The URL can be used to link to this page

Home My WebLink AboutX2019-4062 - Permits�1vtar City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-4062 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 4 0 6 2 Project No: 2799-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 01/27/2020 Inspection Area : 3 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: 1718 DOVER DR NB Description: SFR ADDITION 292 SF & REMODEL 2494 SF Legal Desc.: N TR 3004 LOT 47 Owner: NAIK EKTA Contractor: ORANGE INNOVATION INC Architect: Address: 1718 DOVER DR Address: 16478 BEACH BLVD #294 Address: NEWPORT BEACH, CA 92660 WESTMINSTER CA 92683 Phone: Phone: 714-914-4441 Phone: State Lic: Applicant: SHOSHANA SAM Con State Lic: 832810 Engineer: CHU TIEN MANH Address: 16478 BEACH BLVD #294 Lic Expire: 02129/2020 Address: 9542 PACIFIC AVE WESTMINSTER, CA 92683 Bus Lic: BT30070805- ANAHEIM CA 92804 Phone: 714-914-4441 Lic Exp Date: 01/31/2021 Phone:-' 714-829-5053 State Lic:C-072324 Code Edit: 2016 Worker's Compensation Insurance Designer: SHOSHANA SAM Type of Construction: V -B Carrier: EXEMPT Address: 16478 BEACH BLVD #294 Occupancy Group: R3/U Policy No: no employees WESTMINSTER CA 92683 Added /New sq.ft. Bldg: 292 Expire: Phone: 714.914-4441 ' Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 6' Special Conditions: No of Units : 1 Front: 20' Bldg Height: 0 Bldg Sprinklers: Left: 6' Right: 6' �� Flood Zone: Use Zone: R-1-6000 Parkin Spaces: 0 Fire Hazard Zone : N Construction Valuation: $251,058.00 Building Permit Fee: $3,023.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $2,449.16 Additional Fee : $0.00 Plan check Fee : $160.00 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: $16.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 Energy Compliance: $175.74 Grading PC Fee: $0.00 Public Works Department - General Service $197.00 CA Seismic Safety: $32.64 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $0.00 P/W Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $211.61 San Dist: $0.00 Building Green Fee : $11.00 Mechanical %: $120.92 NMUSD Fee: $0.00 $0.00 Plumbing %: $272.07 $0.00 TOTAL FEE : $7,298.39 0 Plan Check Fee: $2,826.15 Fee Due at Permit Issuance : $4,472.24 dL PROCESSED BY: _ PUBLIC WORKS APPROVAL: ZONING APPROVAL: 1 �° o ` ° PLAN CHECK BY: GRADING APPROVAL: ° _ APPROVAL TO ISSUE: r ., mom v n oo� ac° ,amu 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 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 3 of the Business and 'rofessions 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 nprovements 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 n 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legally ell 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 'rofessions Code, is 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 Dat .ICENSED CONTRACTOR'S DECLARATION ` hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) off the Business and Professi ns I y license is in full force nd effect. License Class License No Date 1 27 2 1 i• Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO 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. hereby affirm under penalty 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 the erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Carrier -. Policy Number Expiration Date plame of Agent - Phone # 01 ertify 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' compensation laws of California, and agree that if I should become subject to the work e 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IgnatureofApplicant Date 1 r2`1 I2� DECLARATION REG ING C RUCTION LENDING AGENCY I hereby 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). 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 county ordinances and 1tate laws relating to building construction. I authorize representatives of this city or county to enter the above -id tifi property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY D CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Al RULE PERMITEXPIRED ❑ I SUBM ITT ED ASBESTOS NOTIFICATION TO ••• �`• .+ • • • • • • .• • • • • •' ` PERMITCANCELLED DEPA PERMIT EXTENDED QMD PERMITFINAL 7 t- s' ASBESTOS NOTIFICATION IS TAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION ••• •• OCCUPANCYISSUED SIGNATURE ••• •• •••