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Home My WebLink AboutX2020-2223 - PermitsrYno City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 A r r> Combination Type - BLDG PLUM COMB Permit: X2020-2223 IIuIIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIIIIIIIIu II Project No: 1800-2020 Issued Date: 10109/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011012023 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: 2415 SIERRA VISTA NB Description: DEMO SFR - 2359 SF (4 BEDROOMS) SEWER CAP INCLUDED .,..Legal Desc.: N TR 1801 LOT 7 Owner: MANSOUR NICK & SUZI Address: 2415 SIERRA VISTA NEWPORT BEACH, CA 92660 Phone: Applicant: TEALE MARK Address: 2900 BRISTOL ST BLVD A203 COSTA MESA CA 92626 Phone: 949-975-0123 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3IU 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: "' II Construction Building Permit Fee: $120.00 Plan Check Fee: $227.60 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.par Building Green Fee: A0 TOTAL\FEE : $2,489.80 PROCESSED BY: ®---_ ZONING APPROVAL: GRADING APPROVAL: Contractor: VOGEL CHARLES M Address: 1601 MANZANITA LANE MANHATTAN BEACH CA 90266 Phone: 310.613.3602 Con State Lie: 388241 Lie Expire: 03/3112022 Bus Lie: BT30054953 Lie Exp Date: 06130/2021 Worker's Compensation Insurance Carrier: NO EMPLOYEES 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 %: Plumbing %: Rear: / Front: / Left: I Right: I Parkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.80 Plan Check Fee: Architect: TEALE MARK Address: 2900 BRISTOL ST BLDG A203 COSTA MESA CA 92626 Phone: 949-975-0123 State Lic:CO22162 Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: TIGHT QUARTERS Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD-Fee: $0.00 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: $0.00 Eef bue a PUBLIC WOR S APPROVAL: PLAN CHECK B . APPROVAL TO ISSUE: • e oommom • m•mm • m ommm m •oom • o oomo om o e o memo • 0 0 m00000 m o m000m 0 •oomo m00000 • om mmoeo mmmm . 0 o moe• $Ob0 $0.00 $26.00 $316.00 $1,692.00 $0.00 $0.00 $0.00 $2,489.80 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 'rofessions Code) or that he or she is exempt from licensuro 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, Iusiness 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 nprovements 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 n 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: Iy my 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 legal) ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.govlcalaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SECl10 0 ) of Division 3 of the Business and Profess' ode an Icense is in full force nd effect. License Class License No Date Contractor Signature% VORKERS' COMPENSATION DECLARATION ...... 'ARNING: FAILURE TO 3EOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE700,000), IN ADDITION TO THE OS T-COMPENS,4119U, DAMAGES AS PROVIDED FOR IN SECTION E706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm oL1$grAnalty of perjury one of the following declarations: Rave and wig maintain a certificate of consent to self -insure for workers' compensation, issued by the rMance of the Wprk for which this permit is issued. Policy No. ate and w111"Mntain workers' compensation insurance, as required by Section 3700 of the Labor Code, 3nce carrieaand policy number are: fir. .... Policy Number Agent Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Dale 5f c fy that,,in ttw%rformance of the work fo I ' h 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 agree .Should bBeomE s bject a wor ' o 'sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �!! vC`� G� g"Siure of Applic ens Date �f a iECLARATION CY ill 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 owners behalf. I have read this application and the information I have provided is cor ct. I q I agree to comply with all applicable city and county ordina ces and a ' _ g to building construction,,,A� h �G Zak I authorize representatives of this city or coun enter/ ,9LJta e ' ied property for inWection purposesyU�I� �� -I ,7d /,'/ /�j 6 ;...,ter„•e s o•..,.va„ n,.,,.o...r e,al.,.d>en e,.onr 1 /' / _ _./ —� Print Prnnertv OwneP"s or Authorized ADent's Name / Ul . , Date ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED OMD PERMITFINAL CERTIFICATEOF • / • 1.//V ASBESTOS NOTIFICATION IS NOT APPLICABLE TO )TIQj�� PROPOSED DEM/� OCCUPANCYISSUED O 1 �1► SIGNATURE: //