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Home My WebLink AboutX2015-2510 - PermitsCity of Newport Beach - Building Division *X20152510* COMB Permit: X2015-2510 o� & 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1894-2015 v Permit Counter Phone (949)644-3288 . Inspection Requests Phone (949)644-3255 Issued Date °"8rn4's Combination Type - SFP Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKEJCAR13ON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 45 SEA TERRACE NB Description: SFR - SOLID ROOF PATIO COVER 256 SF Legal Desc.: Owner: ROBINSON KELLY & WENDY Contractor: OUTDOOR CONCEPTS Architect: Address: 45 SEA TERRACE Address: 28241 CROWN VALLEY PKWY, F293 Address: NEWPORTBEACH CA LAGUNA NIGUEL CA 92677 Phone: Phone: 949-363.7932 Phone: State Lic: Applicant: VOYTOVICA KEVIN Con Slate Lie: 831378 Engineer: LACHER TODD Address: 3 TRUPILO WAY Lie Expire: 02129/2016 Address: 1201 N TUSTIN AVE LADENA RANCH CA Bus Lie: BT30041624 ANAHEIM CA 92807 Phone: 949.294-1236 Lie Exp Date: 11/30/2015 Phone: 714-630-6100 State Lic:C.067656 o ° ° Code Edit: 2013 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP INS FUND Address: Occupancy Group: R3/U Policy No: 9085655 Added /New sq.ft. Bldg: 0 Expire: 01/1412016 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: 1 Bldg Height: 0 Left: I Blda Sorinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $369.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $265.68 Additional Fee: $0.00 Plan check Fee : $32.00 Fire Inspection: $0.00 Overtime Plan Ck: $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 : $4.00 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: $2.60 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $674.28 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $674.28 PROCESSED BY: 41:10 ``� PUBLIC WORKS APPROVAL: ZONING APPROVAL: has �,, 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 retnson(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' StZLicense 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 violatiXof Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owler o1 the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not EPo an dv"rtf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I : m exe"$ ire; licensure under the Contractors' State License Law for the following reason: Eby my signatuFe 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) APt%tructure 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 P,r(tfei%sions Code, is -available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,htmi. Sig+mture of f9r"9'riy°,Owner or Authorized Agent Date LIGNNSED C�"T.RACTOR'S DECLARATION OerOy affirm%gd&b benalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Xo i is/3 of the Business and Professions Co_�r yd -my license is in full force and.Wect. License Class License No Date ( / l- Contractor Si natur !j(OR.(CERS' C9MPppENSATION DECLARATION10, NARNINa FAILURE TQQ�SEyURE 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 ,*SnGPMOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'hereby affirm Afel ponalty of perjury one of the following declarations: ..se 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 IN )e o , ante of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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 , if I should become subject to the workers' cripens ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant � Date 11 eaennnl acre I r ertr3 c'ra1 vnnu I ❑w n _ nr_oury 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). ender's Name Lender's Address y 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 thea d�' tified property for inspection purposes, ignature of Property Owner or Authorized Agens — Print Property Owner's or Authorized Agent's Name _ At.MPJ 1MTF fv DECLARATION OF COMPLIANCE MTHC OE Of =H7 775'1:+IJAILY FEDERAL REGGL&ATIONS PART 61 OFT17L€dflAND AOMl48iM'LE1401 PFRAXT:FXPIRFf) -- D 14.1rR 7TrA'ASf1117:4;TO!; NOTFrdr-AT10N TO- 0 EPIC AdQMD PI I719fT7`ANCCLIED- P€R?f4JTEWT€NA€D "p SBE5TOS 1107 FICA1770HIS NOT .APPLfCABLETO PRO aSEDREMOHmiii P0101TrINAC GERTtF1CATEOF 0CCVPA1UCVfSSV€t) 51UNAf,t.