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Home My WebLink AboutX2019-3215 - Permitsrgwvo%W City of Newport Beach - Building Division 100 Civic Center Drive, NewpoR Beach, CA 92660 H r Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 uw�•' ~ Combination Type - SFP ELEC PLUM MECH COMB Permit: X2019-3215 x 2 6 1 9 3 2 1 5 Project No : 2221-2019 Issued Date : 11107/2019 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 2420 SANTIAGO DR NB Description: SFR - REMODEL KITCHEN/DINING & BEDROOMS 1,144 SF Legal Desc.: NEWPORT HEIGHTS LOT 297 NWLY 120 FT SELY 360 FT -EX SWLY 150 FT NW LY Owner: WILKINS SHANNON Address: 2420 SANTIAGO DR NEWPORT BEACH CA 92660 Phone: 310-994-7552 Applicant: XAGORARAKIS DENISE Address: 2778 LORENZO AVE COSTA MESA CA 92626 Phone: 949422-4364 Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Valuation: $120,000.00 Building Permit Fee: $1,288.00 Plan Check Fee: $1,120.56 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $36.00 Energy Compliance: $84.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $5.00 TOTAL FEE: $2,831.16 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: NEW WEST BUILDERS INC Address: 12082 WOODBINE DR SANTA ANA CA 92705 Phone: 714-412-5263 Con State Lic: 469416 Lic Expire: 01/31/2021 Bus Lic: BT30058264 Lic Exp Date: 03/31/2020 Workers Compensation Insurance Carrier: W/C EXEMPT Policy No: (NO EMPLOYEES) Expire: 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: I Front: I Left: I Right: I Architect: XAGORARAKIS DENISE Address: 2778 LORENZO AVE Phone: COSTA MESA CA 92626 949-4224364 State Lic:C037164 Engineer: SILVA CHRISTINA Address: 24482 MUELA MISSION VIEJO CA 92692 �J Phone: 949-795-6256 State Lic:C-037201 Designer: 0 Address: -J Phone: 0 Special Conditions: $0.00 Planning Department - Fire Department $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department- General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $90.16 San Dist: $0.00 $51.52 NMUSD Fee: $0.00 $0.00 $115.92 $0.00 Plan Check Fee : $1,160.56 Fee Due at Permit Issuance : $1,670.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: t 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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-Builderwill have the burden of proving that it was not built or improved 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 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 legalil 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, Secti n 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000) o Di isio of the Business and Pr ssi de, an y lic in full force and effect. License Class License No Date ''l Contractor Signatur NORKERS' 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. hereby affirm under penalty of perjury one of the following declarations: I e 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 th Znce of the work for which this permit is issued. Policy No. have and will 'n 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' compensation. urance carrier an olicy nLmbar are: Tier Policy umb r Expiration Date re of Agent t Phone # certify that, in the pe ormance o t e work for which ' it Is issued, I shall not employ any person in any manner so as to become subject to the workers' compe sation I ws of California, and agre t, if should becom*enaofCp0erjury jth rkers' co nsation proves Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant DaxCix4l CLARATION REGANSTRUCTION LENDING AGENCY ereby affirm under pthat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097Code). 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 ph I have read this application and the information I have I agree to comply with all applicable city and county oI I authorize representatives of this city or county to ant nature of Prooertv Owner or Authorized ADent ACTION PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE I BY owner's behalf. led is correct. Nand state laws relating to building construction. "4dcwtifie"d-property for inspection purposes. Print Property Owner's or Authorized Ag OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO APPLICABLE TO bM vti,aa?j(