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Home My WebLink AboutX2016-3466 - Permits- Building Division IIIIIIIII�II�IIIIIIIIIIIIII II COMB Permit: X2016-3466 wive, Newport Beach, CA 92660 X 2 0 1 6 3 4 6 6 PrOjecl NO i Permit Coumer Phone (949)644-3288 U Intpection Requests Phone (949)644-3255 n^�caxuc'8'� Combination Type - SF' 'TELEC PLUM Issued Date : 10l24/2016 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Job Address: 58 ROYAL SAINT GEORGE RD NB Description: SFR REMODEL KITCHEN 400 SF (CITY STD PLAN) Legal Desc.: N TR 7223 LOT 39 Owner: LOPEZ SASHA EDWARD Contractor: Address: 58 ROYAL SAINT GEORGE RD Address: NEWPORT BEACH, CA 92660 Phone Applicant: MIZRUCHI OMRI Address: 1941 SANTA ANA AVE COSTA MESA CA 92627 Phone: 949-698-314B Code Edit : 2013 Type of Construction: VB Occupancy Group: R31U 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: X Construction Valuation: $67,000.00 Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: LION BUILDER CONSTRUCTION 1941 SANTA ANA AVE COSTA MESA CA 92627 949-698-3148 993326 06/30/2018 BT30055316 06/30/2017 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9137767 Expire: 07/16/2017 Building Setbacks Rear: / Front: ! Left: / Right: ! Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: State Lic: Special Conditions: LANDSLIDE AREA 0 Fire Hazard Zone : N Building Permit Fee: $835.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $726.45 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans Record Management : $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $58.45 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $33.40 NMUSD Fee: $0.00 Plumbing %: $75.15 TOTAL FEE: $1,733.45 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee 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 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLHH CHECK BY: APPROVAL TO ISSUE: w�® $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,733.45 OWNER -BUILDER DECLARATION '- 1 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(sl, W ve placed next to the applicable IL ,-, (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure `Z 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 (commence action 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 subjectsthe 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 (_) 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-Builderwill 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 11egall1 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 Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/mlaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 o Di ' is } of the Business and Prof lions C e, Yf�iy license is in full force and effect. License Class License No Dat AM / Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA OLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 the PeOmance of the work for which this permit is issued. Policy No. have and will m In In workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the worts for which this permit is issued. My workers' rance carrier and illy number are: n �1 toofAgents J N;`" j certify that, in the performance of the work if I should become subject to the workers' of Applicant Date 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 ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ate /0 �f CLARATION REGARDING CONSTRUCTION LEr'{DIfJG AGENCY areby affirm under penalty of perjury that there is I nstruction lending agency for the performance of the work for which this permit is issued (Section 3097 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 slat relating to building construction. I authorize representatives of this city or county lo�enter the aboQft d property for inspection purposes. A of Procertv Owner or Authorized ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I DATE I REGULATIONS 1403 Print Property Owner's or Authorized Ag ILIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY OF TITLE 40 AND, RULE I SUBMITTED ASBESTOS NOTIFICATION TO Civil Code). hn;z-yv:f 9I EpA All requireo ala•ns, latches gates and fences which serve as part of a pool/spa barrier, shall L_JAQMD to in place prior to approval to fill pool/spa & shall remain in place & be maintained for the forN ASBESTOS NOTIFIC ION I5 NOTA (CABLE TO life of the pool. PROPOSED DEM ON