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HomeMy WebLinkAboutX2020-0276 - Permitskylvto City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F* R,ermit Counter Phone (949)644-3268 v Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II COMB Permit: X2020-0276 x 2 6 2 0 0 2 7 6 Project No : Issued Date : 01/3112020 Inspection Area : 1 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: 402 SEVILLE AVE NB Dgall Desc.: TR 948 LOT 41(AND S1112 LOT 40 F *STOP WORK** nay LS T® Owner: OTTING DAN Contractor: K J L CONSTRUCTION INC Address: 402 SEVILLE AVE Address: 10 WESTCHESTER COURT NEWPORT BEACH, CA 92661 $0.00 COTO DE CAZA CA 92679 Phone: Phone: 949.584.5851 Applicant: LANDCASTER KEN Con State Lic: 601329 Address: 105 STEPPING STONE Lic Expire: 0313112021 IRVINE CA 92603 Bus Lic: BT30070871 Phone: 949-684-6851 Lic Exp Date: 01/3112021 Code Edit : 2016 Worker's Compensation Insurance Type of Construction: VB Carrier: EXEMPT Occupancy Group: R3/U Policy No: 3�` g ��yy����S''eetategp"�L�i @c�: p„,g� ry� ap�pep@e�e•�° �.I rs. �,z�..�6`�e'9TE"'kt�.�'14,r 9 1 I" - Added /New sq.ft. Bldg: 0 Expire: v000 Added /New sq. ft. Garage: 0 $18.88 NMUSD Fee: No of Stories: 2 Building Setbacks Rear: I No of Units : 1 Front: I Bldg Height: 0 .u��a 5a�ap S q gRD AT�m Left: I Bldg Sprinklers: ,R Y9 Right: I Building Permit Fee: $472.00 Plan Check Fee: $410.64 Overtime Plan Ck: $0.00 Investigation Fee: $472.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: $0.00 Planning Department - Address: Additional Fee : $0.00 Plan check Fee •eee Grading Bonds Fee: Phone: eeee State Lic: o 0 Grading PC Consultant: e o • oeeeoe o Engineer: e e Address: a °oo°oo $0.00 Park Dedication : $0.00 Phone: e •e ° ° '01S ° $0.00 3�` g ��yy����S''eetategp"�L�i @c�: p„,g� ry� ap�pep@e�e•�° �.I rs. �,z�..�6`�e'9TE"'kt�.�'14,r 9 1 I" - Designer. San Dist: v000 Address: $18.88 NMUSD Fee: $0.00 ° moo(oo Phone: $1,492.04 Plan Check Fee .u��a 5a�ap S q gRD AT�m 000<:oo Special Conditions: ,R Y9 0 °e000 • °O o eeoo Excise Tax: $0.00 Planning Department - $40.00 Additional Fee : $0.00 Plan check Fee Fire Plan Rev Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Refund Deposit Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 Electrical %: $33.04 San Dist: $0.00 Mechanical %: $18.88 NMUSD Fee: $0.00 Plumbing %: $42.48 $1,492.04 Plan Check Fee : $1,492.04 F _Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK APPROVALTO Fire Department $40.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 _Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK APPROVALTO 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) sell a structure theP1'11h% built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Pmfessiops Code, 11"vallable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. SignIttnof Prop��W�yy �O��viner or Authorized Agent Date L16EN$ED CONTRACTOR'S DECLARATION �- I Car%affirm undar penalty nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secr]NALPENALTIES o Division 3 of the Business and Prof_ ess1 ns C�g,.antl my li eis i orce and effect. Lic se C ass License No Contractor Signature l �� 4ORAaRS' CGMeENSATION DECLARATION //��A�2 f[Jgo: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OR QOMPEN9AML "MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Me}dby affirm under penalty of perjury one of the following declarations: �.... � he and vyll rr]]��main 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 3erformance of%e, work forwhich this permit is issued. Policy No. �J baJE and wiilrpaintain 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' compensation nsurance carriagyrApblicy number are: Policy Number Expiration Date Phone # -certify that, in the performance of the work for which this permit is issued, I she not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre should become subject to the or erscompensation ns of S n 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant D©zU CLARATION REG8,)kWKG CONSTRUCTION LENDING AGENCY :reby affirm under pbnalty 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 ordinances and state laws relating to building construction. I authorize representatives of this city or count o terthe bove-ide ietl pr r inspection purposes. �/-�'/ 1 , nature of Prooertv Owner or Authorized ADent Print Prooertv Owner's or Authorized AGent's Name"-' VC31, JAf06.�t3' _ to /=&/n1+ ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 11 FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE II LI I SUBMITTED ASBESTOS NOTIFICATION TO EPA 13AQMD LJ ASBESTOS NOTIFICATION IS NO CC TO PROPOSED DEN OLIyION � . .. � � O 1 . � � | � � | O � O � � | � | E? 7a(OD 2 $ k0\/o Z■ Cl) 2� ckd�CL w� )k 2/\k/d « m 6 / < c §#M= /— wk0 k Co z z c 3 k� °. oN m= »� (D a) �= D Loco§= 2 E O)N§) z 2� 7 f 2 CL f 2 Z U-0 \��m®E \ 0 z �� Er- fn z c / LL � � 2 0 \ f 0 o� \° $22§x® z ® §Km\ c a z f« oCL_ �: i �o ���=k$ ® o� 0)_ °°U)m0 a w� \ka /k§I@c @ _ 0 a 1 0 . co kz �/� 7/k L— k § to a k� \/� 0"M Iq j « @_ 0 0 c E k c k & / S k f 3 2' & S a a o o J £ 0 h-� [�l C m � a H O � qyC E � • E7 E � tu E to Q O M MM" C W m E,RamE ®% .65 •° ® (D Of �y cm a(9 m E �1 n, N 0 M mE 11 Y