HomeMy WebLinkAboutX2020-1837 - Permitsws• City of NeWport Beach - Building Division
off. 100 Civic Center Drive; Newport Beach, CA 92660
n Permit Counter Phone (949)644-3288
Wspection Requests Phone (949)644-3255
Combination Type - GRAD ELEC PLUM
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Issued Date: 10/07/2020
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 10l08/2023 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: 6 VERNON NB
Description: SFR -DRAINAGE, PLUM & ELEC TO BBQ & FIREPIT
Legal Desc.: N TR 15333 LOT 24
Owner:
BAGHERI SAEED & SUSAN
Address:
6 VERNON
NEWPORT COAST CA 92657
Phone:
Applicant:
WENSKUNAS JOHN
Address:
34 BRIDGEPORT
DANA POINT CA 92629
Phone:
949-241-2550
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
Contractor: OW NERIBLD R
Address: AUTH AGENT:
JOHN WENSKUNAS SR
Phone: 949-241-2550
Con State Lic: 018
Lic Expire:
Bus Lic:
Lic Exp Date:
2019
Worker's Compensation Insurance
VB
Carrier:
U
Policy No:
0
Expire:
0
Building Setbacks Rear: /
Front: /
Left: /
Right: /
X
Use Zone: Parkina Snaces
Architect
Address:
Phone: State Lic
Engineer:
Address:
Phone:
State Lic:
Designer:
WENSKUNAS JOHN
Address:
34 BRIDGEPORT
DANA POINT CA 92629
Phone:
949-241-2550
Special Conditions: SPECIAL FIRE PROTECTION
AREA
Fire Hazard Zone : N
$0.00
Excise Tax:
$0.00
Planning Department -
Additional Fee,
$80.16
Plan check Fee
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$20.00
Grading Permit Fee:
$232.00
In -lieu Housing Fee:
$0.00
Grading PC Fee:
$195.00
Public Works Department-
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
$0.00
PAN Plan Check:
$0.00
$0.00
Electrical %:
$0.00
San Dist :
$0.00
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $632.91
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$47.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $242.50 Fee Due at Permit Issuance : $390.41
,- o ..< .
0 0 o PUBLIC WORKS APPROVAL:
"PLAN EHE&'BY:
APPROVAL TO ISSUE:
0 0 o c j
c o
r
OWNER -BUILDER
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
ne 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"af 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-
iot more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions off the work, and the structure is not intended or offered for sale (Section 7044,
P
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
ants 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
for the purpose of sale). I
wner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
n 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).
xempt from licensure under the Contractors' State License Law for the following reason:
nature 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 legal)
ell a structure that I have built as an owner -builder if 't 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
Irofessions Code, is available upon request whe sap lic tion is submi a or at a following Web site:hftp://ww .leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Dat Q "
oil
.ICENSED CONTRACTOR'S DECLARAT O
hereby affirm under penalty of perjury that I am lice a under provisions of Chapter 9 (commencing with Section 70ON of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date f c -C,7 Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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 (5100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Directorl'of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erformance of the work for which this permit is issued. Policy No.
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'
rance carder and policy number are:
"ier Policy Number Expiration Date
is of Agent I�� Phone #
certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any
if I should become subjec4 to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
lature of Applicant
so as to become subject to the workers' compensation laws of California, and
i comply with those provisions.
D /10 - O "7
hereby affirm under penalty bf-perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
Ender's Name Lender's Address
ly my signature below, 1 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 ordina es and state Iav s relating to building construction.
I authorize representatives of this city or county to epter thve-id ropertyjgFinspection purposes. i
DATE I BY
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NQTIFWA RON TO • • ••• �.�
PERMITCANCELLED OEPA : • • • =
•e
PERMIT EXTENDED QMD • • • • �•• ••• ••• s
PERMITFINAL L1 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOFPROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: cc oeo 0 0 ose
of
o
Civil Code).
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