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Home My WebLink Aboutx2022-0363 - PermitsCity of Newport Beach - Building Division �1111111111111111111111111111111111111IIIIIIII JJ COMB Permit: X2022-0363 �. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 3 6 3 Project No : 1953-2021 Permit Counter Phone (949)644-3288 #C Inspection Requests Phone (949)644-3255 n' .wary. `a Combination Type - SFP ELEC Issued Date : 02/0812022 Inspection Area: 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210812025 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: 17 SAN MATEO WAY NB Description: DELTA 4, CAN LIGHTING THROUGHOUT 1ST FL (REV22.0215) Legal Desc.: N TR 7844 LOT 24 Owner: TOCCI ROBERT Address: 17 SAN MATEO WAY CORONA DEL MAR, CA 92625 Phone: 954-547-1880 Applicant: SKENDERIAN TODD Address: 1100 S COAST HWY, #316 LAGUNA BEACH CA 92677 Phone: 949-715.5461 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: N Flood Zone: X Building Permit Fee: $178.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Contractor: LOYNES CONSTRUCTION INC Address: 34601 CAMINO EL MOUND #A SAN CLEMENTE, CA 92673 Phone: (949) 239-2722 Can State Lic: 1059062 Lic Expire: 10/3112023 Bus Lic: BT30076970 Lic Exp Date: 10/31/2022 Workers Compensation Insurance Carrier: SIRIUS AMERICA INS Policy No: WC8398700 Expire: 11/1012022 Building Setbacks Use Zone: 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: I Right: I arking Spa $0.00 ($65.25) $0.00 $0.00 $0.00 $0.00 $0.00 $23.30 $0.00 $0.00 Architect: SKENDERIAN TODD Address: 1100 S COAST HWY, #316 LAGUNA BEACH CA 92677 Phone: 949-715-5461 State Lic:C030518 Engineer: AHMADI MANSOUR Address: 32262 VIA DEL SOL TRABUCO CANYON CA 92679 lr� Phone: 949-715-9990 State Lic:C-076370 Designer: Address: Phone: _ Special Conditions: REV22-0215 LANDSCAPE AREA 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 $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 II TOTAL FEE: $139.05 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $139.05 e PROCESSED BY: \ ''��` `"" ` ., 1RUBi r,;WO$K8 APPROVAL: ZONING APPROVAL: �V ➢4/' " Pti_AN CH ECK 9Y: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER 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 l_) all of or U 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 improved 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 apply 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 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent a LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of iviyion 3 of the Business and Prof s ' s de{ d my licese-i u force and effect. License Class License No Date. Z Contractor Signature` _ WORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TJM1kIUSAND 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: 1 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 rance of the work for which this permit is issued. Policy No. have and will rOntam 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' compensatioi nsurance carrier an oliCy number aye f+ ,arrier u h r t Expiration Date game of Agent _ Phone # ❑1 certify that, in the performan of he 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 su act to th o ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant / — DSte� 2'JQ11?_ Z� DECLARATION REGARDIN&-CO !I— T UCTION LENDING AGENCY hereby affirm under penalty f p5rjury 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 3y my signature below, I en to each of the following: 1 am the property ow or authorized to act on the property owner's behalf. I have read this apple ation and the information I hav 7#ovided is correct. I agree to comply with all applicable city and countyloroinances and state laws relating to building construction. I authorize representatives of this city or co , en above -id anti l rty for inspection purposes. //11 Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Na ,A-Z� D Z ZZ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION T ••• « PERMIT CANCELLED IIEPA • • : : •• PERMIT EXTENDED QMD ' • ' • i PERMITFINAL ASBESTOS NOTIFICATIOIIS NOT APPLICABLE TO CERTIFICATE OF .ai Zz p.u` PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: s•« • ewe a«« see e a ec e e ne e ,� ono 0 0 ono 000 o°e