HomeMy WebLinkAboutX2020-0587 - PermitsCity of Newport Beach - Building Division
3 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
s:. Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM
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COMB Permit: X2020-0587
Project No: 0475-2020
Issued Date : 04/11/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0411112025 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: 1504 E OCEAN FRONT NB
Description: SFR REMOVE PATIO AREA BUILT INTO THE PUBLIC RIGHT
OF WAY & CONSTRUCT 60" HIGH X 40 LF BLOCK WALL INSIDE P/L
_
•.,
Legal Desc.: N TR 518 BLK B LOT 2
Owner: LILIEN DAVID
Contractor:
WINKLE CUSTOM HOMES Architect: KOLLIN MICHAEL~-
Address: 1510 E OCEANFRONT
Address:
33971 SELVIA
RD #110 Address: 4265 E CONANT STREET #101
NEWPORT BEACH, CA 92661
DANA POINT CA 92629 LONG BEACH CA 90808
Phone:
Phone:
949-873-3125
Phone: 562.597-8760 State Lic:CO21173
Applicant: KOLLIN MICHAEL
Con State Lie: 992007
Engineer: FERNANDEZ TERRY LYNN
I
Address: 4265 E CONANT #101
Lie Expire:
03/31/2024
Address: 1719 CARVER ST
C
X
LONG BEACH CA 90808
Bus Lie:
BT30063271
REDONDO BEACH CA 90278
a °
Phone: 562-597-8760
Lie Exp Date:
05/31/2022
Phone: 562-985-3200 State Lic:S-003256
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
STATE FUND
Address:
Occupancy Group: U
Policy No:
9122252
°a a
Added /New sq.ft. Bldg: 0
Expire:
01/10/2023
Phone:
° 9®f
Added/New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 0
Special Conditions: LIQUEFACTION
No of Units : 0
Front: 10
Bldg Height: 0
Left: 3
Bldg Sprinklers:
Right: 3
+ d» o 0
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $37,500.00
as a
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Building Permit Fee: $655.00
Excise Tax:
$0.00
Planning Department - Fire Department
• • a
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Plan Check Fee: $637.85
Additional Fee :
$134.00
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: $28.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$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
PAN Plan Check: $101.50 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$45.85
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$58.95
$0.00
TOTAL FEE : $1,663.15
Plan Check Fee
: $534.18 Fee Due at Permit Issuance :
$1,128.97
PROCESSED BY:
C�
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PUBLIC WORKS APPROVAL: O IC
ZONING APPROVAL:
PLAN CHECK BY:
Y
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 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 (_) 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).
I 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 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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 00 f Di ision 3 of the Business and Pr s C d io e, and my lice a is its full force
and effect. LicariLicense No Date Contractor Sig natu
WORKERS' COMPENSATION DECLARATION
fflX**0S!FAILUR1'1O9ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED Zu,11OLLARS I$100,000j, IN ADDITION TO THE
COST OF LOMPENSATXIII_IIAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
under 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
au•
�rtprmance of the wor for which this permit is issued. Policy No.
I�h ;e and w41:9Iej(If�ain 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
ns carrier and policy number are:
Policy Number
• •.
Date
. J c+i13ity that, in tie performance the work for w 's 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 agree
Aat.`1Should bVecogib2mb ct t h workers' pens on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Appl cant Date 4 aa/
DECLARATION REGA IN ONS UCTION LENDING AGENCY -
hereby affirm under penalty o ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code).
-ender's Name Lender's Address
3y 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 or na ces and state laws relating to building construction. ••''
I authorize representatives of this city or coun(y�tq,e er th ve-identified property for inspection purposes. 'A A I n rr A A ; n n I , a A 9 A ZA
Signature of Property Owner or AL
ACTION
DATE
PERMIT EXPIRED
PERMITC4NCELLED
PERMIT EXTENDED
PERMIT FINAL
t 31
CERTIFICATE OF
OCCUPANCYISSUED
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AN D AQMD RULE
1403
1 SUBMITTED ASBESTOS NOTIFICATION TO
EPA
TO
FOR OFFICE USE ONLY