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HomeMy WebLinkAboutX2021-2725 - Permits�r City of Newport Beach - Building Division IIIIII�IIIIIIIIIIIIIUIIIIIII�IIIIIIIIIIIIIII� III COMB Permit: X2021-2725 +� 100 Civic Center Drive, Newport Beach, CA 92660 '. X 2 0 2 1 2 7 2 5 Project NO : 2370-2021 Permit Counter Phone (949)644-3288 cz Inspection Requests Phone (949)644-3255 Issued Date: 10/13/2021 �a}ra+k.`� -`' Combination Type- MFP ELEC MECH PLUM GRAD Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011312024 OR PERMIT WILL BE INVALID 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: 10 RUE CHATEAU ROYAL NB Description: SFR -ADD 40 SF (CONV GAR TO LIVABLE) /REMODEL 1850 SF & RE -ROOF OVER BEDROOM 2 Legal Desc.: N TR 7788 LOT 65 Owner: PANNIER FAMILY INVESTMENT Contractor: LEVICA BUILDERS INC Architect: Address: 10 RUE CHATEAU ROYAL Address: 650 N ROSE DR #426 Address: NEWPORT BEACH, CA 92660 PLACENTIA CA 92870 Phone: 949/759-0972 Phone: 714-688-0240 Phone: State Lic: Applicant: COPE BILL Con State Lic: 738671 Engineer: VOLPE ROBERT M Address: 2942 BAYVIEW AVE Lic Expire: 03131/2022 Address: 20321 LAKE FOREST DR STE D-6 NEWPORT BEACH CA 92660 Bus Lic: BT30075651 LAKE FOREST CA 92630 Phone: 9491514-4066 Lic Exp Date: 06130/2022 Phone: 949-305-4700 x1 State Lic:C-025116 Code Edit: 2019 Worker's Compensation Insurance Designer: COPE BILL Type of Construction: VB Carrier: EVEREST PREMIER INS CO Address: 20142 BAYVIEW AVE Occupancy Group: R3/U Policy No: 7600008437211 NEWPORT BEACH CA 92660 Added /New sq.ft. Bldg: 40 Expire: 0110112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 15 Special Conditions: ROBERTS WASTE TO No of Units : 1 Front: 10 HAUL DEBRIS Bldg Height: ON Left Bldg Sprinklers: Right: Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N INS Construction Valuation: $200,000.00 Building Permit Fee: $2,643.00 Excise Tax: - $0.00 Planning Department - Fire Department Plan Check Fee: $2,214.09 Additional Fee : $0.00 Plan check Fee : $208.00 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: $34.00 Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $140.00 Grading PC Fee: $199.00 Public Works Department - General Service $265.00 CA Seismic Safety: $26.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access, $0.00 PAN Plan Check : $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $185.01 San Dist : $0.00 Building Green Fee : $8.00 Mechanical %: $105.72 NMUSD Fee: $0.00 $0.00 Plumbing %: $237.87 $0.00 TOTAL FEE : $7,144.44 Plan Check Fee : $2,562.09 Fee Due at Permit Issuance : $4,582.35 PROCESSED BY: �1 PtIBLIC l°NO°RKS APPRIDVAL.'e• • ` ZONING APPROVAL: ,. , - © o � PLAN CI1CC'K e+Y4 • o i • i GRADING APPROVAL: i ; 9PPROVAL TO ISSUE: O iii p qi J 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 the 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do l_) 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 licensure 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 legall) 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:/A&ww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of isision of the Business and Profess�i cl�Code, and my license is in full force and effect. License Class License No Date 67 Contractor Signatura\ WORKERS' COMPENSATION DECLARATION NARNING: 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 ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 3700 of the Labor Code, for the pe ormance of the work for which this permit is issued. Policy No. ❑1 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' compensatiol ins rance carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance of the work 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 agree lat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant i� `©�/.3�Zf DECLARATION REGARDING CON UCTION LENDING AGENCY v - hereby affirm under penalty 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). adder's Name Lender's Address y 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 stat s relating to building construction. I authorize representatives of this city or county to enter the above-i tied property for ins ction purposes. J ianature of Pronertv Owner or Authorized Agent 1�� y Print Prooertv Owner's or Authorized Agent's Name Date / ACTION DATE BY DECWATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED UEFA • • - • "• PERMIT EXTENDED4.4 IA PERMITFINAL BESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF Ir PROPOSED ,�D�MOLITI _ OCCUPANCYISSUED SIGNATURIIt ^ �' + •+ + eoa ao wo+ •w