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HomeMy WebLinkAboutX2019-0578 - PermitsCity of Newport Beach 4 100 Civic Center Drive, Newport s [+ Permit Counter Phone (949)6443288 ' - Inspection Requests Phone 'n sp e - Combination Type - SFP - Building Division Beach CA 92660 .(949)644 3255 - ELEC MECHpLUM I IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: Project No .1152-2016 Issued Date: 0212212019 Inspection Area : 4 X2019-05781 - Construction Hours., Job Address: 15 ROCKY POINT RD NB Description: 'SFR "CHANGE OF CONTRACTOR" Legal Desc.: N TR 7386 LOT 86 Owner tOHIYA SUNITA PERMITS EXP/RE. Monday - Friday 7:00 a.m. ADD 770 SF, REMODEL 2500 Contractor 180 DAYS AFTER ISSUANCE OR LAST to 6:30 p.m. and Saturday from 6:00 SF & ADD 74 SF DECK SANTANIELLO JAMES VALID INSPECTION a.m. to 6:00 Architect: p.m: No work on. Sundays or Holidays w �I�HI , �^ INSPECTOR FALCONE GEORGE ��'1T� P+ v "Address: 15 ROCKY POINT RD :Address: 3419 VIA LIDO#115 -Address: 5 WINTERBRANCH e. • CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92663 IRVINE CA 92604 ° • ° Phone: Phone 714-815-5097 Phone: 949.863-7020 State Lic:CO25581 o oe m• • ° Applicant. FALCONE GEORGE Con State Lic. 361862 Engineer: MANSHADI FARHAD Address: -18 SAWEETRAIN Lic Expire: 08/31/2020 Address: .1800 E 16TH ST UNIT B ° - ° • ° °I IRVINE CA 92614 :Bus Lic: ' 'BT30035016 SANTA ANA CA 92701 e ® • o Phone: 949-863-7020 Lic Exp Date: 03/3112019 Phone: 714-635-2800 State Lic:C-036840 Code Edit: 2013 Worker's Compensation Insurance Designer. m ° . ° • • • ° ° ° Type of Construction: V -B Carrier. WESCO Address: ° • � Occupancy Group: Policy No: WWC3401372 Added /New sq.ft. Bldg: 770 Expire: 02101/2020 Phone:.. Added /New sg. ft Garage: 0 9 - No of Stories: 2 ' Building Setbacks Rear: 10:. Special Conditions: SEE ATTACHED LETTER o . ® °.° ° ° ° oeo ° ° No of Units :' 1 Front: 6 RPLC PERMIT X2018-1386 °0000 . Bldg Height.. 0 Left: 5 . Bldg Sprinklers:. N Right 5 " "Flood Zone:. X - Use Zone: Parkin S aces: 0 Fire Hazard Zone: N - .Construction Valuation: $0.00 Building Permit Fee $0.00 Excise Tax, $0.00 Planning Department- Fire Department Plan Check Fee: -`$0.00 Additional Fee? : -. $35.00 Plan check Fee? $0.00 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: $0.00 Grading Permit Fee: '$0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance $0.00 :Grading PC: Fee: $0.00 Public Works Department- General Service $0.00 "CA Seismic Safety: ;. $0.00 WQ Insp. Fee.:' $0.00 Park Dedication : $0.00. Refund Deposit $0.00 . Disabled Access: $0.00 PAN Plan Check: $0.00Gradin9 Bond: $0.00 Hazardous Mab. 5 $0.00 : Electrical %: `.`. $0.00 San Dist: .$0.00 ..Building Green Fee : ' $0.00 Mechanical %: $0.00 NMUSD Fee: - $0.00 $0.00 Plumbing %:. $0.00 $0.00 TOTAL FEE: $35.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00 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 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 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am" exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an -owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). n I am exempt from licensure under the Contractors' State License Law for the following reason: By, my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll sell a structure tlratl haue built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and I'�9f'V$ ions Code' ih'abailable upon request when this application is submitted or at the following Web site:http://ww .leginfo.ca.gov/calaw.html. Signature of PrgpOrtX Ow ner or Authorized Agent D to LICENSED CON1rRACTOR'S DECLARATION ( I:he*r%Vaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se to 7 0 of Di ision 3 of the Busine s and Prbfessiou4r� e, anter license is in full force and effect. License Clpss License No Dat Contrac attire kdIaKERS' C©M13l1NSATION DECLARATION N09WI{G: FAILURE TO SiGJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDREFIOUSAND DOLLARS (6100,0001, IN ADDITION TO THE COST OF.COMPEN%#T)ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t Aar I hereiiy affirm un9er penalty of perjury one of the following declarations: ,a,.... Lll hove 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 nce of fh%Vtk for which this permit is issued. Policy No. � ,t eve and 010 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' compensatioi insurance carrierend policy number are: Policy Number Date me of Agent 1""""` I certify that, in the perfo ante 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 work s' compens tion laws of California, and agree t, if I d beco u act to the wo rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / jnat reo plic TION REGA IN 9 TRU ON LENDING AGENCY :re'y afFrm under nalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 , 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 d is correct. I agree to comply with all applicable city and county divan es and state I relating to building construction. I authorize representatives of this cW unty to nter th ab = dentifi prop rty for inspection purposes. mature of Prooertv Owner or Auth I d Ape t Print Property Owners or Authorized AgeK, Na Date ACTION DATE BY DEC RATI N'lSF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R ULATIO S PART61OFTITLE40ANDAQMD RULE 403 PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED MD PERMIT FINAL / n^ ASBEST SNOT CATION IS NOT APPLIC TO CERTIFICATEOF (�/aO Rf-C� OP DEM_ KION ISSUED