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Home My WebLink AboutX2020-2152 - Permits (3)e�gwt•o� City of Newport Beach - Building Division T 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 U Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC 111�1 11111111111111111111111111111111111111111111111111COMB Permit: X2020-2152 Project No : 1729-2020 Issued Date : 1011512020 Inspection Area : 4 (.0 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/16/2023 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: 3601 SURFVIEW LN NB Description: SFR CHANGE OUT (E) WINDOWS/DOORS, INSTALL ATT/PATIO COVER W/ELEC.RADIANT HEATING 146 SF Legal Desc.: N TR 6228 LOT 11 Owner: MCKITTERICK GARY S Contractor: R D M S INC Architect: Address: 3601 SURFVIEW LN Address: 250 E BAKER ST If 300 Address: CORONA DEL MAR, CA 92625 COSTA MESA CA 92626 Phone: Phone: 714-448-9835 Phone: State Lic: Applicant: MANZAR BRUCE Con State Lic: 815872 Engineer: CHOI DAVID Address: 24275 PONCHARTRAIN LN Lic Expire: 12/31/2020 Address: 1327 LOMA AVE LAKE FOREST CA 92630 Bus Lic: BT30008726 LONG BEACH CA 90804 Phone: 714-720-4394 Lic Exp Date: 01/31/2021 Phone: 562-961-5600 State Lic:S-004784 Code Edit: 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stones: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $739.00 Plan Check Fee: $642.93 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $62.00 Energy Compliance: $0.00 CA Seismic Safety: $5.85 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 Worker's Compensation Insurance Carder: EVERSTREMIER INS CO Policy No: 7600015443191 Expire: 09/0112021 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $51.73 $0.00 $0.00 11 TOTAL FEE: $1,546.51 Plan Check Fee PROCESSED BY: ZONING APPROVAL: Cam/ Designer: Address: Phone: Special Conditions: Fire Hazard Zone Planning Department - Plan check Fee: Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check : $43.00 San Dist: $0.00 NMUSD Fee: $0.00 INSPECTOR Fire Department $0.00 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 $0.00 Fee Due at Permit Issuance : $1,546.51 PUBLIC WORKS APPROVAL: 7 y11- PLAN CHECK BY: c�yV GRADING APPROVAL: 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 is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 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 pply 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). lam 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 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 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp:lAwAv.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivisio 3 of the Business and Profession ode, and my license is in full force nd effect. License Class License No Date to /S %o Contractor Signature VORKERS' COMPENSATION DECLARATION DARNING: 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 1E100,0001, 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: ] 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 IN grformance 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: mr Policy Number Expiration Date of Agent JI 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 tat, if 1 should become subject to a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 signature of Applicant .1 Date ` 1S 2 O IECLARATION REGA G CONSTRUCTION LENDING AGENCY `'ir 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. 1 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.L.o Iionature of PrODertv Owner or Authorized Aoent\ b Print Prooertv Owner's or Authorized Aoent's Name L J* ACTION DATE BY JW' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED LJAQMD PERMITFINAL �L^�� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFIC4TEOF F&4. PROPOSED DEMOLITION OCCUPANCY ISSUED 7 gIGNATIIRE-k C^,C _ - - - '