA PERMIT EXTENDED QMD PERMITFINAL ASBEST NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF + PRZ7 ED OCCUPANCYISSUED to �� SIGN