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HomeMy WebLinkAboutX2021-2821 - Permits,., City of Newport Beach - Building Division COMB Permit: X2021-2821 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0624-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 S �' e• �� y�y � ��r � �,,,C ; i Issued Date : 10/19/2021 'cryoR�> Combination Type - SFP ELEC Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/19/2024 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: 7 POINT LOMA DR NB Description: ADD'L SCOPE-(REV21-1606) ENCL COVERED PATIO TO CREATE 48 SF LIVABLE. Legal Desc.: N TR 7432 LOT 56 Owner: ARYA SATYA PAL XAGORARAKIS DENISE Address: 7 POINT LOMA DR CORONA DEL MAR, CA 92625 Phone: Applicant: XAGORARAKIS DENISE Address: 2778 LORENZO AVE COSTA MESA CA 92626 Phone: 949-422-4364 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 48 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $4 000.00 Building Permit Fee: $836.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $36.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.0c TOTAL FEE: $992.52 PROCESSED BY: 65 ZONING APPROVAL: Cw GRADING APPROVAL: 41 Contractor: DEG CONSTRUCTION 8. MAINTENANCE INC Architect: Address: 186 VIRGINIA PLACE Address: 2778 LORENZO AVE COSTA MESA CA 92627 COSTA MESA CA 92626 Phone: 949-642-3899 Phone: 949-422-4364 State Lic:C037154 Con State Lie: 846483 Engineer: SILVA CHRISTINA Lie Expire: 09/30/2022 Address: 24482 MUELA Bus Lie: BT30074954 MISSION VIEJO CA 92692 Lie Exp Date: 04/30/2022 Phone: 949.795-6256 State Lic:C-037201 Worker's Compensation Insurance Designer: Carrier: STATE FUND Address: Policy No: 9042191 Expire: 01/01/2022 Phone: 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: 52-56' Front: 6' Left: 5' Right: 5' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $58.52 $0.00 $0.00 Special Conditions: REV21-1608 0 Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication: $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $992.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far the reasons) indic (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, den the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License I Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sect not more than five hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of t Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through 1 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owr..3r of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor LJ I am exempt from licensure under the Contractors' State License Law for the following reason: R,, my signature ticlr_w I acknowledge that, except for my personal residence in which I must have resided for at least one y sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.legin Sign. ture of Property Owner or Authorized Agent LICENSED CONToACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 0' and effect. Liper,se Glass License No Date NORKERS' COMPENSATION DECLARATION d below by the checkmark(s) I have placed next to the applicable items) Ih, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, 3loyees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). prior to completion of the improvements covered by this permit, I cannot legall, hand that a copy of the applicable law, Section 7044 of the Business and a.gov/calaw.html. 7 Date 'ision 3 of the Business and Profe�sly�s Cod nd my license is in full force f-e z/ Contractor Signature lfC NARNIN(;: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALIIIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,009), IN ADDITION TO THE COST Of COMPENSATION Z)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm u.ider penalty of perjury one of the following declarations: J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of )erformance of the work for which this permit is issued. Policy No. Ell have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe nsurance carrier and policy number are: Policy Number of Agent certify that, in the performance of the wor or which this permit is issued, I shall not employ any person in any manner if I should become subject to the wor s�mpensation provisions of Section 3700 of the Labor Code, I shall forthwit of Applicant veby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which 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 correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED DATE BY DE(���MVr(ANCE WITH CODE OF I I REGULATIONS PART 610i TITLE40A DAQMD RULERAL FOR OFFICE I SUBMITTED ASBESTOS NOTIFICATION TO M ASBESTOS NOTIFICATION IS NOT PLI/� CABLE TO Di'—L' PROPOSED DEMOLITION jZ SIGNATURE: ')C Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date as to become subject to the workers' compensation laws of California, and agre Imply with those provisions. Date is permit is issued (Section 3097, Civil Code). ONLY Name NAr_,O.1 ,4 ,%1n/ Date