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Home My WebLink AboutX2018-3369 - Permitsa City of Newport Beach -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 e Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM COMB Permit: X2018-3369 IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No : 2613-2018 Issued Date: 1 110 912 01 8 Inspection Area : 4 PERMITS EXPIRE 980 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 Job Address: 62 SEA ISLAND DR N13 Description: MFR ALT 500 SF (INT. DOORS, KITCHEN, BATH RMS) Legal Desc.: TR 8444 LOT 1 UNIT 62 OF PROJECT LOCATED ON AP 442-251.01 TOGETHER Owner: PINTAR INVS CORESIDL LP Address: 27452 CALLE ARROYO SAN JUAN CAPISTRANO CA 92675 Phone: Applicant: GROF RYAN Address: 7050 ANDASOL Overtime Plan Ck VAN NUYS CA 91406 Phone: 419-388-7739 Code Edit : 2016 Type of Construction: VB Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $100.000.00 Building Permit Fee: $1,113.00 Plan Check Fee: $968.31 Overtime Plan Ck $0.00 Investigation Fee: $1,113.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $ Building Green Fee : 4.00 FEE : $3,468.91 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: OWNERIBLDR Architect: I: ° SANTIAGO ARUM Address:°•lP;wea°ri Fire Department Plan check Fee : to $40.00 Phone: State Lic: i ;°� 0/13 Engineer: ZOLFAGHARI MOHAMMAD • • • o .. m In -lieu Housing Fee: Address: 6201 BEE AVE ...... e m General Service AGOURA HILLS CA 91301 .... e. e Refund Deposit Phone: State Lin C-086761 a e° Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Olumbinq %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $77.91 $44.52 $100.17 Plan Check Fee Designer: Address: Phone: Special Conditions: OIB AUTH ATTACHED 0 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee : $40.00 Fire Inspection: Fair Share : $0.00 Fire Plan Rev SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee: $0.00 Building Dept Adm Public Works Department - General Service Park Dedication : $0.00 Refund Deposit P/W Plan Check: $0.00 Grading Bond: San Dist: $0.00 NMUSD Fee:. $0.00 $1,008.31 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: ° mmoo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,460.60 e..mo oo.00 mommoo 0 0 0 0 0 m00000 0 0 mmmo OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 applicant for is 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 J-of2'.ty Business and Irofessions 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 civil penalty of of more than five hundred dollars ($500). 7 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, lusiness 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 rifor the purpose of sale). 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 pto 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). ply 7 1 am exempt -From licensure under the Contractors' State License Law for the following reason: iy my signatureteroM acknowledge that, except for my personal residen in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot lei glJ g;Qucture ti I have built as an owner -builder if as not's en con tr ted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Cotle!isevailable upon request w th' a licati sub itt d or at 11 wing Web site:http://www.leginfo.ca.gov/calaw.html. ( I p.- 4gnature of Property owner or Authorized Agent Date 1 lb .IdENSED CORTRACTOR'S DECLARATION / hereby affirm yPVderF vnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd PULIct. Licetlsd Class License No Date Contractor Signature JQ5WERS' G0NlP@NSATION DECLARATION 'JifiPilIf. FAILURE Tib 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ureg;affirm under penalty of perjury one of the following declarations: 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 erf orm Bnce ofthe werk for which this permit is issued. Policy No. J1 have and will malntain 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' compensatiol Isurance carrier and policy number are: Policy Number Expiration Date e o gent Phone # ;erti that, in the performanc of the work forti 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 if I ould becom��e//suu''bb�ject to a workers' c pgnssatiion�I rroow{signnss oof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,! ureofApplicant]`I)KA /y �/�"" /\\ 1 Date Ireby 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) 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 ordina"e-idntifl' relating to building construction. I authorize representatives of this city or county toto�ent th; pr Inspection purposes.��nature of Prooertv Owner or Authorized Aaen[/��T V �-YA WroDertv Owner's or Authorized Agent's Name/-' ACTION DATE Bi DECLARATION II REGG3 LATIONS PO RT 61 OF TITLE 40 AN AQMD RULE CE WITH CODIFIDF AL II FOR OFFICE USE ONLY PERMITEXPIRED Lalj LJ I SUBMITTED ASBESTOS NOTIFICATION TO '8 PERMITFINAL)) SBESTOS NOTIF ATIO IS NOT APPLICABLE TO CERTIFICATE OF Z3•\C` !� ROPOSED DEMOT N OCCUPANCY ISSUED SIGNATURE:. n M /L. n_