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Home My WebLink AboutX2020-2790 - PermitsCity of Newport Beach - Building Division 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 IIIIVIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIII COMB Permit: X2020-2790 Project No : 2206-2020 Issued Date: 0311112021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 031I IJ2024 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: 1969 PORT BRISTOL CIR NB Description: SFR ADD 1,255 SF AND REMODEL 2,099 SF, REDUCE GARAGE BY 158 SF Legal Desc.: N TR 6623 LOT 80 Owner: QUICK RICHARD KEVIN Address: 2618 SAN MIGUEL DR #265 NEWPORT BEACH, CA 92660 Phone: Applicant: DESURRAANDREW Address: 31 BLAKEMORE DR LADERA CA 92694 Phone: 949-636-0195 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 1255 Added /New sq. ft. Garage: -176 No of Stories:. 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: $367,000.00 Building Permit Fee: $4,730.00 Plan Check Fee: $3,658.91 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Mansgement : $54.00 Energy Compliance: $256.90 CA Seismic Safety: $47.71 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $15.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: Contractor. SHEAR CONSTRUCTION Address: 31 BLAKEMORE DR LADERA RANCH CA 92694 Phone: 714-615.6108 Con State Lic: 760853 Lic Expire: 0713112022 Bus Lic BT30049686 Lic Exp Date: 01/3112022 Worker's Compensation Insurance Carrier. OHIO SECURITY Policy No: XW861231341 Expire: 04111/2021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear. 10 Front: 22 Left: 5 Right: 5 $0.00 $294.00 $0.00 $0.00 $952.00 $828.24 $0.00 $331.10 $189.20 $425.70 Architect: Address: Phone: Engineer: Address: Phone: INSPEC I ukl State Lic: State Lic:C-043205 °•°°.• Designer: DESURRA ANDREW YAGHI SHUCRI I 112 E. CHAPMAN #D ORANGE CA 92866 714-997-9120 Address: 31 BLAKEMORE DR LADERA RANCH CA 92694 Phone: Special Conditions: 5 BDRM TO 5 BDRM 0 Fire Hazard Zone : N Planning Department - Plan check Fee Fair Sham, SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $301.00 San Dist: $0.00 NMUSD Fee: $2,309.20 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: Plan Check Fee : $4,394.81 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PA PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: ram • • �ooa eJ $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $10,992.15 ram°®• m 0000• m a Dora• OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) ction 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 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 fessions 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements 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 roved 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 ly 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: 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 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 al fessions Codg,•ill %0gilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature• of Proper"wner or Authorized Agent SENSED CON TRACTOR'S DECLARATION law, Section 7044 of the Business and Date rebX affirm uadergenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SeCtiBn 7000) of Division 3 of the Busin ss and Professions od 9and my license is in full force effeat. License Class License No Da a Con Signature —4 i )RKERS' COMPENSATION DECLARATION MR14ING:4AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UNTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO :GST (WCOMPENSAT ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 11e257affirm under"Pialty of perjury one of the following declarations: is and willmaintain 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 Mce of the wo"for which this permit is issued. Policy No. sand will•rnaintein 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' compensa a! carder and policy number are: • • • • •: Policy Number Expiration Date of Agent that, in the 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 if I shou me su ct t�tfl, Xo�ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^lf—Z.o21 areby affirm under Pena o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 31197, Civil Code). ider's Name Lenders 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 thi i! ty I ve-identify property for inspection purposes. I, mature of PrODertv Owner or A nz d ADent //. Print ProDertv Owner's or Authorized Aaen ' Name N V-e n) 1�S ACTION I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED /l ��, ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PR OSED DEMOLITION SIGNATURE: 3-.Lc