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Home My WebLink AboutX2022-1117 - Permits` n� City of Newport Beach - Building Division "X2022-1117" COMB Permit: X2022-1117 % _ 100 Civic Center Drive, Newport Beach, CA 92660 99g ttt�� ( 'T _ Project NO : 2370-2021 Permit Counter Phone (949)644-3288 Y c; Inspection Requests Phone (949)644-3255 Y r °,r�µias'� Combination Type - SFP Issued Date : 04/19/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/19/2025 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: DELTA 3 ADDED CLG JOISTS @ GARAGE FOR NEW GYP BOARD, ADDITIONAL SCOPE FOR R!R INTERIOR NON -BEARING WALLS Legal Desc.: N TR 7780 LOT 65 Owner: PANNIER FAMILY INVESTMENT Contractor: LEVICA BUILDERS INC Architect: Address: 10 RUE CHATEAU ROYAL Address: 650 N ROSE OR #426 Address: NEWPORT BEACH, CA 92660 PLACENTIA CA 92870 °a°° a°m°oa Phone: 9491759-0972 Phone: 714-688-0240 Phone: State Lie: Applicant: COPE BILL Con State Lie: 738671 Engineer: VOLPE ROBERT M Address: 2942 BAYVIEW AVE Lie Expire: 03/31/2022 Address: 20321 LAKE FOREST DR STE D-6 NEWPORT BEACH CA 92660 Bus Lie: BT30075651 LAKE FOREST CA 92630 :°°O°° °am Phone: 949/514-4066 Lie Exp Date: 06130/2022 Phone: 949-305-4700 x1 State Lic:C-025116 ° Code Edit: 2019 Worker's Compensation Insurance Designer: COPE BILL ppG° °°°_®• Type of Construction: VB Carrier: EVEREST PREMIER INS CO Address: 20142 BAYVIEW AVE ° •. �, �., ° o Occupancy Group: R3/U Policy No: 7600008437211 NEWPORT BEACH CA 92660 Added/New sq.ft. Bldg: 0 Expire: 01101/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 15 Special Conditions: No of Units: 1 Front: 10 Bldg Height: 0 Left: Bldg Sprinklers: N Right: Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee : $0.00 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: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $306.07 Plan Check Fee : $140.07 Fee Due at Permit Issuance : $166.00 PROCESSED BY: PUBLIC WORKS APPROVAL: /Yj w) ZONING APPROVAL: ' Cr PLAN CHECK BY: 56C GRADING APPROVAL: APPROVAL TO ISSUE: 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 items) (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 70DO) 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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). ❑ I am exempt "Ri-licensure under the Contractors' State License Law for the following reason: @y my signature balcw5 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 %@IFa st ucture i"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 $rofesslons Codeisavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. +ShylarUje of Property owner or Authorized Agent Date LICENSED C04TRACTOR'S DECLARATION P berebi affirm J4w4$nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Divisio of the Business and Professions a nd is in full force enn.agect. License Class License No Date Contractor Signature WOOERS' l0tUP�NSATION DECLARATION / VlARMMG*: FAILURE!"!VACURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESAND CIVIL FINES UP TO ONE HUNDRED USAND DOLLARS ($100, 001, IN ADDITION TO THE ,C.OSJ OF COMPENS/MTION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'I hbreb: affirm undeapenalty of perjury one of the following declarations: 04have and M1 4intain 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, perfpIMance Ith the for which this permit is issued. Policy No. have and w`Ili malhtain 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' compensatior Insurance carrier and policy number are: Policy Number Date dame of Agent g Phone # �I certify that, in the performan f t e work f hi h ois ermit 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, hat, if I should become subje a rka p s t' rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 3ignature of Applicant Date )ECLARATION REGA DI ON RUCTION LENDING AGENCY 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). -ender's Name Lender's Address 3y 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 ordin ces and st a ws relating to building construction. I authorize representatives of this city or county to ant ove-' d property for inspection purposes. / signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name/ L Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I - I L.I I SUBMITTED PERMITCANCELLED EPA PERMITFINAL ASBESTOS OCCUFICATE OF LSUED �//`7/ �N'�i �SPR NAOTUR DEMOLIF I A) BLE TO