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HomeMy WebLinkAboutX2021-3207 - Permitswsr,� City of Newport Beach - Building Division *X2021-3207* COMB Permit: X2021-3207 sf 100 Civic Center Drive, Newport Beach, CA 92560 Project No: 2778-2021 w I • n Permit Counter Phone (949)644-3288 r -� Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC GRAD rIssued 'golf Date : 11/24/2021 l Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/24/2024 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: 20081 ORCHID ST NB Description: SFR DRAINAGE, EXTERIOR SIDING AND STUCCO, EXTERIOR ELECTRICAL AND EAVE REPLACEMENT (STOP WORK) Legal Desc.: N TR 1500 LOT 1 AS BUILT PERMIT Owner: PECA SEAN & BARBARA Contractor: Address: 20081 ORCHID ST Address: NEWPORT BEACH, CA 92660 Phone: 949-955.3998 Phone: Applicant: PECA SEAN & BARBARA Con State Lic: Address: 20081 ORCHID ST Lic Expire: NEWPORT BEACH, CA 92660 Bus Lic: Phone: 949-955-3998 Lic Exp Date: Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg. Height: 0 Bldg Sprinklers: Flood Zone: 11 Construction Valuation: OWNER/BLDR Architect: Address: 949-955-3998 Phone: CIS Engineer: Address: Phone: EXPOSE ALL STRUCTURAL, ELECTRICALiPLUMBING, AND MECHANICAL COMPONEI T IS State Lic: 2019 Worker's Compensation Insurance Designer: PECA SEAN V-B Carrier: Address: 20081 ORCHID ST R3/U Policy No: NEWPORT BEACH, CA 92660 0 Expire: Phone: 0 Building Setbacks Rear: 25 Special Conditions: Front: 20 Left: 5 Right: 5 Use Zone: Parkino Soaces: 0 Fire Hazard Zone : N Building Permit Fee: $559.00 Plan Check Fee: $486.33 Overtime Plan Ck: $0.00 Investigation Fee: $559.00 Record Management : $4.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $2,188.21 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept Adm Grading PC Fee: $199.00 Public Works Department- General Service WD Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit PAN Plan Check : $50.75 Grading Bond: Electrical %: $39.13 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,188.21 PUBLIC WORKS APPROVAL: 7r'-CC PLAN CHECK BY:� APPROVAL TO ISSUE: �/'✓ 1!� 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 items) (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 2 ;5iness 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;: � nalty 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 (_) 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 imp oved 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 a p 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 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 sell a structure that I have built as an owner -builder if it has not been cons d in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request whe Is ap- atl Is sub tt or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ' Signature of Property Owner or Authorized Agent �4.,( - Date LICENSED CONTRACTOR'S DECLAI Nf sIf I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License %�iass License No Date Contractor Signature N'ORWERS' COMPENSATION DECLARATION WARNING: 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 CO.T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 07D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I '.rere:r; affirm under penalty of perjury one of the following declarations: I have and will nlaibtain 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, performance of the work for which this permit is issued. Policy No. I have and will mrirtain 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' urance carrier and policy number are: Policy Number Ime of Agent Date I rertify, that, in'ihe p€rformance a work for ' h 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 Sub' ct the workers' 96maetisation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those. provisions. Signature of Applicant Date-`' �� �2y (Z I DECLARATION REGAROINITCONSTRUCTION LENDING AGENCY�� I 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 3097, CiI Ode). Lender's Name Lender's Address By 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 have provided is correct. I agree to comply with all applicable city and county It es and stat relating to building construction. I authorize representatives of this city or cou.ty Ent r the bove-i a Ifie roperty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �T ��-�'1 Date 11/ ACTION DATE BY 1 bECLARATION OF OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL nq ASBESTO TIFIC NOTAP IC BLE TO CERTIFICATE OF �.%-ZZ POSEDD OLITI OCCUPANCY ISSUED SIGNATURE: