HomeMy WebLinkAboutX2020-1719 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3286
Inspection Requests Phone (949)644-3255
grs+iu�'`a Combination Type - MFP MECH ELEC PLUM
III�XI0 2I�II07II�� II
COMB Permit: X2020 -171i
Project No: 1364-2020
Issued Date : 08/05/2020
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0810612023 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: 96 SIDNEY BAY DR NB
Description: MFR ADD 121 SF (CLOSET) REMODEL 127 SF
Legal Desc.:
Owner:
WILK LAWRENCE/KATHY
Address:
96 SIDENY BAY
Record Management:
NEWPORT COAST CA 92657
Phone:
$60.00
Applicant:
WILK LAWRENCE/KATHY
Address:
$0.00
Phone
Code Edit: 2019
Type of Construction: V -B -SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 121
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Flood Zone: x
Building Permit Fee: $1,062.00
Plan Check Fee: $845.37
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$16.00
Energy Compliance:
$60.00
CA Seismic Safety:
$4.15
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $2,559.10
L�
PROCESSED BY:
ZONING APPROVAL:
Contractor:
ESTES CONSTRUCTION
Address:
P O BOX 2992
$0.00
COSTA MESA CA
Phone:
714/848-0307
Con State Lie:
687207
Lie. Expire:
03/31/2022
Bus Lie:
BT30072620
Lie Exp Date:
08/31/2021
Workers Compensation Insurance
Carrier: SECURITY NATIONAL
Policy No: SWC1283134
Expire: 03/01/2021
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: /
Right: /
'arking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$148.68
$116.82
$95.58
0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
I1 IZCTOR
State Lie:
FORBES DALE L
1800 E 16TH ST #B
SANTA ANA CA 92701
714-835.2800 State Lic:C.030407
Special Conditions: LAGUNA BEACH SCHOOL
IRVINE RANCH SANITATION
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PM Plan Check: $42.50
San Dist: $0.00
NMUSD Fee: $0.00
is
UJ
Fire Department
$166.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
vaaJ
General Service
o
Refund Deposit
JJua
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $1,113.87 Fee Due at Permit Issuance : $1,445.23
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
I hereby affirm under penalty of perjury that I am Exempt from ths Contractors' State License taw for the reeeon(s) indicated below by the checkmark(s) I have placed next to the applica a tem(s)
;action 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 Ila Issuance, also requires the apPllcant for
a permit to file a signed statement that he of she fit licensed pursuant to the provialons of the Contractors' Slate License Law (Chapter g (commencing with 6eotlon 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 7531,5 by any applicant for a permit subjects the applicant to a civil penally of
A more than five hundred dollars ($500):
1, as owner of the property, or my employees wtlh wages as their able compensation, will do U ell of or U portions of the work, and the structure Is not intended or offered Russia (Section 7044,
usiness and Professions Code: The Contractom' State License Law does not appy to an owner of properly who, through employees' or personal effcd, builds or improves the property, provided that the
1provemmts are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of Completion, the Ownnef-Bulkier wig have the burden of proving that it was not built or
i roved for the purpose of sale),
I, as owner of the property, am exclusively cordracghg with licensed Contractors to construct the project (Section 7044, Business and Profess)ona Code: The Contractors' Stale License Law does not
pyly 10 an owner of property who build* or improves thereon, and who contrasts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
J I am exempt from licensure under the Contractors' Starts License Law for the following mou oro
y my signature below 1 acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion ofihe improvements covered by this permit, 1 cannot legall
ell a structure that I have built as. an ownsr-builder it has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, liection 7044 of the Business and
rofessions Code, is available upon request when this supplicationis submitted. of art following Web site:hSp:ltwww.leginfo:es.govfcalaw,hbrrL
ignalum of Property Owner or Authorized Agent. Date .
,ICENSED CONTRACTOR'$ DECLARATION -
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 0 (commencing wigs Secrh of Ivislo 3 the Busiheas and Pro �a Eod'e, en my Y e is to full force
nd effect. License Class Lloanse No Dat + _ Contractor -Signature A
YORKERS' COMPENSATION DECLARATION
ANNVIM FAILURE TO SECURE WORxEW COMPENSATION COVERAGE 10 UNLAWFUL, AND MALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLARS Ptso,sael: IN ADDITION TO TNi
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766OF THE LABOR WDLL INTEREST. AND ATTOPHEY'a FEES:
hereby affirm under penalty of perjury one of the following declarations;
31 have and will maintain a cerggcate of consent to sag -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 11
�e{dornance of the work for which this permit la Issued. Policy No,
RI 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' compensolk
I ranee carver and policy number are:
:artier Policy Number Expiration Date
is of Agent Phone w
.edgy that, in the pedolme f the work Iotc this permit Is Issued, I shag not employ any person in any manner so as to become subject to the workom' compensation laws of California, and ogre
it I should becom�a jecQuAhe wakens' ton provisions of Seollon 3700 of the Labor Code; I shall forthwith comply with those provisions. Fws _ 6 y 010 0
ature of Applicant A Dpte ^
�LARATION REG D G CO STKUCTION L NDING AGENCY
aby affirm under penury of perjury that there Is a construction lending Agency for the performance of the work for which this permit It issued (Section 3087, Civil Code).
ter'•s Name A Londdes Address
ny signature below, I. berlify to each of the following:
I am the property, owner or authorized to act an the property owners behalf.
I have read.thie Application and the infortnatich tllave rovided la ca �.�
1 agree to comply with all applicable city and county asses an a laws relal(ng to building copslrochon ry
I authorize representatives Of this shy or courdvah a j�r Cove=-�ti� Property for inspection purposes. 1 i f'�1fi �j LS -P
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