HomeMy WebLinkAboutX2020-0588 - PermitsCity of Newport Beach - Building Division
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
K
COMB Permit: X2020-0588
Project No : 0475-2020
Issued Date : 04/1112022
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: 1510E OCEAN FRONT NB
Description: SFR REMOVE PATIO AREA BUILT INTO THE PUBLIC RIGHT OF WAY & CONSTRUCT 42" 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 Lic:
992007
Engineer:
FERNANDEZ TERRY LYNN
Address: 4265 E CONANT #101
Lic Expire:
03/31/2024
Address:
1719 CARVER ST
LONG BEACH CA 90808
Bus Lic:
BT30063271
REDONDO BEACH CA 90278
Phone: 562-597-8760
Lic 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
Added /New sq.ft. Bldg: 0
Expire:
01/1012023
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 0
Special Conditions: LIQUEFACTION
No of Units : 1
Front: 10
Bldg Height: 0
Left: 3
Bldg Sprinklers:
Right: 3
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $37,500.00
Building Permit Fee: $655.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $569.85
Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access : $0.00
PNV Plan Check:
$0.00
Grading Bond:
Hazardous Mat $0.00
Electrical
$45.85
San Dist:
$0.00.
Building Green Fee : $2.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$58.95
TOTAL FEE: $1,331.65
PROCESSED BY:
ZONING APPROVAL: Z�G
GRADING APPROVAL:
Plan Check Fee :
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$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$534.18 Fee Due at Permit Issuance : $797.47
PUBLIC WORKS APPROVAL: G
PLAN CHECK BY:
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 2 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
iot 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
mprovements 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
mproved 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 Iegalll
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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of ivision 3 of the Business and Prof ions e, and y1(Cense is 10 full force
and effect. Licl;f1MClass License No Date Contractor Signature
ACIRKERS' C00tNSATION DECLARATION
9ARNING:FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO DOLLARS ($100,0001, IN ADDITION TO THE
COST OF COMPENSAT90N}eAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
4i6eVo, ffirm under penalty of perjury one of the following declarations:
•, I have and 46wiJltain 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
Jerbpp3nce of the worn for which this permit is issued. Policy No.
and vrlbllneinPain 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'
carrier and p8licy number are:
Policy Number Expiration Date
I bLRloy that, irythe pertorman 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 agre
at- iff should bE:c� me5 ct o the orker o en anon rovlslons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
gnature of Applicant Da,^ny,
{—.
ECLARATION REGARDING CQNSTRUCTIoWEENDIWAGEN113Y,` J
lereby 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).
ander'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 ordi es and sta a relating to building construction.
I authorize representatives of this city or county to the �9bove-i tified roperty for inspection purposes. `�// ,/� tea /�
onature of ProUertV Owner or Authorized Agent A d r .. Print Property Owner's or Authorized Agent's NameV lam/ 06je_ OC4 1 Cat. iljl
ACTION DATE BY V CLL�IA�OFON NS OF CCOMPLIANCE WIT40 H CODE OF FEDERRULE AL I FOR OFFICE USE ONLY
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