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HomeMy WebLinkAboutX2021-2520 - PermitsCity of Newport Beach - Building Division 'X2021-2520* COMB Permit: X2021-e` r� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2179-2021 Permit Counter Phone (949)644-3288 u C Inspection Requests Phone (949)644-3255 Issued Date: 0410412022 Combination Type - SFP ELEC MECH PLUM GRAD /1, A`+s . --..� ! R t Y Inspection Area : 1 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04104(2025 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: 251 CEDAR ST NB Description: SFR ADDITION 1,665 SF & REMODEL 1,183 SF. ADD 391 SF ROOF DECK(3RD FL). (3 BED TO 4 BEDROOM) Legal Desc.: TR 772 LOT 11 BLK 4 NELY 10 FT THEREOF AND ALL (EXNELY 6 FT) LOT Owner: WOODS SCOTT C Contractor: LEYVA ROBERT CONSTR CO Architect: LIN JUINTOW Address: 251 CEDAR ST Address: 953 UNION AVE Address: 392 CAMINO DE ESTRELLA NEWPORT BEACH, CA 92663 COSTA MESA CA 92627 SAN CLEMENTE CA 92672 Phone: 949-735-0607 Phone: 714-323-5820 Phone: 949.325.3001 State Lic:C033054 Applicant: QI CINDY Con State Lic: 825124 Engineer: HAKIM FADY Address: 392 CAMINO DE ESTRELLA Lic Expire: 0913012023 Address: 124 PEONY SAN CLEMENTE, CA 92672 Bus Lic: BT30078214 IRVINE CA 92618 ' Phone: 949.325-3001 Lic Exp Date: 03/31/2023 Phone: 310.422-1536 State Lic:C-075736 Code Edit : 2019 Worker's Compensation Insurance Designer: J Type of Construction: V-B-SPR Carrier: CLEAR SPRING PROP & CASUALTY C Address: Occupancy Group: R3/U Policy No: CWC00293600 - Added /New sq.ft. Bldg: 1256 Expire: 11/1212022 Phone: - Added /New sq. ft. Garage: 0 ' No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: LIQUEFACTION No of Units : 1 Front: 5 HAULER: ROBERTS WASTE Bldg Height: 0 Left: 3 Bldg Sprinklers: Y Right: 3 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $450,000.00 Building Permit Fee: $4,574.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $3,620.19 Additional Fee : $291.00 Plan check Fee : $208.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $102.00 Grading Permit Fee: $973.00 In -lieu Housing Fee: $0.00 Building Dept Adm $27.00 Energy Compliance: $303.00 Grading PC Fee: $846.51 Public Works Department - General Service $265.00 CA Seismic Safety : $58.50 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PNJ Plan Check: $406.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $320.18 San Dist: $1,016.00 Building Green Fee : $18.00 Mechanical %: $182.96 NMUSD Fee: $2,311.04 $0.00 Plumbing %: $411.66 $0.00 TOTAL FEE : $16,498.04 : Plan Check Fee: $16,498.04 Fee Due at Permit Issuance $0.00 5 ��uance PUBLIC WORKS APPROVAWrI PROCESSED BY: �-S c I� rlit% d r} ZONING APPROVAL. PLAN CHECK BY: GRADING APPROVAL: 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 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 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 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 ipply to an owner or 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: B,r 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 legall, Self P SCructure thhl 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 CocL, i3 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. �ignatLr= of Pro?arty Owner or Authorized Agent Date I. 1,;EN&ED CON r-RACTOR'S DECLARATION hereby affirm undw penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and Proles only license is in full force a7d affect. Licens. Class License No Date y� y- zZ- Contractor Signature '/ N RKERS' CG1,PcNSATION DECLARATION VARLING:: AILURF T, 5—URE 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 7 Z COMPENS4TIn!`', DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. uy affirm under .,gnalty of perjury one of the following declarations: 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 )anorrnance of the work for which this permit is issued. Policy No. have and will ,T,aintain 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 a.id policy numberAre: _ Policy Number Expiration Date of Agent certify that, in the performance of the work forwhich 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 if I should become subject t workers�ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Data?! /-/- �- �2 Z ICI.LHRA I Ivry KMUAKV NJa UUINJ I KUU I IUN LLNUINU AUI=NGY hereby affirm 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). 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 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. 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