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Home My WebLink AboutX2020-0526 - Permitst City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0526 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 5 2 6 Project No: 0419-2020 E, �, Permit Counter Phone (949)644-3288 "ru. - Ar Inspection Requests Phone (949)644-3255 Issued Date : 03/25/2021 9r: r,,o��k* Combination Type - SFP ELEC Inspection Area: 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/25/2024 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: 46 SEA TERRACE NB Description: SFR RMV WINDOW & DOOR, RPLC W/ NEW DOOR. R/R DOOR, ADD ROOF @ (E) BALCONY & NEW ATT/PATIO COVER 248 SF Legal Desc.: N TR 14581 LOT 37 Owner: SWARTZ DAVE & KIMBERLY Contractor: HOME IMPROVEMENT SPECIALTY Architect: Address: 46 SEA TERRACE Address: 34145 PACIFIC COAST HWY #107 Address: NEWPORT COAST, CA 92657 DANA POINT CA 92629 Phone: Phone: 949-465-6965 Phone: State Lie: Applicant: ELLISON PAUL Con State Lic: 774522 Engineer: FORBES DALE L Address: 24642 VIA RAZA Lie Expire: 02128/2022 Address: 1800 E 16TH ST #B ' LAKE FOREST CA 92630 Bus Lie: BT30074784 SANTA ANA CA 92701 � 1 Phone: 949-683-9861 Lie Exp Date: 0313112022 Phone: 714-835-2800 State Lic:C-030407 C) Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EXEMPT Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 Di No of Stories: 2 Building Setbacks Rear: 10' Special Conditions: No of Units : 1 Front: 10' Bldg Height: 0 Left: 5' Bldg Sprinklers: N Right: 5' Flood Zone: X Use Zone: PC63 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $21,500.00 Building Permit Fee: $712.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $620.72 Additional Fee : $66.00 Plan check Fee: $92.50 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $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: $28.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $2.80 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAW Plan Check : $0.00 - Grading Bond: $0.00. Hazardous Mat $0.00 Electrical W $49.64 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: $1,633.86 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $214.00 Fee Due at Permit Issuance: $1,419.86 L M 000 8 pY Lf ^^ems e L e < L• G ' ` PUn1 SC WORKS APPROVAL: P`b 4 O m Lcn L »oo : L PLAN CHECK BY: f = A�IPRgV`AL TO ISSUE: - L cG E 6LF1 f9 UU � G UGG .y l:o 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 1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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 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 five hundred dollars ($500). 1, 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, lusiness 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 nJroved for the purpose of sale). 1, 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). I I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legalh ell a structure 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ',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 Section 00 j of Division 3 of the Business and Pr' as' Co and�Y se is in full force nd effect. License Class License No Date 2 Contractor Signatur�%U•�/i'G>r VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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. 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work far 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 su ject to t/h/�}vo/rke�/•.y-mpi§ns 'on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant JY / /� _ Da/ CLARATION REG*D G CONSTRUCTION LENDING AGENCY ))) Ireby affirm under natty 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). rider'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 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 ands laws relating to building construction. tlrr� I authorize representatives of this city or couP�ty t�nter th Idenffil property for in ection purposes. /1q / nature of Prooertv Owner or Authorized Acent Y %�1 //✓2 - Print Property Owner's or Authorized Agent's Namay l/6/ //�� DATE BY r LARA; FIQN IF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE ULATIOa�PART61OPTITLE40ANDAQMD RULE 1403 ... ... PERMITEXPIRED LJISUBMITTE SBESTOS NOTIFICATION TO s • PERMIT CANCELLED EPA • • • • • • • ° • ° ` PERMITFINAL ASBESTOS OIFICATION IS NOT APPICABLE TO CERTIFICATEOF —I?+ZZ OPOSE LITION • • • • • • s • e OCCUPANCYISSUED SIGN RE •