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HomeMy WebLinkAboutX2020-0965 - Permitst�whry City of Newport Beach - Building Division IIIIIIIIII II I I III IIIIII I I II I I II COMB Permit: M - 100 Civic Center Drive, Newport Beach, CA 92060 X 2 0 2 0 0 9 6 e Project No : 0696-2020 H Permit Counter Phone (949)644-3288 .p Inspection Requests Phone (949)644-3255 Issued Date : Combination Type - SFP ELEC MECH PLUM Inspection Arearea :2020 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611312023 OR PERMIT WILL BE INVA 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: 536 SEAWARD RD NB Description: SFR- 253 SF HABITABLE CASITA Legal Desc.: N TR 1237 LOT 182 Owner: LEVINE KATHLEEN & DAN Contractor: CHRISTIANO HOMES Architect: XAGORARAKIS DENISE Address: 1515 ANTIGUA WY Address: 729 W 16TH ST #C-4 Address: 2778 LORENZO AVE NEWPORT BEACH CA 92660 COSTA MESA CA 92627 COSTA MESA CA 92626 Phone: 949-244-0418 Phone: 949-596-4618 Phone: 949-422-4364 State Lic:C037154 Applicant: XAGORARAKIS DENISE Con State Lic: 848745 Engineer: SILVA CHRISTINA Address: 2778 LORENZO AVE Lic Expire: 10/3112020 Address: 24482 MUELA COSTA MESA CA 92626 Bus Lic: BT30039246 MISSION VIEJO CA 92692 Phone: 949-422-4364 Lic Exp Date: 0513112021 Phone: 949.795-6256 State Lic:C-037201 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 253 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: Building Permit Fee: $1,297.00 Plan Check Fee: $940.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $70.00 CA Seismic Safety: $13.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $2,749.40 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: INS. CO. OF THE WEST Policy No: WVE504588101 Expire: 01/1212021 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $90.79 $51.88 $116.73 Designer: Address: Phone: Special Conditions: FUEL MOD LANDSLIDE AREA Fire Hazard 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 NAB Fire Department $166.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $1,071.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: 4_1 PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,678.40 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 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, 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 civil penalty 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 L) 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 improved 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: 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 legal' sell 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 Professions Cjue, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of 9. cparty Owner or Authorized Agent % Date I ICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Pr esp! r d`mv license is in full force anJ effect. License Class License No Date /, //7 1 ZO Contractor Skmat" --Tien /mlr,.._� COMPENSATION DECLARATION ING: 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 (E700,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. 4Preby affi.-m u:,dcr penalty of perjury one of the following declarations: �i have and,will maintain a certificate of consent to self -insure for workers' tiff-mance of the work for which this permit is issued. Policy No. compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for have 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' rance carrier and policy number are: Policy Number of Agent Date JI certify that, in the perform9fice 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 Iat, if I should become subj t TI workerse ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // �1 ignature of Applicant Dat / ZO IECLARATION REGAR !�GICON UCTION LENDING AGENCY hereby affirm under pe Ity of p r ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7�, Civil Code). ender's Name Lender's Address y my signature below, I 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 correct. i I agree to comply with all applicable city and count ordinances and state laws relating to building construction. )v'� 4 I authorize representatives of this city or county tfi evte)g-id@ntified property for inspection purposes. signature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Ag ACTION DATE BY C R ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG TIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED QMD PERMITFINAL ASBESTOS OTIFICA NOT APPLICABLE TO CERTIFICATE OF (q ` - ` RO SED D OCCUPANCY ISSUED SIGNATURE•/7//���