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Home My WebLink AboutX2020-2766 - Permits$w, City of Newport Beach - Building Division 1 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD IIIIII�IIIIIIIIIIQIIIIIII�IIIIIIIIII�II II COMB Permit: X2020-2766 x 2 0 2 0 2 7 6 6 Project No: 2199-2020 Issued Date : 04127/2021 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-ADD TO KITCHEN 140 SF, REMODEL 1800 SF, WINDOWSIDOORS THROUGHOUT, EXT FACADE & DRAINAGE Legal Desc.: TRACT NO 11605 LOTS 7 AND 8 POR OF LOT 8 Owner: ROBERTS LUKE Contractor: MICHAEL ROBERTS HOME BUILDER INC Architect: ' %S�- CECT 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: 949-715-5461 State Lic:C030518 o' Applicant: SKENDERIAN TODD Con State Lic: 681116 Engineer: KHOURY NADER m . Address: 1100 S COAST HWY, #316 Lic Expire: _ 09/3012021 Address: 1278 GLENNEYERE ST#201 °. LAGUNA BEACH CA 92677 " Phone: 949-715-5461 Code Edit: 0 Type of Construction: V-B Occupancy Group: R-31U Added /New sq.ft. Bldg: 140 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $33273.00 Plan Check Fee: $2,767.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $80.00 Energy Compliance: $269.50 CA Seismic Safety: $50.05 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $16.00 TOTAL FEE: $10,383.34 PROCESSED BY: ZONING APPROVAL: Bus Lic: BT30060668 Lic Exp Date: 09/30/2021 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 Parking Spaces $0.00 $0.00 $0.00 $1,377.60 $232.00 $497.40 $0.00 $229.11 $130.92 $294.57 Plan Check Fee LAGUNA BEACH CA 92661 Phone: 949-637-8357 State Lic:C-061402 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee, Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $172.00 San Dist: $0.00 NMUSD Fee: $0.00 $3,416.69 PUBLIC WORKS PLAN CHECK BY: Fire Department $185.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 3 a ° c o e oo ± ao `=o °m®°o $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $6,966.65 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 reasons) 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 U 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: S1?r ysignature 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} 'self 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 Prptassions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Sign;k me of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION • , I hereby ftm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section �00 ffDivision 3 of the Business and Professions C de, a y en,�a Is In full force ,• and effrsct. *License Class License No Date �'Tef2 4 Contractor Signature�C F•�+— • , WORKERS' COMPENSATION DECLARATION T� • WARNIIl 4 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 ($100,000), IN ADDITION TO THE • •, COST Ot COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. °o • • I hereby affirrr►Imder penalty of perjury one of the following declarations: •,.• • I hav2 •wd 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 • pdrf rmancP, o eve work for which this permit is issued. Policy No. ,•• P ve 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' compensation • , iMsur ce carrier and policy number are: riser Policy Number Expiration Date Name of Agent Phone # certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manners o as to become subject to the workers' compensation laws of California, and agre, I, if I should become subject to the worker c9✓� pepeJ��aIII /o�provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican[7�i CLARATION REGARDING CONSTRUCTION LENDING AGENCYT�'� Heby affirm under 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). Ider'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 owners 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 toe a ab efj�len to property for inspection purposes. r / J nature of Prooertv Owner or Authorized Agent �(� Print Property Owner's or Authorized Agent's Nam B GI�L.G,LLGGUO P.d7 Date ACTION DATE BY �I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I (FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED QF SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED GRA14MD PERMITFINAL CERTIFICATE OF OCCUPANCVISSUED ILJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION ' Ara— SIGNATURE:__V/Lr../ /G ra—