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Home My WebLink AboutX2020-2767 - Permits""'o, City of Newport Beach - Building Division II III IIIIIIIIIIIIIII IIII�IIIIII�II IIIII II COMB Permit: X2020-2767 - 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 7 6 7 Project No : 2199-2020 t, 't Permit Counter Phone (949)644-3288 T: at Inspection Requests Phone (949)644-3255 "bss Combination Type - SFP ELEC PLUM Issued Date: 04/27I2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412712024 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 -SOLID ROOF CABANA 575 SF, SOLID ROOF COVER OIBAR 136 SF, DET TRELLIS 128 SF �4�" ' Legal Desc.: TRACT NO 11605 LOTS 7 AND 8 POR OF LOT 8 8 W,d 1r,.° 11 $� T 1y q Owner: ROBERTS LUKE SKENDERIAN TODD Address: 5 LEESBURY CT NEWPORT BEACH, CA 92660 Phone: 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: U Added /New sq.ft. Bldg: 575 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $1,209.00 Plan Check Fee: $1,051.83 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $13.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FT: $2,471 PROCESSED BY: ZONING APPROVAL: i GRADING APPROVAL: i Contractor: MICHAEL ROBERTS HOME BUILDER INC Address: 6 CALLE ALIMAR Address: RANCHO SANTA MARG CA 92688 Phone: 949-858-7540 Phone: Con State Lic: 681116 Engineer: Lic Expire:,- 09/30/2021 Address: Bus Lic: BT30060668 Lic Exp Date: 0913012021 Phone: Worker's Compensation Insurance Carrier: FALLS LAKE FIRE Policy No: MIWC255788 Expire: 0112412022 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: 10 Front: 20 Left: 5 Right: 5 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $84.63 $0.00 $108.81 Plan Check Fee Architect: 1100 S COAST HWY, #316 LAGUNA BEACH CA 92677 949-7155461 State Lic:C030518 KHOURY NADER 1278 GLENNEYERE ST#201 LAGUNA BEACH CA 92651 949-637-8357 State Lic:C-061402 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $1,051.83 PUBLIC WORKS PLAN CHECK BY: 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: DOD•` i D ®DD• 80¢•POF D D D D„• D . . . • es a DD DD • • D P• D D DD D cDa • ®OI D, .DDD• O wJ440D 0 9 O A t3 w OOD �uDeD• • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,419.44 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 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). ❑ 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, 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). ❑ 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 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 legalll 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm u4niaenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature .... 44fAgKCRS' CPA NSATION DECLARATION AARNING-FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF, COMPENSATIEN.V1MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I}lerepylaffirm under penalty of perjury one of the following declarations: 131 have and euill 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 ormance of the work for which this permit is issued. Policy No. PfibO and wj4ifiaintain 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 euranc 4 carrier and policy number are: Policy Number oPAgent 0. 0 ; Date that, in he Performance 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 ould becomesubiect to the workersjcompeDE%tio4 provsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date �O�_� CLARATION REGAWDING CONSTRUCTION LENDING AGENCY I/ weby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Idlers 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 city or county to enIV bo�re.LpWFide ifie,0 property for inspection purposes. DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMIT EXTENDED 0AQMD PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Civil Code).