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Home My WebLink AboutX2020-2768 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ca. Inspection Requests Phone (949)644-3255 �avrnu' Combination Type - BLDG ELEC *X2020-2768* COMB Permit: X2020-2768 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 l Description: SFR-STORAGE BLDG 106 SF (UNFINISHED SPACE) Legal Desc.: TRACT NO 11605 LOTS 7 AND 8 POR OF LOT 8 Owner: ROBERTS LUKE Contractor: MICHAEL ROBERTS HOME BUILDER Architect: SKENDERIAN TODD Address: 5 LEESBURY CT Address: 6 CALLE ALIMAR Address: 1100 S COAST HWY, #316 NEWPORT BEACH, CA 92660 RANCHO SANTA MARG CA 92688 LAGUNA BEACH CA 92677 Phone: Phone: 949-858-7540 Phone: 949.715-6461 State Lic:C030518 Applicant: SKENDERIAN TODD Con State Lic: 681116 Engineer: KHOURY NADER Address: 1100 S COAST HWY, 0316 Lie Expire: 09130/2021 Address: 1278 GLENNEYERE ST#201 LAGUNA BEACH CA 92677 Bus Lie: BT30060668 LAGUNA BEACH CA 92651 Phone: 949-715-6461 Lie Exp Date: 09/3012021 Phone: 949-637-8357 State Lic:C-061402 Code Edit: 0 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 105 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Valuation: Building Permit Fee: $331.00 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.50 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $643.64 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: FALLS LAKE FIRE Policy No: MIWC255788 Expire: 0112412022 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: 10 Front: 20 Left: 5 Right: 5 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $23.17 $0.00 $0.00 Plan Check Fee : Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee : Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: °mmoa mmm,' momm ° m °• . m • ° ° • o ram ° m m, • m ram.' Dram m 0 oa °•mmmo a 000mm eo ° o oommmm ° •om mom a°p° 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $287.97 Fee Due at Permit Issuance : $355.67 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 1e 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 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 nproved 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). 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 legally 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. signature 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 Sec';ia f Division 3 of the Busi and Professions Codg, and y 'tense is in full force nd effect..Liemp Class License No �t Contra t nature VORKERB" COMPENSATION DECLARATION I.10ING: FAILl1RFt TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE OSF OF COMPE4VJIION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ;•I have and e%i l}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 the eriormance'ofrthe Mork for which this permit is issued. Policy No. M411 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' ier and policy number are: Agent• Policy Number Date i the ➢erformance 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 acame subject to the workp)s' c%npepsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATIEGARDING CONSTRUCTION LENDING AGENCY -reby affirm u der 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). lder'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 and state laws relating to building construction. I authorize representatives of this cjFXor ya'ty to 2nJer theyt oW-idZntiged property for inspection purposes. _ Awl l .41 ACTION DATE BY REGULATIONS PART 630 OF 40 AND AQMD RULE CE WITH CODE OF �L FOR OFFICE USE PERMITEXPIRED i 1 1 L-I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL I j(� �j�'y I /4V4 UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF l PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: