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HomeMy WebLinkAboutX2020-2608 - Permits,t,;� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2608 .: 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 6 0 8 Project No : 0382-2020 v (IIh Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 11/09/2020 r' i,rr,ne'"k Combination Type - BLDG PLUM Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111012023 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: 511 SEAWARD RD NB Description: DEMO (2) BEDROOM, 1256 SF SFR W/ATT GARAGE, INCLUDES SEWER CAP _ s� Legal Desc.: N TR 1237 LOT 97 ?r E *•'"'� Owner: 511 SEAWARD LLC Address: 428 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 Phone: 702-937-8251 Applicant. 511 SEAWARD LLC Address: 428 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 Phone: 702-937-8251 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units : 1 Bldg Height: Bld Sprinklers" Contractor: OW NER/BLDR Address: KRSTANOVIC GABRIJEL Phone: 702-937-8251 Con State Lic: O/B Lic Expire: Bus Lic: Lic Exp Date: 2019 Worker's Compensation Insurance VB Carrier: R3/U Policy No: 0 Expire: 0 2 Building Setbacks Rear: I Front: I 0 Left: / g Right: / Flnnd 7nneX Construction Valuation: $10 000.00 Building Permit Fee: $120.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,1 PROCESSED BY: ZONING APPROVAL: Use Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee : $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $10.80 Architect: Address: Phone: State Lic Engineer: WU ALLEN CHUN-YING Address: 2 MILLSTONE IRVINE CA 92606 Phone: 408-329-0257 State Lic:C-069385 Designer: Address: Phone: Special Conditions: DEMO SHALL COMMENCE 30 DAYS AFTER NOTIFICATION TIGHT QUARTERS TO HAUL Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $316.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,165.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: �{'``-��I 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 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 7000) 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 (/ Jn- not more than five hundred dollars ($500). Fas -wrier of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, s 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 from licensure under the Contractors' State LicIanse Law for the following reason: By my signature below I acknowledge that, except for my pers at reside a in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that have built as an owner -builder if it has n been co tr led in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of t e Busi ass and Professions Code, is available upon reques his appli a on is s ed or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized gent e LICENSED CONTRACTOR'S DE LA I hereby affirm under penalty of perjury that I am license der provisions of Chapter 9 (commencing with Sectio Dwiaie earrle *salons Code, and my license is in full force and effect. License Class License No ra r ature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. I I 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' compensatiorj insurance carrier and policy number are: Carrier Policy Number Expiration Date N 9 of Agent _ Phone # certify that, in the performance that, if I should become subject to of work for ich is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation rkers' co�e ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , 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 Ender's Name Lender's Address y 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 hav provided is correct. 1 agree to comply with all applicable city and county r inane an state laws relating to building construction. I authorize representatives of this cit ounty to n thee ov -Identified property for inspection purposes. ^( ignature of Property Owner or Author! - Print Prooertv Owner's or Authorized Anent!" Na ?7 ACTION DATE BY RDECLARATION I EGULATIONS OF COMT 61PLIANCE WIT40 H DE OFQMD EDLERAL I FOR OFFICE USE ONLY PERMIT EXPIRED I ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED J, 11QMD CERTIFIC4TEOFPERMITFINAL OCCUPANCY SUED r�J1 `r/ Z' ESTOS NOTIFIC ION IS O PPLICABLE TO P POSE MOLITI% SIGN Civil Code). Un L 44S Tl of California, and 7/ b—)Zc.)