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Home My WebLink AboutX2020-2770 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 02660 ti Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 'fi"+asroa's Combination Type - BLDG *X2020-2770* COMB Permit: X2020-2770 Project No : 2199-2020 Issued Date : 04/2712021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/27/2024 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: 5 LEESBURY CT NB Description: SFR- POOL DEMO (REMOVE SHELL) Legal Desc.: TRACT NO 11605 LOTS 7 AND 8 POR OF LOT 8 Owner: ROBERTS LUKE TODDtr'+^ Contractor: MICHAEL ROBERTS HOME BUILDER INC Architect: t"A p I Addre s:SKEDE 5 EESBURY CT Address: 6 CALLE ALIMAR Address: 1100 S COAST H , #31 NEWPORT BEACH, CA 92660 RANCHO SANTA MARG CA 92688 LAGUNA BEACH CA 92677 Phone: Phone: 949-858-7540 Phone: 949-715-5461 State Lic:C030518 Applicant: SKENDERIAN TODD Con State Lie: 681116 Engineer: KHOURY NADER Address: 1100 S COAST HWY, #316 Lie Expire:, 0913012021 Address: 1278 GLENNEYERE ST#201 ° LAGUNA BEACH CA 92677 Bus Lie: BT30060668 LAGUNA BEACH CA 92651 Phone: 949-715-5461 Lie Exp Date: 09/30/2021 Phone: 949-637-8357 State Lic:C-061402 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units : Bldg Height: Bldg Sprinklers: Flood Zone: 2019 U 0 0 0 0 0 Workers Compensation Insurance Designer: Carrier: FALLS LAKE FIRE Address: Policy No: MIWC255788 Expire: 0112412022 Phone: Building Setbacks Rear: 10 Special Conditions: Front: 20 Left: 5 Right: 5 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N • ° ° • o ° ° ° Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee: $0.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Acton $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access. $0.00 - P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 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 : $302.07 Plan Check Fee: $140.07 Fee Due at Permit Issuance : $162.00 PROCESSED BY: 15 PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: vv GRADING APPROVAL: _. APPROVAL TO ISSUE: 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 Iicensure 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 (_) 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 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 Iicensure 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 legall) 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://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Date LICENSED QONTRACTOR'S DECLARATION I herebyaVirm�Under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin and Professions Co n y i e e is in full force and effecP''*CQM Class License No D� Contracto 'nature `� ORKEI1S'•CQMPENSATION DECLARATION •WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES up TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE • ROST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm Auer 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 rformande q Ille work for which this permit is issued. Policy No. ' ave 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 s ante carner anti policy number are: timer • Policy Number Expiration Date Name of Agent _ Phone # certify 4,'In theperformance 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 that, if 1 should become subject to tlhe/`Nr a_co/r9p/e}�sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. SignatureKNGARDING wl�2^'�/ G�f�P' D �7d DECLARA CONSTRUCTION LENDING AGENCY1hereby affpenalty 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). Lender's Name Lender's Address By 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 and state laws relating to building construction. I authorize representatives of this city or county ercthe b -id tifi property for inspection purposes. �i� / k Signature of Property Owner or Authori a Print Property Owner's or Author d ant's Name ate Z ACTION DATE Y*DELARA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART E1 OF TITLE 40 ANDAQMD RULE PERMIT EXPIRED ED ASBESTOS NOTIFICATION TO PERMITC4NCELLED PERMITEXTENDED PERMITFINAL tNOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF MOLITION OCCUPANCYISSUED SIGNATURE: