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HomeMy WebLinkAboutX2022-1064 - Permits (2)any City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v: 4 Inspection Requests Phone (949)644-3255 `arJrr,u`,. Combination Type- SFP ELEC MECH PLUM `X2022-1064* COMB Permit: X2022-1064 Project No : 1835-2021 Issued Date : 04/1812022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR MST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/18/2025 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: 20 COLONIAL DR NB Description: DELTA 3 -ADD'L SCOPE. NEW LIGHTING, REMODEL 4 BATHS, LAUNDRY, RR HANDRAILS Legal Desc.: NTR15389LOT44 Owner: PIETSCH MICHAEL Address: 20 COLONIAL NEWPORT BEACH, CA 92660 Phone: 949-466-3919 Applicant: LUSHBAUGH WILLIAM Address: 17191 CITRON IRVINE CA 92612 Phone: 949-251-1710 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: - 0 Bldg Sprinklers: Y Flood Zone: X Construction Building Permit Fee: $1,089.00 Plan Check Fee: $947.43 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat - $0.00 Building Green Fee : $4.00 TOTAL FEE: $2,318.23 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: N Contractor: PYRAMID CONSTRUCTION INC Address: 1599 W LORANE WAY ANAHEIM, CA 92802 Phone: 714457-9878 Con State Lic: 1006078 Lic Expire: 0813112023 Bus Lic: BT30061961 Lic Exp Date: 01/31/2023 Worker's Compensation Insurance Carrier: EVERST PREMIER Policy No: 7600021477201 Expire: 04/22/2022 Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: / 3arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $76.23 $43.56 $98.01 Plan Check Fee na°o ® o aocueo Architect: LUSHBAUGH WILLIAM Address: 17191 CITRON ° IRVINE CA 92612 ° ago Phone: 949-251-1710 State Lic:CO24867 Engineer: JAMIL BASHARS Address: 751 SHASTA DR CORONA CA 92881 Phone: 714-883-4124 State Lic:C-083129„a c a°o.eo a o Designer: a o a co a a Address: o Phone: va 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: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $999.43 Fee Due at Permit Issuance : $1,318.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: SEC 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) ;action 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 ie 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 rofessions 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 apermit subjects the applicant to a civil penalty of of 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, usiness 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 nprovements 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 nproved for th%P&PISse of sale). I, as owner oftM& property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pplytmn owner ef-property, who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I ajn exempt fr8MIrcensure under the Contractors' State License Law for the following reason: y l sgnature 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) ell 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 ;ID(esSipns CoMrs,1141,1vpilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignaSere of Pro P:rty Owner or Authorized Agent Date dr,&ASED CONY ACTOR'S DECLARATION hE'cahy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7�0QB of Division 3 of the Business and Profession ,�R y I' ®R 's in full force ( jglP fpZt. Licenst Class License No Date Contractor Signature 1I0*RKtRS' CCWPESJSATION DECLARATION y§II&IS 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 CST OF OOMPENSATION,baMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under pefialty 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 th ee ormance of the work for which this permit is issued. Policy No. {a�l have 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' compensatioi Isurance carrier and policy number are: Policy Number of Agent Date ]I certify that, in the performance of the wojiifor which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre Iat, if I should become ssject tot w s' compensate rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant / Date!" ECLARATION REGARDING UCTION LENDINPIXi hereby affirm under penal o e Zt1hat there is a ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 owners behalf. I have read this application and the information I have provided is orrect. I agree to comply with all applicable city and county ordinanc - It staterelating to building construction. I authorize representatives of this city or county to enter a ve-id tion purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY EC RATIO LANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE ACTION 7�1403 PERMITEXPIRED i 1 1 LIISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA S PROPOSED C CERTIFICATE OF (7' I V SIGNATURE: OCCUPANCYISSUED Name K Date