HomeMy WebLinkAboutX2021-1815 - Permits$wr. City of Newport Beach - Building Division *X2021-1815* COMB Permit: X2021-1815
a4' day 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1568-2021
!" I Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255 5 . m
r{r,v fs Combination Type - BLDG GRAD t �- i Issued Date : 08/02/2021
Inspection Area : 6
e.e.
• P
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/02/2024 OR PERMIT WILL BE INVA • t
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•°° • •m ;""°
Job Address: 10 CATANIA NB
Description: SFR SPA DEMO 100 SF & DRAINAGE **STOP WORK 121-1993** AS BUILT PERMIT • • mom ®tt
Legal Desc.: N TR 15705 LOT 21 •. • "
Owner:
RAJIV RATHOD
Address:
10 CATANIA
NEWPORT COAST, CA 92657
Phone:
216.650.4089
Applicant:
LIWSKI ERIC
Address:
7000 MARINE WAY
IRVINE, CA 92614
Phone:
949-547-6102
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Contractor: LEGENDS D E LLC
Address: 15835 HARVARD AVE
IRVINE CA 92606
Phone: 949.854.0540
Con State Lie:
999453
Lie Expire:
12/31/2022
Bus Lie:
BT30051621
Lie Exp Date:
06/3012022
2019 Worker's Compensation Insurance
Carrier:
NATIONAL LIABILITY INS
U Policy No:
V9WC123766
0 Expire:
11/29/2021
0
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
X Use Zone:
Parkinc Soaces: 0
Construction Valuation: $34,000.00
Building Permit Fee: $607.00
Plan Check Fee: $528.09
Overtime Plan Ck:
$0.00
Investigation Fee:
$607.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$2.00
TOTAL FEE: $2,294.84
PROCESSED BY:
ZONING APPROVAL:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
EXPOSE ALL STRUCTUWAL• m m t o
ELECTRICAL, PLUMBING: -AID D--om
moot.
NTCHAN a AtCOMPeQ1.gENTP_
• • e o 0
o to
LIWSKI ERIC
7000 MARINE WAY
IRVINE, CA 92614
949-547.6102
State Lie:
Special Conditions: LANDSLIDE RISK
VHFHSZ
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$237.00
In -lieu Housing Fee:
Grading PC Fee:
$199.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check :
$50.75
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $2,294.84 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
ooemet
e m o e
oomoom ammo
m
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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
le 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
of more than file�lggndred dollars ($500).
I, as OWneNfslae Oroperty, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
�.10gIs and Profe�sisions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovoments orenotmtended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
pproyed for the'purpose of sale), -- -
M es owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply jo an owg9NI%operty; who builds or. improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
Lam exempt orom licehsure under the Contractors' State License Law for the following reason:
yJpysignaturebe)p%I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll
e119 ysCucture tftdt I hmve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
professions Code? is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
TJnafu%e of Propert)6Qwner or Authorized Agent Date
ICEN$ED C$NTRACTOR'S DECLARATION d�
flCICDt affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of i isio 3 of the Business and Profess' s C 1 and rn licen sal full force
ndeAect. Liaense6lass License No Date Contractor Signature
✓ORKERS' COMPENSATION DECLARATION
ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU AND DOLLARS ($100,000), IN ADDITION TO THE
DST 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 forwhich this permit is issued. Policy No.
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
Sur ce carrier and policy number are:
carrier Policy Number Expiration Date
Jame of Agent Phone #
I 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
hat, if I should become 7yltect workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant 1 y,(> �
Dat C12_17_/
3ECLARATION REGA.,ODIu r t'5WSTRUCTION LENDING AGENCY.TTT
hereby affirm under penalty'or perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section
3097, Civl Code).
-ender's Name Lender's Address
3y 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 or nces a laws relating to building construction.
I authorize representatives of this city or cou to a er the ve-iden Pied property for inspection purposes.
3i nature of Property Owner or Authorized Age P o ertOwner's or Authorized Agent's Na
ACTION
DATE
BY
LAR OF CODE FEDERAL
FOR OFFICE USE ONLY -
TIONS PART 61 OF TITLE 40 AND AQMLE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EMENDED
AQMD
PERMITFINAL
ASBES OS OTIFIC IS NOT APPLICABLE TO
CERTIFICATEOF
—( ^Z't
p)I„
PR SE M ION —
OCCUPANCYISSUED
SIGNATUR /�