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HomeMy WebLinkAboutX2020-2472 - Permitsu ns ofNewport Beach Building Division 1vicCenterDrive, Newport Beach, CA 92660 CounterPhone (949)644-3288 Ition Requests Phone (949)644-3255 Combin,�tfon Type - SFP ELEC PLUM MECH COMB Permit: X2020-2472 IIIIIXIII�II�II0IIIII�IIIIIIIIIIIII�IIIIIIIII�IIIII II Project No: 1968-2020 Issued Date: 1012912020 Inspection Area : Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: a Bldg Sprinklers: Rnnd 7nna- Construction Building Permit Fee: $1,615.00 Plan Check Fee: $1,405.05 Overtime Plan Ck: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1013012023 OR PERMIT WILL BE INVALID Investigation Fee: $0.00 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 $16.00 Job Address: 205 CANAL ST NB CA Seismic Safety: $0.00 Description: SFR REMODEL (2031 SF), INSTALL A/C UNIT @ THE SIDE YARD Hazardous Mat $0.00 Legal Desc.: N TR 772 BILK 11 LOT 3 INSpimsA NMUSD Fee: $0.00 Owner: V MOELLENHOFF LIVI DAVID Contractor: GABAY DAVID JOHN JR Architect: SKENDERIAN MORRIS d Address: 205 CANAL ST Address: 31726 RANCHO VIEJO RD Address: 2094 S COAST HWY, #3 • e ° e NEWPORT BEACH, CA 92663 SAN JUAN CAP CA 92675 LAGUNA BEACH CA 92651 m e e Phone: Phone: 949-370-0478 Phone: 949-497-3374 State Uc:C005703 ' °• °�° me o Applicant: GABAY DAVID JOHN JR Con State Lic: ee . 529750 Engineer: Address: 31726 RANCHO VIEJO RD Lic Expire: 06130/2022 Address: o e ° • ° SAN JUAN CAP CA 92675 Bus Lic: e ° e BT30033867 • ° e e e e n 0 Phone: 949-370.0478 Lic Exp Date: 12/31/2020 Phone: State Lic: Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: a Bldg Sprinklers: Rnnd 7nna- Construction Building Permit Fee: $1,615.00 Plan Check Fee: $1,405.05 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $16.00 Energy Compliance: $114.10 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $7.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: CALIFORNIA INSURANCE Policy No: 468264410 Expire: 0410112021 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: / Left: I Right: I Parkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $113.05 $64.60 $145.35 Plan Check Fee Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans: Demolition Fee In -lieu Housing Fee: - Public Works Department - Park Dedication : $0.00 PAN Plan Check: $43.00 San Dist: $0.00 NMUSD Fee: $0.00 ao . mmeeon o e e m a u oono mmaamc m - ° o meeo� eomm $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $4,424.65 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $92.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: ao . mmeeon o e e m a u oono mmaamc m - ° o meeo� eomm $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $4,424.65 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 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 owitersf{xoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt fro m licensure under the Contractors' State License Law for the following reason: Sy9fly $ignatum'13e1OW� 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 thdt9'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 Ffrofessions Code! is available upon request when this application is submitted or at the following Web site:http://Ww .leginfo.ca.gov/calaw.html. Signf3fure of PropertIbOwner or Authorized Agent Date �1Q045ED MN l ACTOR'S DECLARATION I hereby affirm ugger penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 000 of ivi on of the Br ess and rof o o e, an m licen 'sa ull force evdeXect. Limnad lass License No D z7 Con ct rSignat re W3RKERS' COaIPENSATION DECLARATION NARNIMUF FAILURE IO SF.O,(1RE 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 CC& OFtOMPENSATIGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I,tie(glyy.affirm urir%r penalty of perjury one of the following declarations: .... ©i have and 6vi%q>afhtain 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 ormance of the work for which this permit is issued. Policy No. g&ke 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 RfWranc'ecarrier and policy number are: Policy Number Date Tie of Agent rnone s certify that, i - performance of k r which this permit is issued, I shall not employ any person in any manner so as to become subject to the worke ' compens tion laws of California, and agre t, if I should bee a subject to thew r ensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. —1 nature of Ap cant =ATI (;ARD G CONSTRU 0NIENDING AGENC Ireby affirm under penal of perjury that there is a constfbctioMendi agency for the performance of the work for which this. permit is issued (Section 3097, Civil Co e). Ider'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 propert awn t s behalf. I have read this application and the infOr n have prov re�ct.y I agree to comply with all applicable cit and county ordinances stat a s relating to building construction. I authorize representatives of this 0N�(orunty to enter R%flectig I�urtroses. EXPIRED PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED or DATE I BY RAIIIONOAFC.O�PLIAN ITLE 40 AND AC(OF RUDERAL I FOR CE USE ITLE NOTIFICATION TO TO