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HomeMy WebLinkAboutX2021-0118 - 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 Combination Type - SFP ELEC MECH PLUM 111�1 11111111111111111111111111111111111111111111111111 �11COMB Permit: X2021-0118 X 2 0 2 1 0 1 1 8 Project No : 0128-2021 Issued Date: Inspection Area : 4 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: 26 ROYAL SAINT GEORGE RD NB Description: NEW DETACHED POOL HOUSE 607 SF Legal Desc.: N TR 7323 LOT 23 +� Owner: REKLAW LLC Contractor: WALKER CONSTRUCTION Architect: SCHULTZ CRAIG ^ Address: 418 ORCHID AVE Address: 418 112 ORCHID AVE Address: 3111 SECOND AVE STE 1 ^ ^ CORONA DEL MAR CA 92625 CORONA DEL MAR CA 92625 CORONA DEL MAR CA 92625 Phone: 949.280-7633 Phone: 949-280-2633 Phone: 949-645-9982 State Lic:CO22287 Applicant: SCHULTZ CRAIG Con State Lic: 681217 Engineer: GABRIEL MICHAEL R 0 Address: 3111 SECOND AVE STE 1 Lic Expire: 09/30/2021 Address: 483 E 20TH STREET ° CORONA DEL MAR CA 92625 Bus Lic: BT30058987 COSTA MESA CA 92627 Phone: 949-645-9982 Lic Exp Date: 05/31/2022 Phone: 949-646-6596 State Lic:S-002939 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: STATE COMP. INS Address: „ ... Occupancy Group: R3 Policy No: 9263241 Added /New sq.ft. Bldg: 607 Expire: 10/2912021 Phone: - Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $108,000.00 Building Permit Fee: $2,045.00 Excise Tax: $127.47 Planning Department - Fire Department Plan Check Fee: $1,429.00 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: $0.00 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 : $14.04 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $143.15 San Dist: $0.00 Building Green Fee : $5.00 Mechanical %: $81.80 NMUSD Fee: $0.00 $0.00 Plumbing %: $184.05 $0.00 TOTAL FEE : $4,237.51 Plan Check Fee : $4,237.51 Fee Due at Permit Issuance $0.00 PROCESSED BY: ^ PUBLIC WORKS APPROVAL: S\J`� ZONING APPROVAL: ``1.5� ,, PLAN CHECK BY: V' L GRADING APPROVAL: APPROVAL TO ISSUE: zow_ 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 he 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 'rofessions Code) or that he or she is exempt from Iicensure 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 lot 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, 3usiness 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 nprovements 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 reproved 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 Ipply to an owner or 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 Iicensure under the Contractors' State License Law for the following reason: 3y 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 :hat 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 'rcfess'ons Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date .ICEhIRED CONI RACTOR'S DECLARATION hereby affirm under penalty of pedury4hat I am licensed under provisions of Chapt r (com�➢7ncln with Section 7000) Di sion 3 of the Business and Professions n my Icense is in full force Icd Lf'ect. LicalcE Class 15 License No , oC.�_ Date —7 f Contractor Signature e 4GRKERS' COMPENSATION DECLARATION 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 OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. herPby affirm under penalty of perjury one of the following declarations: have and nil; r.a;ntain 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 ormance 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' compensa rance carrier and policy number are: Policy Number of Agent Date R91 certify that, in the performance of the work forwhich 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 agre that, if I should become subject to the workers' compere provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date_ G2 DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm unrj penalty of p rjury tt at there is a construction lending agency for the performance of th ork for which this p 't is issuer (Sec ion 3097, Civil Code). Lender's Name l " `CLI V I (L+^a pku t 2 o- Lender's Address leP A By my signature below, I certify o each of the ollowing: 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. agree to comply with all applicable city and county ordinances fate laws sting to building construction. I authorize representatives of this city or county to enter the a nti d property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name iGC40Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED MOMID PERMITFINAL /� �3 SU ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: