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HomeMy WebLinkAboutX2021-1074 - PermitsCity of Newport Beach - Building Division "X2021-1074* COMB Permit: X2021-1074 ;wpp4, 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0991-2021 Permit Counter Phone (949)644-3288 .Z Inspection Requests Phone (949)644-3255 � Combination Type - SFP ELEC MECH PLUM ��^ Issued Date : 08I1112021 Inspection Area : 6 C ,,1.{► ��MUST PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION BE COMPLETED BY 08/1112024 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: 1014 WHITE SAILS WAY INS Description: SFR ADD 137 SF @ ENTRY/FAM RM. REMODEL (E) BEDROOMS 8 BATH, CREATE GREAT ROOM. 1973 SF. R/R WINDOWS Legal Desc.: N TR 2202 LOT 29 Owner: HARVEY MOORE REV TRUST Contractor: CORNERSTONE CONSTUCTION Architect: ELENES CARLOS Address: 1014 WHITE SAILS WAY Address: 15540 ROCKFIELD BLVD STE A 110 Address: 17871 MITCHELL N #150 CORONA DEL MAR, CA 92625 IRVINE, CA 92618 IRVINE CA 92614 Phone: Phone: 949-369-1979 Phone: 949-955-3282 State Lic:C017463 Applicant: STANLEY SARA Con State Lic: 1033864 Engineer: XIAO QIANG Address: 17871 MITCHELL N STE 150 Lic Expire: 1213112021 Address: 1520 BROOKHOLLOW DR #45 IRVINE CA 92614 Bus Lic: BT30061583 SANTA ANA CA 92705 Phone: 949.955-3282 Lic Exp Date: 12/3112021 Phone: 714-662-0510 State LiaS-005289 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: ACCREDITED SURETY 8 CASUALTY Address: Occupancy Group: R3/U Policy No: IATCA160006212 ' Added /New sq.ft. Bldg: 137 Expire: 1112212021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 6 Special Conditions: No of Units : 1 Front: 21'5" Bldg Height: 0 Left: 6 Bldg Sprinklers: N Right: 6 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $400 000.00 Building Permit Fee: $3,273.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $2,762.19 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: $86.00 Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $280.00 Grading PC Fee: $199.00 Public Works Department- General Service $265.00 CA Seismic Safety : $52.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check : $203.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $229.11 San Dist: $0.00 Building Green Fee : $16.00 Mechanical W $130.92 NMUSD Fee: $0.00 $0.00 Plumbing %: $294.57 $0.00 TOTAL FEE : $8,826.79 Plan Check Fee: $3,232.19 Fee Due at Permit Issuance : $5,594.60 PROCESSED BY: PUBLIC WORKS APPROVAL: 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 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 not more than five hundred dollars ($500). I, 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 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). 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 License Law for the following reason: By my signaure 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 sell a structurr In at 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 Professions Coca, is available upon request when this application is submitted or at the following Web site:http://www. leg info. ca. gov/calaw.htmI. Signature of Pronnrty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio yP ie 13 of the Business and Prof C e, icense is II force and effect. '_:_ul,se Class License No Dat6 Contractor Signature YJ9RKERS' COMPENSATION DECLARATION WARMING: FAIL. RE 10 S`.CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), M ADDITION TO THE COST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have ant: 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 th penance of the work for which this permit is issued. Policy No. �,yLand 'wlil 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' compensatiol urance carrier and policy number are: Tier Policy Number Expiration Date me of Agent Phone # I certify that, in the pertor a oV�� rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre d, if I should became )e orovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `! (nature of Applicant l Date 2 ICLARATION REGAWDIRG�TRUCTION LENDING AGENCY =_reby 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 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: .tom—. I� zt , ` T=2 G d(� I am the property owner or authorized to act on the property owner' behalf. I have read this application and the information I have provided corr ct, I agree to comply with all applicable city and count anc at laws relating to building construction. authorize representatives of this city or cou y en t b hied property for inspection purposes. Inature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam a MON DATE BY DEC ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQMD PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED L—�S.A.� IDhgh ASBESTOS lC ON PPLICABLE TO RO OSED LI�MOLI - SIGNATURE: X