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Home My WebLink AboutX2018-1975 - Permitsa City of Newport Beach - Building Division *X2018-1975* COMB Permit: X2018-1975 100 Civic Center Drive, Newport Beach, CA 92660Project No: 1170-2018 Permit Counter Phone (949)644-3288Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date : 0710212018 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAUD 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: 3801 INLET ISLE DR NB Description: SFR *ADDITIONAL SCOPE* NEW BEAMS AND FOOTINGS • o o Legal Desc.: N TR 6426 LOT 54 r Owner: KATZ KEUM YE Address: 3801 INLET ISLE DR CORONA DEL MAR, CA 92625 Phone: Applicant: GOETZANDREW Address: 2855 E COAST HWY #234 CORONA DEL MAR CA 92625 Phone: 949-673-3152 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Contractor. PAROS KITCHEN & BATH INC Address: 431 N TUSTIN STREET ORANGE, CA 92867 Phone: (714) 602-9717 Con State Lic: 1022773 Lic Expire: 01/31/2019 Bus Lic BT30058123 Lic Exp Date: 02/28/2019 2016 Worker's Compensation Insurance V-B Carrier: NORGUARD R3/U Policy No: PAWC887388 0 Expire: 01101/2019 0 Building Setbacks Rear: / Front: / Left: / Right: / Building Permit Fee: $187.00 Plan Check Fee: $162.69 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $390.19 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: GOETZANDREW Address: 2855 E COAST HWY #234 CORONA DEL MAR CA 92625 Phone: 949-673-3152 State Lic:C018499 Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Excise Tax: $0.00 Planning Department - Additional Fee: $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Zone,N Fire Department $37.50 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 Plan Check Fee: $200.19 Fee Due at Permit Issuance : $190.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: C_ APPROVAL TO ISSUE: - l 4��bvv� 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) ction 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 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 fessions 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 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, iness 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 rovements 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 roved:for the p4mose of sale). I, as owner e**e property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ),j,tb an owner ofpsoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exeA from licensure under the Contractors' State License Law for the following reason: T19 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, 1 cannot Iegalll s-structure tpat l have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 11 understand that a copy of the applicable law, Section 7044 of the Business and fessions Code is 2aailable upon request when this application is submitted or at the following Web site:http:/Lwww.leginfo.ca.gov/calaw.html. rWiTre of PropeA; Owner or Authorized Agent _Data_ :9NSED WNTRACTOR'S DECLARATION rep' affirm uliaer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ,pp��Isio 3 the Business and Pr ofs ions Code my license is in full force effect. License Class License No Date i.J2 i Contractor Signatu lRf�RS' (;0MP4NSATION DECLARATION WING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWFCT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUND ND DOLLARS ($I00,000), IN ADDITION TO THE h'd*OMPENS&TIW* DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. MbY affirm uu-Q& 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 Directof of Industrial Relations as provided for by Section 3700 of the Labor Code, for th formance of the work for which this permit is issued. Policy No. -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' compensatioi Trance carrier and policy number are: of Agent Policy Number ! Expiration Date Phnne ft 11 certify that, in the pe o ocef the work for which this permit is issued, I shall not employ any person in any man jer so as to become subject to the workers' comp saticnI of C ifomia, and agre cat, if I should become ubI worke pensation provisions of Section 3700 of the Labor Code, I shall forth th comply with those provisionstignature of Applicant)ECLARATION REG R STRUCTION LENDING AGENCY hereby affirm under lIenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code). .ender's Name Lender's Address ly 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 h e vided f correct. j I agree to comply with all applicable city and cou y ordinanc a "tate laws relating to building construction. j 1 authorize representatives of this city or county o en!TnPetl'pfS(JEF y or inspection purposes. �� 2 signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name to ACTION DATE BY D RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGUL ATIONS PART 61 OF TITLE 40 AND AQMD RULE E1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED I LJACIMD PERMIT FINAL VA, ^ CERTIFICATE OF % r6/L OCCUPANCY ISSUED IS NOT APPLICABLE TO