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HomeMy WebLinkAboutX2020-0949 - Permits,w IFrk� City of Newport Beach - Building Division "X2020-0949" COMB Permit: X2020-0949 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 1963-2018 Permit Counter Phone (949)644-3288 a mr Inspection Requests Phone (949)644-3255 Issued Date : 04109/2020 Combination Type - BLDG PLUM Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 wor� s Holidays -r Job Address: 3404 QUIET COVE N13 �§ 1�l�_Ad Description: DEMO 2149 SF, 4 BEDROOM SFR WIATT GARAGE, INCLUDES SEWER CAP, TIGHT QUARTERS TO HAUL Legal Desc.: N TR 6228 LOT 40 Owner: FLORIAN] FAMILY TRUST Contractor: KRS DEVELOPMENT Architect: OLSEN ERIC Address: 1701 PORT MARGATE PL Address: 2941 GRACE LN STE C Address: 2728 E COAST HWY, STE A NEWPORT BEACH CA 92660 COSTA MESA, CA 92626 CORONA DEL MAR CA 92625 Phone: Phone: 949.290.6600 Phone: 949-887-8856 State Lic:C034489 Applicant: OLSEN ERIC Con State Lie: 912477 Engineer: Address: 2728 E COAST HWY, STE A Lie Expire: 04130/2020 Address: CORONA DEL MAR CA 92625 Bus Lic: BT30044186 Phone: 949-887-8856 Lie Exp Date: 07/3112020 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP FUND Address: Occupancy Group: R31U Policy No: 9129520 Added /New sq.ft. Bldg: 0 Expire: 05/3112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: DEMO SHALL NOT BEGIN No of Units : 1 Front: / UNTIL 30 DAYS AFTER Bldg Height: 0 Left: I NOTICE Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces 0 Fire Hazard Zone : N Construction Valuation: $0.00 ; Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department- Fire Department Inspection: $9.90 Plan Check Fee: $208.00 Additional Fee : $0.00 Plan check Fee: $90.00 Fire ' Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev 59.90 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $210.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access, $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $9.27 $0.00 TOTAL FEE : $1,210.27 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,210.27 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: It mmmmmL- OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State Llcense 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 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 evil penalty of not more than five hundred dollars ($501 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 mprovements 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 itwas not built or mproved for the purpose of sale). D 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 7 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for aY least one year prior to completion of the improvements covered by this permit, I cannot legal[) Ell 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 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/1www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION Date 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 a Profession and y license is in full force find effect License Class License No Pfjye• 7-i— Q--2Q Contractor afore VORKERS' COMPENSATION DECLARATION I� IARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO4FRACE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO NE HUNDRED THOUSAND DOLLARS IN ADDITION TO THE OIE100,000f, DST OF COMPLNS:.i ION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTI^5 F ORNEEES. hereby affrr. ar.Gar penalty of perjury one of the following declarations: 11, 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 tht 6ance of 3.e cmrk forwhich this permit is issued. Policy No. 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' compensatior isurance cable; ji,d policy number are; anlor ,�,E So�d(t `�I„S_ Policy Number (� Sr/i/'—%Z6 Expiration Date L'— J'-2.o2© ame of Ageni _� U.ec„l;,r.L Foci is �'InSti S,rrvrc e5 Phone (gy9) Z97—Tl Jl Certify that; in the performance of the work for which 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 agree at, if I should tiacome subject to t workers' (Sensation isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / q igril ofApoK.. ECLARATION REGARDINGNS ,UCIFIo„-«NDING AGENCY .,iel affirm Ut,ber nenaity, of perjury that there is a construction lending agency forthe performance of the work for which this permit is Issued (Section 3097, Civil Code). moer's Name, Lenders Address (my signature below, I certrfy 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 co I agree to comply with all applicable city and County ordinanc state laws ating to building construction. I authorize representatives of this clTyunty to entertlentifie perry for inspection purposes. ,� _ y BY OT DECLARATION OF COMPLIA WITH CODE OF FEDERAL FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT E%TENDEb QMD PERMlT FINAL ..I --- ASBESTOS NOTIFICA ON IS NOT APPLICABLE TO CERTff/CA7EOF "_�'� F'ipI— PROPOSED D Q OCCUPANCYISSUED