HomeMy WebLinkAboutX2020-1885 - Permitsr
City of Newport Beach - Building Division
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COMB Permit: X2020-1885
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100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 2 0 1 8 8 5
Project No : 1501-2020
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type- SFP ELEC PLUM MECH GRAD
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Issued Date
I
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rea :12020
Inspection Area : (p
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111112023 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: 7 SAN SEBASTIAN NB o • e • • e
e
Description: SFR INTERIOR REMODEL OF ENTIRE HOUSE 2900 SF WI DRAINAGE • m
Legal Desc.: N TR 9860 LOT 20 0 0 • . ®. ®®®° ° o
0
Owner:
LOWE WENDY & NELSON
Address:
7 SAN SEBASTIAN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
SALAZAR VALERIA
Address:
3195-8 AIRPORT LOOP DR
COSTA MESA CA 92626
Phone:
954.681-9291
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $2,137.00
Plan Check Fee: $1,859.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$76.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$10.00
TOTAL FEE: $5,917.59
PROCESSED BY:
ZONING APPROVAL:
Contractor:
FLUEGGE CONSTRUCTION INC
Address:
27762 ANTONIO PKWY L-1 i1422
LADERA RANCH CA 92694
Phone:
949-275-7311
Con State Lie:
844285
Lie Expire:
08/3112022
Bus Lie:
BT30073462
Lie Exp Date:
11/30/2021
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
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: I
Front: I
Left: /
Right: /
larking Spa
$0.00
$0.00
$0.00
$0.00
$232.00
$195.00
$0.00
$149.59
$85.48
$192.33
Architect:
HILL JOHN STEVEN
Address:
3195-B AIRPORT LOOP DR
COSTA MESA CA 92626
Phone:
714-825-8888 State Lic:CO23553
Engineer:
EMDE MICHAEL WERNER
Address:
1754 AVENIDA REGINA
SAN MARCOS CA 92069
Phone:
760-731-7097 State Lic:C-047257
Designer:
Address:
Phone:
Special Conditions: ROBERTS WASTE TO HAUL
Planning Department -
Plan check Fee,
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $172.00
San Dist: $0.00
NMUSD Fee: $0.00
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
e
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$0.00
$0.00
$26.00
$219.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,859.19 Fee Due at Permit Issuance : $4,058.40
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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 U 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 qiC gqt jrjtended 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. -A -owner $Oft Qbperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
�ap ly 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 om-exempt frem licensure under the Contractors' State License Law for the following reason:
ly my signature Below 6acknowledge 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
W18 s4glcture tfiAPl'Aye 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, js %vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govtcalaw.html.
Signature of Property Owner or Authorized Agent - Date
61CrMED CONYRACTOR'S DECLARATION
IJ1e6sbYaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 O) of ivisio 3 of the Business and PWiCe ndmy license is in full force
*d%ffeyt. LicWfteP4ss License No Date U Contractor Signatu
dfoRKfaRS' CCNPENSATION DECLARATION
IA1tWlIVQ.°FAILURr,-Vdk84RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t5100,0001, IN ADDITION TO THE
:DST OF COMPENSAPIOH,OAMAGES 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' compensation
Isurance carder and policy number are:
:arrier Policy Number Expiration Dale
I e of Agent Phone #
I certify that, in the pe ormance of the ork fo whi this permit is issued, I shall not employ any person in any manner so as to become subject to the work rs compensation laws of California, and agre
r 'f I should becomes bject to the kern' a anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prcvisions.
signature of Applicant Dat
IECLARATION REGA I NS U I N L ING AGENCY
hereby affirm under p ally of perjury at ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
tinder's Name Lender's Address
ly 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. �( Chn/i"/�Gd'Z G M
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and c ty or inances and at a s rv� elating to building construction.
I authorize representatives of this city or coun y o en e a entified property for inspection purposes.
signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name fX at / [7
4CTION DATE BY QN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY /
GUJrATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL 6_'7-2)
CERTIFICATEOF
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
ASBESTOS NVTIFICATION IS NOT APPLICABLE TO
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