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HomeMy WebLinkAboutX2020-2973 - Permits,wtr+'r City of Newport Beach - Building Division `X2020-2973* COMB Permit : X2020-2973 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2369-2020 Permit Counter Phone (949)644-3288 4i ra Inspection Requests Phone (949)644-3255 Issued Date: 01104/2021 r:,r,F1iw h Combination Type - MFP ELEC Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110512024 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: 11 CHATHAM CT NB Description: MFR ADD TO 2ND FLOOR BRIDGE 30 SF, (1) BUCK BOOSTER Legal Desc.: TR 11451 LOT 1 UNIT 48 OF PROJECT LOCATED ON AP 442-371-05 TOGETHER Owner: STONELL CHRISTOPHER Contractor: MANIRE CARL COMPANY Architect: Address:- 1.1.-CHATHAM_CT_ - Address:. 5PONDEROSA Address: _ _ _ SPEnTn- -- _ NEWPORT BEACH, CA IRVINE CA 92604 Phone: Phone: 949-633-2505 Phone: State Lie: Applicant: MANIRE CARL Con State Lie: 356098 Engineer: YAGHI SHUCRI I Address: 5 PONDEROSA Lie Expire: 1013112022 Address: 112 E. CHAPMAN #D IRVINE, CA 92604 Bus Lie: BT30073849 ORANGE CA 92866 Phone: 949-633-2505 Lie Exp Date: 01/3112021 Phone: 714-997-9120 State Lic:C-043205 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE FUND Address: „- Occupancy Group: R21U Policy No: 1567497 - Added /New sq.ft. Bldg: 0 Expire: 10101/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units: 7 Front: / Bldg Height: 0 Left: I . ° ° ° . ,. Bldg Sprinklers: Right: I- _ Flood Zone: X Use Zone: PC-24 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8,000.00 _ Building Permit Fee: $212.00 Excise Tax: $0.00 Planning Department - Fire Department - Plan Check Fee: $184.44 Additional Fee: $0.00 Plan check Fee : $46.25 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: $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $14.84 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $462.53 Plan Check Fee : $230.69 Fee Due at Permit Issuance : $231,84 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: 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 reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 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 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 fessions 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 more than five hundred dollars ($500). - I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered far sale (Section 7044, ,iness 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 rovements 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 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 ly 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). J I am exempt from licensors 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 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:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent nPate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury t I am licensed under provisions o hapter 9 (commencing with Secl1.7 0 of D'vis. of the B Vesand Profes Ionsnd effect. License Class License No �D Contracature VORKERS' COMPEPISATION DECLARATION 40 wIRNING: -AILURE 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 CO.1 OF GOMPENSA'. ION, D..MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under pe:lalty of perjury one of the following declarations: 4 I Flrve 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 thi oe om+ance of the work for which this permit is issued. Policy No. h..%a 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' compensatior nce card and policy r6.n�m� ber are: I b ! ..a-r.E:r)'�i �(_/ I Ui Policy Number ` Expiration Date a.T.E cf Agent ]I certify that, in the pPrfor ace of ,at, i� m i shooW becpe`su jec gppo 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 agree jrpe}n,�io,/1 pF visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ((E yy�G��GGA l—q Zf CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby 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 30 vil Code). 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 Ovid If is correct. I agree to comply with all applicable city and county nances anpl state laws relating to building construction. J� I authorize representatives A 's city county to nt �,a�7pv(-icj�yftr�for inspection purposes. nature of Property Owner or Aut d Agent (.(/ �i/�� 7�/ Print Property Owner's or Authorized Ace ame r, ACTION DATE n BY DECLARATI(YN OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED LJ SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED r J _ OMD /'I TO CERTIFICATE OF OCCUPANCYISSUED