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HomeMy WebLinkAboutX2020-0948 - Permits.tivx City of Newport Beach - Building Division "X2020-0948* COMB Permit: X2020-0948 ! 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1963-2018 Permit Counter Phone (949)644-3288 si rr Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 109/2020 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 work on Sundays or Holidays Job Address: 3404 QUIET COVE NB Description: DIET. POOL HOUSE 648 SF �?a Legal Desc.: N TR 6228 LOT 40a-- Owner: FLORIAN[ FAMILY TRUST Address: 1701 PORT MARGATE PL NEWPORT BEACH CA 92660 Phone: Applicant: OLSEN ERIC Address: 2728 E COAST HWY, STE A CORONA DEL MAR CA 92625 Phone: 949-887-8856 Code Edit: 2016 Type of Construction: V-B-SPR Occupancy Group: R3 Added /New sq.ft. Bldg: 648 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Valuation: $116,640.00 Building Permit Fee: $3,453.00 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: $15.16 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 Contractor: KRS DEVELOPMENT Address: 2941 GRACE LN STE C COSTA MESA, CA 92626 Phone: 949.290-6500 Con State Lic: 912477 Lic Expire: 04130/2020 Bus Lic: BT30044186 Lic Exp Date: 07131/2020 Worker's Compensation Insurance Carrier: STATE COMP FUND Policy No: 9129620 Expire: 05/31/2021 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: 6 Front: 10 Left: 6 Right: 6 larking Space $136.08 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $241.71 $138.12 $310.77 Architect: OLSEN ERIC Address: 2728 E COAST HWY, STE A CORONA DEL MAR CA 92625 Phone: 949-887-8856 State Lic:C034489 Engineer: FORBES DALE L Address: 1800 E 16TH ST #B SANTA ANA CA 92701 Phone: 714-835-2300 State Lic:C-030407 Designer: Address: Phone: Special Conditions: 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: $1,192.32 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: o §J.OJ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 II TOTAL FEE : $5,492.16 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $5,492.16 II PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: �� 4 APPROVAL TO ISSUE: UWNER-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, pdorto 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 ]!censure 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). ❑ 1, 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 70", 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-Bui]derwill have the burden of proving that it was not built or mproved 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). 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 at least one year prior to Completion of the improvements covered by this permit, I cannot [egal]; ;ell a structure that I have built as an owner-buUder'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:/lwww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION 7 hereby affirm under penalty of perury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business ��ayy����Profession and ry license is in full force and effect License Class License No I• d-/- a-_2Q Cont tire attire VORKERS' COMPENSATION DECLARATION IARMNG. FAR'1^F -0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($103.000), IN ADDITION TO THE :OSf OF COL:PENSAIION, DAMAGES AS PRONGED FOR 1N SECTION 3706 OF THE LABOR CODE; INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 thi ,fortnance of the work for which this permit is Issued. Policy No. be 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' compensatoor Irurance carrier and policy number are; ICErtier .c�C-S de-t2 `Zi^S_ Policy Number ( �j SCICI--gJiJ �' E)cpiration Date J—ZOZ©' "C'rme ofAy3nt )i_¢r..Fut PFci%a r„ylr rc S.rrvtc eS Phone# OtWZ47-Kq�co i 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 agre Lst, if I should become subject to t� ensation isions of Section 3700 of the Labor Code, i shall forthwith comply with those provisions. ,,,,yyyy Signature ofP x1t gate �j'--/`Z� DE:GL.ARATION REGARDING CONSTRUC NIDING AGENCY I :i�ireby affi,.Ti 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). Lender's Name Lenders Address By my signature below, f certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is Corr 1 agree to comply with all applicable city and county oriinanc state laws r ating to building construction. I authorize representatives of this city o unty to enter entitle perty for inspection purposes. op Signature of Property Owner or Author A ent rint Property Owners orAuth rized .­_V_r4h1.&400 ACTION DATE BY DECLARATION OF COMPLIARLT WITH CODE OF FEDERAL FOR OFFICE U E ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED UBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED OMD PERM?FINAL ASBESTOS N IFIC"A�%ON IS NOTAPPUCABLE TO CERTIFIC4TEOF -aG PROPOSED LJT�N Q OCCUPANCY1551, �,...,. A.� /, _1K