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HomeMy WebLinkAboutX2021-1662 - PermitsCity of Newport Beach - Building Division +. 100 Civic Center Drive, Newport Beach, CA 92660 a Permit Counter Phone (949)644-3288 s.. Inspection Requests Phone (949)644-3255 �'rbvtu`r Combination Type - SFP ELEC MECH PLUM IIIIIIIIIIIIIIIIIIII�III�IIIIIIIIII�IIIIIII11 111 COMB Permit: X2021-1662 Project No : 1449-2021 Issued Date : 08102/2021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/02/2024 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: 9 RONSARD NB Description: SFR - ADD 236 SF R REMODEL 1,665 SF Legal Desc.: N TR 15935 LOT 86 Owner: VASHISTHA KAPIL Address: 9 RONSARD NEWPORT COAST, CA 92657 Phone: 3101412-5294 Applicant: DAHLAKY KEVIN Address: 5 BANYAN TREE LN IRVINE CA 92612 Phone: 9491743-3633 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg:-36'23v Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 35 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $1,515.00 Plan Check Fee: $1,232.73 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $46.00 Energy Compliance: $70.00 CA Seismic Safety: $13.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $3,442.48 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: NO Contractor: Address: Phone Con State Lie: Lie Expire: Bus Lie: Lie Exp Date: OWNER/BLDR VASHISTHA TANIA 0/13 AUTH ATT 310.412-5294 O/B Worker's Compensation Insurance Carrier: Policy No: Expire: 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: 10' Front: 10' Left: 5' Right: 5' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $106.05 $60.60 $136.35 Architect: GEBHART CHRISTOPHER Address: 340 ALBION ST DENVER, CO 80220 Phone: State Lic:C0403220 Engineer: GARCIA RICARDO RAY Address: 11520 JEFFERSON BLVD #226 CULVER CITY CA 90230 Phone: State Lic:C-066957 Designer: Address: Phone: Special Conditions: Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $1,600.00 Fire Department $208.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: CC 0 t -° Ca $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,842.48 PUBLIC WORKS APPROVAL: I J, PLAN CHECK BY: V'1 APPROVAL TO ISSUE: omen• aaom• omm;mo o m o m aoaomo o • OWNER -BUILDER DECLARATION I hereby affinn 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, priorto 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 a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 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, Wsiness 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-Builderwill 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 ply 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least once 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 junderstand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when t is application ,,i� submitted or at the followi9� Web site:http://www.leginfo.ca.gov/calaw.html, g z�2 lignature of Property Owner or Authorized Agent c/QMV A. �/,,,rt�.l sl�iLA � Date .ICENSED CQV7.RACTOR'S DECLARATION hereby affrn)-u "penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature VORIEERS' CQIae£NSATION DECLARATION KRNNIG: 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 1$100,0001, IN ADDITION TO THE OST OF'COMPENSAI1ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. perepy affirm AM6r'penalty of perjury one of the following declarations: �• ••• MMave and will•maintain acertificate 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 eQpgnance oOeavoik forwhich this permit is issued. Policy No. It!lave and will�rnaintain 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' compensatiol 16elenee carrier and policy number are: :artier: • • • Policy Number Expiration Date laffitoof Agent Phone # 3icertify that yin Ne 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 agre lat if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicant I Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). ender's Name Lender's Address ly 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 ordinances and state laws relating to building construction. \r I authorize representatives of this city or county to epter the above-idelifiegproperty for inspection purposes. of Prooertv Owner or ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED 1403 OF FEDETIA - I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND ASBESTOS NOTIFICATION TO RULE —f — DA"4- I�OROSED DEMOLITIONION IS NOT APPLICABLE TO i-L 24