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Home My WebLink AboutX2021-0660 - PermitsNrC,4r City of Newport Beach - Building Division Permit: X2021-0660 � L 100 Civic Center Drive, Newport Beach, CA 92660 P 111111p11111111111111111111111111p1111111111111plJillCOMB X 2 0 2 1 0 6 6 0 Project No : 0600-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type- SFP ELEC MECH PLUM GRAD Issued Date: Inspection Arearea :2021 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/21/2024 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: 19 POINT LOMA DR NB Description: NEW SFRIGARAGE 4519/730 SF Legal Desc.: N TR 7432 LOT 51 Owner: PETROFF CHRIS & JILL Contractor: LEGACY C D M INC Architect: OLSEN ERIC Address: 19 POINT LOMA DR Address: 2618 SAN MIGUEL DR #204 Address: 2728 E COAST HWY, STE A CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 CORONA DEL MAR CA 92625 Phone: Phone: 949-677-3650 Phone: 949-887-8856 State Lic:C034489 Applicant: OLSEN ERIC Con State Lic: 962720 Engineer: FORBES DALE L Address: 2728 E COAST HWY, STE A Lic Expire: 04/3012023 Address: 1800 E 16TH ST #B CORONA DEL MAR CA 92625 Bus Lic: BT30043218 SANTA ANA CA 92701 Phone: 949-887-8856 Lic Exp Date: 06/30/2022 Phone: 714-835-2800 State Lic:C-030407 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: STATECOMP. INS Address: Occupancy Group: R3/U Policy No: 9147240 Added INew sq.ft. Bldg: 4519 Expire: 11/24/2021 Phone: Added /New sq. ft. Garage: 730 No of Stories: 2 Building Setbacks Rear: 54-50' Special Conditions: No of Units: 1 Bldg Height: 0 Front: 6' Left: 5' 1y I S P �C O R Bldg Sprinklers: Y Right: 5' 1TTg i V Flood Zone: X Use Zone: PC3 Parking Spaces 0 Fire Hazard Zone : N Construction Valuation: $1,000,000.00 Building Permit Fee: $7,356.00 Excise Tax: $1,102.29 Planning Department - Fire Department Plan Check Fee: $5,456.50 Additional Fee : $284.00 Plan check Fee : $462.60 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: $1,928.64 SJH Trans : $0.00 Demolition Fee Record Management: $74.00 Grading Permit Fee: $952.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $423.36 Public Works Department- General Service $0.00 CA Seismic Safety: $130.00 WO Insp. Fee: $120.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $258.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $514.92 San Dist: $994.00 Building Green Fee: $40.00 Mechanical W $294.24 NMUSD Fee: $1,709.36 $0.00 Plumbing %: $662.04 $0.00 TOTAL FEE : $23,064.85 Plan Check Fee : $7,272.00 Fee Due at Permit Issuance : $15,792.85 PROCESSED BY: PUBLIC WORKS APPROVAL:- ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: �S� APPROVAT- 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, priorto 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 L) 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). ❑ 1, 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). ❑ 1 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 legally 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 I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Qivision 3 of the Business and Professions C�odey and my license is in full force and effect. License Class License No Date 11 ZN Contractor Signature L y WORKERS' COMPENSATION DECLARATION ,— NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 the Lertormance 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 carrier and policy number are: Policy Number of Agent Date certify that, in the 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant )II // Dab( _ CLARATION REGARDING CO TRUCTION LENDING AGENCY neby 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 Cade). Ider'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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of PrODertv Owner or Authorized ADent Print Prooertv Owners or Authorized Aoent's Namd< /-1• - /1'y �i(.. ACTION DATE BY DECLARA TION OF CO 1 O TT E 40 AND AQMDMPLIANCE WITH CODE F FEDE ERAL I FOR OFFICE USE ONLY I RATIONS PERMIT EXPIRED L I rUBIVII', TED AdBESTrb5 NOTIRI ATiON 7C PERMITCANCELLED EJEPA PERMITEXTENDED LL[AQNID PERMITFINAL n� Y ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOEE9 DEMOLITION OCCUPANCY ISSUED SIGNATURE( G /7-N