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HomeMy WebLinkAboutX2020-0517 - Permitsfwrnk City of Newport Beach - Building Division .t A� 100 Civic Center Drive, Newport Beach, CA 92660 F ; Permit Counter Phone(949)644-3288 -v Inspection Requests Phone (949)644-3255 r: s„rwr•' Combination Type - SFP ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0517 x 2 0 2 0 0 5 1 7 Project No: 0091-2020 Issued Date: 02/27I2020 Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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 Jab Address: 19 FIORE NB Description: SFR (ADD'L SCOPE) INSTALL FIREPLACE @ THE LIVING ROOM Legal Desc.: Owner: HINMAN SARA SURVIVORS TRUST Address: 19 FIORE NEWPORT COAST CA 92657 Phone Applicant: SEA POINTE CONSTRUCTION Address: 576 WALD STREET IRVINE CA 92618 Phone: 949-279-0421 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $10,000.00 Building Permit Fee: $232.00 Plan Check Fee: $201.84 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE : $513.96 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SEA POINTE CONSTRUCTION Address: 576 WALD STREET IRVINE CA 92618 Phone: 949-279-0421 Con State Lie: 665114 Lie Expire: 02/28/2021 Bus Lie: BT30016203 Lie Exp Date: 07/3112020 Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No: 7600001365191 Expire: 03/01/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / �arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $16.24 $0.00 $20.88 Plan Check Fee : Architect: Address: Phone: Engineer: Address: Phone: Designer: HOVE BRYCE Address: 576 WALD IRVINE CA 92618 Phone: 'SPLICTO State Lie: ' State Lie: Special Conditions: REV20.0341 (DELTA 1) 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 Zone: N Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $513.96 PUBLIC WORKS APPROVAL: PLAN CHECK BY: r 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 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 applicanf far :he 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 3rofessions 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Em roved for the purpose of sale). i r I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner c` property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt tton. 'icensure under the Contractors' State License Law for the following reason: Py r-,, rionature blow I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure tflPt I nai,e built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. °'.gnature of Property Owner or Authorized Agent Date LICENSED CCNTRACTOR'S DECLARATION I nereb" affirm under penalty of p$�Iury that I am licensed under provisions of C ytr� (pgmmencing with Secti 7 0) iv on 3 of the Business and P fe i ns C de, and y is a is in full force and effect. License J�ass fS License No !/G % T Da , Contractor Sig re JNf1RKERS' COMPENSATION DECLARATION N4RNINC: 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 COST OF COMPENSATION,:VIVIAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: D 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 th e'Stormance of thz'.00lk forwhich this permit is issued. Policy No. 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' .carrier wW policy number are: a of Agent ertify that, in the performance of the work for if I shou)d become subject to tqe werWrs' co Policy Number /G+!/�!/��,� J / Expiration Date this permit is issued, I shall not employ any person in any manner so as to become subject to the work rscomp sa ion laws of California, and agre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. g to J CLARATIC IN RF,OMR ING CONSTRUCTION'LEWDING AGENCY :reby affirm un&&Fp6nalty 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: 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 cat, I agree to comply with all applicable city nd county ordinances and late laws relating to building construction. I authorize representatives of thi r county- nter th b e- entifed property for inspection purposes. p r�� nature of PrODerty Owner or Aut d ADe Print Property Owners or Authorized Agent's Namak�/ >L ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO NOTIFICATION 15,NOI.APBLICABLE TO