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Home My WebLink AboutX2020-2953 - Permits�tiyxwt'okr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2953 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 9 5 3 Project No: 2350-2020 E n Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 - Combination Type - SFP MECH ELEC PLUM Issued Date : 05107/2021Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/07/2024 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: 1136 HIGHLAND DR NB Description: SFR ADD CONDITION SPACE TO (E) MASTER BEDROOM 192 SF REMODEL 238 SF Legal Desc.: N TR 3031 LOT 79 6 N,-,, •,�, (� `,C 10)R Owner: ENGLER PETER/DANILLE Contractor: CHAVELAS RENOVATION SERVICES Architect: Address: 1136 HIGHLAND DR Address: 10173 OXFORD CIR Address: NEWPORT BEACH, CA 92660 RIVERSIDE CA 92509 Phone: Phone: 951-236-1661 Phone: State Lic: Applicant: ENGLER PETER/DANILLE Con State Lic: 988130 Engineer: XIAO QIANG Address: 1136 HIGHLAND DR Lic Expire: 10/31/2021 Address: 1520 BROOKHOLLOW DR #45 NEWPORT BEACH, CA 92660 Bus Lic: BT30076203 SANTA ANA CA 92705 Phone: 949-087-5844 Lic Exp Date: 0513112022 Phone: 714-662-0510 State Lic:S-005289 Code Edit: 2019 Worker's Compensation Insurance Designer: MICHAEL DAVID Type of Construction: VB Carrier: EXEMPT Address: 712 CENTER ST Occupancy Group: R3/U Policy No: COSTA MESA CA 92627 Added /New sq.ft. Bldg: 192 Expire: Phone: 949-342-4097 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 6' Special Conditions: No of Units : 1 Front: 20' Bldg Height: 0 Left: 6' Bldg Sprinklers: N Right: 6' - Flood Zone: X Use Zane: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $56,840.00 Building Permit Fee: $1,252.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,008.92 Additional Fee : $0.00 Plan check Fee : $185.00 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 : $26.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $7.39 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $43.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $87.64 San Dist: $0.00 Building Green Fee : $rE: Mechanical W $50.08 NMUSD Fee: $0.00 $0.00 Plumbing %: $112.68 $0.00 TOTAL F,836.1 Plan Check Fee : $1,297.92 Fee Due at Permit Issuance : $1,538.79 PROCESSED BY: A PUBLIC WORKS APP VAL: ZONING APPROVAL: PLAN CHECK BY: 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 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 far 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 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 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 L) 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). ❑ 1, 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). LI I am exempt from Iicensure 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 coven 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw. html. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty a 'ury that I am licensed under provision�-gift r 9 (commencing with SectiO 700 f Division 3 of the Business and Prof ssions Cqd license is in full force and effect. License Class ' License NoL 1/1 X ��7 �� Date Contractor Signature C 4 ORKERS' COMPENSATI N DECLARATION NARNING: FAILURc TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRIM AL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND OLLARS ($100,000(, 0 ADDITION TO THE C')ST nF COMPENSATIUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. herehy affirm under penalty of perjury one of the following declarations: of the Business and ;,ave and will mr'.intain 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 xmance of the work for which this permit is issued. Policy No. na,,e 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 r nce carrier and policy number are: Policy Number Date �I-c/tify that, `n the performance of the work for which this 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 agree pr If I shoulu ueuon.e subje thew r ' mpensation p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -7 /��7 j signature of Applicant Date 7- - - I IECLARATION REGA ING qONSTRUMON LENDIW3AGENCY hereby affirm under pf nalty 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 ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. ,,, n r `� 1 L J-e I have read this application and the information I have provided is correct.l�� I agree to comply with all applicable city and county ordin c and state o building construction. I authorize representatives of this city or county /to� enter ov roperty for I pection purposes. lionature of Prooertv Owner or Authorized Agent T Phnt Prooertv Owner's or Authorized Aoent's Name ACTION DATE BY t DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AN D AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED UEPA PERMIT EXTENDED ❑AQMD PERMITFINAL qt' ASBESTOSNOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF �' `7" ZZ OPOSED DEMOL TION OCCUPANCYISSUED sIr.NAT11RFe % /Y7