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Home My WebLink AboutX2020-1464 - Permits551Yy City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 N. Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2020-1464 Illllllllllllllllllll�lllllllllllllllll�lllllllu II Project No : 1938-2018 Issued Date : 06/2412020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612512023 OR PERMIT WILL BE INVALID 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: 19 ST TROPEZ NB Description: ADD'L SCOPE (SEE X2020-1320) BLOCK WALL 6'X 10' Legal Desc.: TR 9858 LOT 4 UNIT 36 OF PROJECT LOCATED ON AP 461-131.39 TOGETHER Owner: MOUTSATSON SOPHIA G Address: 19 ST TROPEZ Record Management : NEWPORT BEACH, CA Phone: 0 Applicant: KESKY EDDIE Address: 10841 BLOOMFIELD Hazardous Mat LOS ALAMITOS, CA 90720 Phone: 562-795-5755 Code Edit: 2019 Type of Construction: V -B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories. 0 No of Units: 1 Bldg Height. 0 Bldg Sprinklers: Valuation: Building Permit Fee: $107.00 Plan Check Fee: $93.09 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 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 FEE: $203.09 Contractor: KESKY EDDIE G C INC Architect: Address: 10841 BLOOMFIELD STREET Address: SJH Trans LOS ALAMITOS CA 90720 In -lieu Housing Fee: Phone: 562-795.5755 Phone: State Lie: Con State Lie: 768265 Engineer: Lie Expire: 09/30/2021 Address: Bus Lie: ST30057336 $0.00 Lie Exp Date: 11/3012020 Phone: State Lie: Worker's Compensation Insurance Carrier: REDWOOD FIRE Policy No: EDWC113447 Expire: 01/01/2021 Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: 0 Front: 0 Left: 0 Right: 0 �arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee; PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: ° ( 'f D4 O(i.r u c 4G OfR u(G Designer: Address: Phone: �kq Special Conditions: NO SETBACK91 SPE/ _T0 13 Planning Department - Fire Department Plan check Fee: $0.00 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance : $203.09 PUBLIC WORKS APPROVAL: PLAN CHECK BY: G APPROVAL TO ISSUE: Fire Department $0.00 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 $0.00 Fee Due at Permit Issuance : $203.09 PUBLIC WORKS APPROVAL: PLAN CHECK BY: G APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 (_) 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 legal) 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 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 D fe LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury thI am licensed under provisions of tglj91com ncing with Section 700 ) of Division 3 of the Business and Profes it q a my license is in full force and effect. License Class License No . (moi D Contractor Signature INORKERS' COMPENSATION DECLARATION NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS ND DOLLARS ($100,000), IN ADDITION TO THE COST 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 tht performance of the work for which this permit is issued. Policy No. ❑I ave and will maintainworkers' 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' compensatior ns rance carrier and policy number are: �^ rrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the performanceZeork ork f ich thi 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 agref that, if I should become subject to mpe Ian provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date 'V ✓� DECLARATION REGAREWNGCONSTRUCTI LENDING AGENCY I hereby affirm under penalty of perjury thatere 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 owners behalf. I have read this application and the information I have provided is ct. I agree to comply with all applicable city and county ord' nc sta EWE relating to building construction. I authorize representatives of this city or county toe ve-i tified property for inspection purposes. Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name �� C ate ACTION DATE BY DECLARA N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE 1403 • ••• PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO . . . . �• PERMITCANCELLED LIEPA • • • PERMIT EXTENDED LIAQIVID PERMIT FINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF 10-5-2cU D/t A , PROPOSED DEMOLITION ••' • ` "• OCCUPANCYISSUED SIGNATURE: • • ' ' ` `