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Home My WebLink AboutX2017-2280 - PermitsCity of Newport Beach - Building Division c 100 Civic Center Drive, Newport Beach, CA 92660 F rr Permit Counter Phone (949)644-3288 a> Inspection Requests Phone (949)644-3255 rr uv.' Combination Type - SFP ELEC MECH PLUM COMB Permit: X2017-2280 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Project No: 1614-2017 Issued Date : 1 011 812 01 7 Inspection Area : 4 PERMITS EXPIRE 180 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: 23 MONTECITO DR NB Description: SFR WINDOW/DOOR REPLACEMENT, PATIO ENCLOSURE (AS BUILT) AND MASTER BEDROOM REMODEL 250 SF Legal Desc.: N TR 7844 LOT 74 Owner: STRELOW PETER AND AUDRIA Address: 23 MONTECITO DR Record Management: CORONA DEL MAR, CA 92615 Phone: $105.00 Applicant: CIRILLO STEVE Address: 2941 GRACE LN #H Hazardous Mat COSTA MESA, CA 92626 Phone: 949-412-7315 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $1,345.00 Plan Check Fee: $1,170.15 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $105.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $3,739.65 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: LEFT COAST COMPANY Address: 2857 CHIOS RD Engineer: COSTA MESA CA 92626 Phone: 949-412-7315 Con State Lie: 849884 Lie Expire: 11/3012018 Bus Lie: BT30056880 Lie Exp Date: 1 013 112 01 7 Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: STWC878442 Expire: 0 812 512 01 8 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: I Front: I Left: I Right: 1 Architect: GUPTA DIPAK Address: 114 CERVANTES COURT Phone: Special Conditions: e me•mmY 3;: • :.aro- o ♦mm♦ e_ c • � o •e, o o ♦ b e♦e♦om � e OF`e4 g ® e • •eee�Y •e o v F0 0 0 0 0 m000mm o 0 0 omoocc ooe m m o m o moon oc $0.00 IRVINE, CA 92617 Phone: 415-601-0515 State Lic:C032027 Engineer: MORITA DON SHIGERU Address: 17381 WHETMORE LN $0.00 HUNTINGTON BEACH CA 92647 Phone: State Lic:C-033355 Designer:... SJH Trans : $0.00 Address: Phone: Special Conditions: e me•mmY 3;: • :.aro- o ♦mm♦ e_ c • � o •e, o o ♦ b e♦e♦om � e OF`e4 g ® e • •eee�Y •e o v F0 0 0 0 0 m000mm o 0 0 omoocc ooe m m o m o moon oc $0.00 Planning Department - .Fire Department $0.00 Plan check Fee: $37.50 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $24.00 $0.00 Public Works Department - General Service $197.00 $0.00 Park Dedication : $0.00 Refund Deposit $564.00 P/W Plan Check: $0.00 Grading Bond: $0.00 $94.15 San Dist: $0.00 $53.80 NMUSD Fee: $0.00 $0.00 $121.05 - $0.00 Plan Check Fee : $1,207.65 Fee Due at Permit Issuance : $2,532.00 _ 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 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 ($500). - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exemQPfirgn:censure under the Contractors' State License Law for the following reason: By my signature belowd acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) ;ilk$ SQucture PW 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 Professfons Cot1ip,i5 pill upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LI(Irgl ED COPiTRACTOR'S DECLARATION I lyeretyy affirm ypdEr penalty q�perjury that I am licensed under provisions Q Ch�;p r Commencing with Sectio/ALPENALTIES 0) of Division 3 of the Business and Prof Bions C B =crl m.'Icerise is in full force :nd,flebt. License C&ss K License No 16CL Da - , Contractor Signatur %V,QF;VKERS' QOMVtNSATION DECLARATION - Won"!FAILURE fO gEICURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE G S OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1.11*eJdVyaffirm under penalty of perjury one of the following declarations: k gve 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 mance of the vCdtlfforwhich this permit is issued. Policy No. . ve and Jrmaintain 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' compensatiorice carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance 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' mpensation laws of California, and agre that, if I should become s ject to the workers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ' D e_d"�� )� DECLARATION RE, E RDING CONSTRUCTION LENDING AGENCY 1 hereby affirm unde penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code). Lender's Name Lender's Address By 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 cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or county, o enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name C 19 1 l LQ D to ") ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE - 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL ASB S�qOY�VATION16ABLE TO CERMIT FINAL '1 • 49 PROPOSED DEOCCUPANCY ISSUED SIGNATUR