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HomeMy WebLinkAboutX2020-1391 - Permits.,y11'h0q City of Newport Beach - Building Division100 IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIII II COMB Permit: X2020-1391 Per `e Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 9 1 3 9 1 Project No : 1070-2020 � - Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 08/20/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812112023 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: 1307 MARIAN LN NB Description: SFR ADD 737 SF, REMODEL 353 SF Legal Desc.: N TR 1645 LOT 27 Owner: HARRINGTON TIMOTHY Address: 1307 MARIAN LN NEWPORT BEACH CA 92660 Phone: 714-335-2447 Applicant: SERRANO ROLANDO Address: 1041 W 18TH ST STE A200 COSTA MESA CA 92627 Phone: 323-508-6127 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 737 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $2,592.00 Plan Check Fee: $1,892.89 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $38.00 Energy Compliance: $0.00 CA Seismic Safety : Woo Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $7.00 Contractor: WELCH JASON Architect: Address: 419 E 19TH ST Address: COSTA MESA CA 92627 Phone: 949-230-7945 Phone: Con State Lie: 904363 Engineer: Lie Expire: 10131/2021 Address: Bus Lie: BT30061606 Lie Exp Date: 01/31/2021 Phone: State Lie: YAGHI SHUCRI 1 112 E. CHAPMAN #D ORANGE CA 92866 714-997-9120 State Lic:C-043205 Worker's Compensation Insurance Designer: SERRANO ROLANDO Carrier: WC EXEMPT Address: 1041 W 18TH ST STE A208 Policy No: (NO EMPLOYEES) COSTA MESA CA 92627 Expire: Phone: 323-508-6127 Building Setbacks Rear: 6 Special Conditions: ROBERT'S WASTE Front: 20 TO HAUL DEBRIS Left: 6 66 6°1 Right: 6 Use Zone: Parkins Snaces n Piro u.»rd 7,...e xr i Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : ($91.92) Plan check Fee : $185.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Arlon $26.00 Grading PC Fee: $0.00 Public Works Department - General Service $219.00 WO Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $564.00 PAN Plan Check : $172.00 Grading Bond: $0.00 Electrical %: $181.44 San Dist: $1,939.00 Mechanical %: $103.68 NMUSD Fee: $1,356.08 $0.00 Plumbing %: $233.28 $0.00 II TOTAL FEE: $9,417.45 Plan Check Fee PROCESSED BY: ZONING APPROVAL: �/��------ $2,028.47 Fee Due at Permit Issuance : $7,388.98 PUBLIC WORKS APPROVAL: PLAN CHECK BY: oft GRADING APPROVAL: ___ _ _ _ _ _ APPROVAL TO ISSUE: dVV� I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons), Indicated below by the checkmark(s) I have placed next!) the applicable 0em(a) (Section 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, after, Improve, demolish, or repair any structure, prior to its issuance, a,o requires the appllcantlor 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 (commencirriwith Section 7000) of Division 3 of the Business and Professions Cade) or that he or she is exempt from licensure and the basis for the alleged exemption, Any violation of Section 7021-6 by any applicant for a permit subjects file applicant to a civil penalty of not more than live hundred dollars ($600). 111, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not Intended or offered -or 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. H, however, the building or improvement is sold within one year of completion, the Owner-B older will have the burden of pro' ing that H was not built or roved for the purpose of sale). L! I, as Owner of the property, am exclusively contracting with licensed Contractors t0 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 from licensure Linder me Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in witch I most have rasided for at least one year prior to completion of the Improvements coverer by this permit, I cannot lagaig sell a structure that I have built as an owner-bullder if it has not been constructed in its entirety by licensed contractors. t understand that a copy of the applicable law, Section 7')44 of the Business and Professions Code, is available upon request when this applicatfon is submited or at the following Web site:h(tpYAwvw.leginfo.ca.govfcalaw.html. Signature of Property Owner or Authorized Agent Data _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty at A�wifry that I am licensed under provisions of Chjt tojI�z� wD�pmencing With Section 7000) of Division 3 of the Business and PYEHOU� d a9d icense Is in full force and effect_ License Class W} License Nof )L�S`J Oal`Ir t, Contractor Signatuf WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERSVCOMPEt1SATION COVERAGE IS UNLAWFUL, AND MALLaUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNOOLL'tRS(Si00,0001. IN ADOrx1NTOTHE hereby affirm ry of perjury one of me following declarations: h {No ry wit a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3; 00 of the Labor Code, for erf .. pwork 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' iance carver and policy number are: Policy Number Date is of Agent Phone e certify that, in the performance of the work forwhich this permit is Issued, t shall not employ any person inany manner so as to become subject to the workers' compensa0:!n laws of California, and If t should become subject to the Workers' com/r75aDan provisions of Section 3700 of me Labor Code, I shall forthwith comply with those provisions. nnttV :reby affirm under penal�f perjury that there 5 a construction lending agency for the performance of the work for Which this permit is Issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I ceNfy 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 corecL I agree to comply with all applicable city and ceumy ordlnan rid slat reiatirig to building contraction_ I authorize representatives of this city or court t enteyth eve-y�bi I mper,LyTor Inspection puryases. „-a) nature of PfODGIN Owner or Authorizetl Aden[ .��Y Print Pmoertv Owner's or Authorized Aoent's Na �iC`i:.f\, \.1..x'Ju.!� - Daf2'ti. �('� ' FOR OFFICE USE ONLY PART 61 OF TITLE 40 ANDAQMD RULE CERTIFICATE L?� PROPOSED ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 1'?j (�IIp PROPOSED DEMOLD'10 OCCUPANCVIS5UED vrrJAnraP•\!' i a r