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HomeMy WebLinkAboutX2018-1930 - Permits�w City of Newport Beach - Building Division *X20181930* COMB Permit: X2018-1930 o'�. F 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1511-2018 ', y Permit Counter Phone (949)644-3288 ) G'� Inspection Requests Phone (949)644-3255 e�a�s�. " Combination Type 0 - SFP ELEC PLUM MECH Issued Date: 09/1312018 Inspection Area : 2 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: 300 GRAND CANAL NB Description: SFR REMODEL (380 SF), REMOVE UNPERMITTED WORK, & CONVERT 22 SF OF GARAGE INTO HABITABLE SPACE. Legal Desc.: N TR 742 LOT 1 Owner: JOHN ERMATINGER Contractor: WINKLE CUSTOM HOMES Architect: SKENDERIAN TODD �-`- Address: 5 MERRY LN -Address: 4161/2 ORCHID AVE Address: 1100 S COAST HWY, #316 CORTE MADERA CA 94925 CORONA DEL MAR CA 92625 LAGUNA BEACH CA 92677 Phone: Phone: 949-873-3125 Phone: 949-715.5461 State Lic:C030518 ° Applicant: SKENDERIAN TODD Con State Lic: 992007 Engineer: KHOURY NADER �,io Address: 1100 S COAST HWY, #316 Lic Expire: 03/3112020 Address: 3406 LINDA VISTA TERj',�� ° e LAGUNA BEACH CA 92677 Bus Lic: BT30055137 FALLBROOK CA 92028 Phone: 949.715-5461 Lic Exp Date: 05/3112019 Phone: 949.637-8357 State Lic:C-061402 Code Edit: 2016 Worker's Compensation Insurance Designer: °O Type of Construction: VB Carrier: STATE FUND Address: Occupancy Group: R3IU Policy No: 9122282 Added /New sq.ft. Bldg: 22 Expire: 0111012019 Phone: Added /New sq. ft. Garage: 0° ° o ° No of Stories: 2 Building Setbacks Rear: 3' Special Conditions: LIQUEFACTION ° No of Units : 1 Front: 5' MD515 Bldg Height: 24 Left: 3' COASTAL EXEMPT <10% ADD Bldg Sprinklers: N Right: 3' Flood Zone: AE -8 Use Zone: R -BI Parking Spaces: 1 Fire Hazard Zone : N Construction Valuation: $163.000.00 Building Permit Fee: $1,410.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,226.70 Additional Fee : $0.00 Plan check Fee: $150.00 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: $30.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 - Building Dept Adm $24.00 Energy Compliance: $114.10 Grading PC Fee: $0.00 Public Works Department- General Service $197.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $0.00 P/W Plan Check : $228.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $98.70 San Dist: $0.00 Building Green Fee : $7.00 Mechanical %: $56.40 NMUSD Fee: $0.00 $0.00. Plumbing %: $125.90 $0.00 TOTAL FEE: $4,232.80 Plan Check Fee: $1,340.80 Fee Due at Permit Issuance : $2,892.00 PROCESSED BY: PUBLIC WORKS APPROVAL: 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) ction 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 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 fessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 rovements 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 roved for the purpose of sale). I; as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 9044, Business and Professions Code: The Contractors' State License Law doe.- na; ly 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). U I 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 iegall) 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 Gdd , Ts available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. • Signature of Property Owner or Authorized Agent Date LICENSED OONTRACTOR'S DECLARATION 11 hereby affirm."er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) f Divi ion 3 of the Business and Pro s Ce e, aR4 my lice se is in full force . and affect. License Class License No Date Contractor Signatur • Wb*RKERS' COMPENSATION DECLARATION • WARNING: FAILURE TO CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HU DRIED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE • CdaT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • IkBt Eby affirm and eppenalty 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 BOB of the v4ork for which this permit is issued. Policy No. ... .. •• ave 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' compensatiol sura carrier Spot policy number are: Darner •.*. • Policy Number Expiration Date Name of Agent Phone # I certify that, in the pe rmance 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 agree that, if I should become ub'e t 'the work s compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f/ Signature of Applicant D DECLARATION REG RDI ON TRUCTION LENDING AGENCY I hereby affirm under enalty 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 h e provided is correct. I agree to comply with all applicable city and conn ordinances and state laws relating to building construction. 1 authorize representatives of this city or count e In abo e- dentified party for inspection purposes. /n1 I Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name o `� ate T f 3 IK ACTION DATE BYCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY155UED NOTIFICATION TO IS NOT APPLICABLE TO