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Home My WebLink AboutX2019-3802 - Permitsw1y� City of Newport Beach - Building Division Investigation Fee: $0.00 6. 100 Civic Center Drive, Newport Beach, CA 92660 _ Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 a y_^ Combination Type - SFP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-3802 x 2 0 1 9 3 6 0 2 Project No : 1371-2019 Issued Date: 1210612019 Inspection Area : 3 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 trom,8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1609 TRADEWINDS LN NB Investigation Fee: $0.00 Record Management: Description: SFR INSTALL DIRECT VENT FIREPLACE $0.00 CA Seismic Safety: $0.00 Legal Desc.: N TR 3082 LOT 26 Hazardous Mat $0.00 Building Green Fee : Owner: VACKAR DAVID E Contractor: OWNERIBLDR Architect: Address: 1609 TRADEWINDS LN Address: VACKAR DAVID Address: NEWPORT BEACH, CA 92660 X2019-1896 Phone: 714-469-4052 Phone: 714-469-4052 Phone: - State Lic: Applicant: VACKAR DAVID E Con State Lic: O/B Engineer: Address: 1609 TRADEWINDS LN Lic Expire: Address: NEWPORT BEACH, CA 92660 Bus Lic: Phone: 714-469-4052 Lic Exp Date: Phone: State Lic: Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: Building Permit Fee: $120.00 Plan Check Fee: $104.40 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: $291.40 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: I Front: / Left: / Right: I �arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.40 $4.80 $10.80 Plan Check Fee GRADING APPROVAL: L _ Designer: ANDELIN SHEILA Address: 2070 BUSINESS CTR DR #220 IRVINE CA 92612 Phone: 949-757-6996 Special Conditions: DELTA 1, REV19-2011 0 Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 rrZA TJ V ^rn O X $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $144.40 Fee Due at Permit Issuance : $147.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: rrZA TJ V ^rn O X $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $144.40 Fee Due at Permit Issuance : $147.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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). 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, L(slness 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 ements 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 pptovfor the purpose of sale). as wner 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 ly 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). Ra exempt from licensure under the Contractors' State License Law for the following reason: 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 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 whe thi applitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. I Z / / fa signature of Property Owner or Authorized Agen)C--M= Da C .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 th erformance of the work for which this permit is issued. Policy No. ]I 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' compensatiol lsurance carrier and policy number are: Policy Number Date Tie of Agent -rnone w certify 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 agre Nif I should becomes subject to nth 1e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant V Lo A !Y! CLARATION REGAFFNIG CONSTRUCTION LENDING AGENCY :reby 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 lder'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 county to enter the above -identified property for inspection purposes. nature of Prooertv Owner or Authorized AgelfA/ Print Property Owner's or Authorized Agent's Name �Y ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 14030 ••e •+• PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO • i •• • .• • • ++• • • • • +• • • • •• • • • • • + • • ++ ••• + PERMITCANCELLED UEPA . PERMIT EMENDED It QMD PERMITFINAL CERTIFICATE OF nn ASBESTOS NOTIFICATION IS NOT APPLICABLE TO C -per PROPOSED D040LITION OCCUPANCYISSUED �,�/ SIGNATURE: : . . • • • Civil Code). I V 4LYY—V Lz/a/,v