HomeMy WebLinkAboutX2021-2821 - Permits,.,
City of Newport Beach - Building Division
COMB Permit: X2021-2821
100 Civic Center Drive, Newport Beach, CA 92660
Project No : 0624-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
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Issued Date : 10/19/2021
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Combination Type - SFP ELEC
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/19/2024 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: 7 POINT LOMA DR NB
Description: ADD'L SCOPE-(REV21-1606) ENCL COVERED PATIO TO CREATE 48 SF LIVABLE.
Legal Desc.: N TR 7432 LOT 56
Owner:
ARYA SATYA PAL
XAGORARAKIS DENISE
Address:
7 POINT LOMA DR
CORONA DEL MAR, CA 92625
Phone:
Applicant:
XAGORARAKIS DENISE
Address:
2778 LORENZO AVE
COSTA MESA CA 92626
Phone:
949-422-4364
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 48
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $4 000.00
Building Permit Fee: $836.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$36.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.0c
TOTAL FEE: $992.52
PROCESSED BY: 65
ZONING APPROVAL: Cw
GRADING APPROVAL:
41
Contractor:
DEG CONSTRUCTION 8. MAINTENANCE INC
Architect:
Address:
186 VIRGINIA PLACE
Address:
2778 LORENZO AVE
COSTA MESA CA 92627
COSTA MESA CA 92626
Phone:
949-642-3899
Phone:
949-422-4364 State Lic:C037154
Con State Lie:
846483
Engineer:
SILVA CHRISTINA
Lie Expire:
09/30/2022
Address:
24482 MUELA
Bus Lie:
BT30074954
MISSION VIEJO CA 92692
Lie Exp Date:
04/30/2022
Phone:
949.795-6256 State Lic:C-037201
Worker's Compensation
Insurance
Designer:
Carrier:
STATE FUND
Address:
Policy No:
9042191
Expire:
01/01/2022
Phone:
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: 52-56'
Front: 6'
Left: 5'
Right: 5'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$58.52
$0.00
$0.00
Special Conditions: REV21-1608
0 Fire
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication:
$0.00
PNV Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance: $992.52
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far the reasons) indic
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, den
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License I
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sect
not more than five hundred dollars ($500).
111, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of t
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through 1
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
apply to an owr..3r of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
LJ I am exempt from licensure under the Contractors' State License Law for the following reason:
R,, my signature ticlr_w I acknowledge that, except for my personal residence in which I must have resided for at least one y
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.legin
Sign. ture of Property Owner or Authorized Agent
LICENSED CONToACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 0'
and effect. Liper,se Glass License No Date
NORKERS' COMPENSATION DECLARATION
d below by the checkmark(s) I have placed next to the applicable items)
Ih, or repair any structure, prior to its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
3loyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
prior to completion of the improvements covered by this permit, I cannot legall,
hand that a copy of the applicable law, Section 7044 of the Business and
a.gov/calaw.html. 7
Date
'ision 3 of the Business and Profe�sly�s Cod nd my license is in full force
f-e z/ Contractor Signature lfC
NARNIN(;: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALIIIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,009), IN ADDITION TO THE
COST Of COMPENSATION Z)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm u.ider penalty of perjury one of the following declarations:
J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
)erformance of the work for which this permit is issued. Policy No.
Ell have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
nsurance carrier and policy number are:
Policy Number
of Agent
certify that, in the performance of the wor or which this permit is issued, I shall not employ any person in any manner
if I should become subject to the wor s�mpensation provisions of Section 3700 of the Labor Code, I shall forthwit
of Applicant
veby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
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 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 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.
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
DATE BY DE(���MVr(ANCE WITH CODE OF I
I REGULATIONS PART 610i TITLE40A DAQMD RULERAL FOR OFFICE
I SUBMITTED ASBESTOS NOTIFICATION TO
M ASBESTOS NOTIFICATION IS NOT PLI/� CABLE TO
Di'—L' PROPOSED DEMOLITION jZ
SIGNATURE: ')C
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
as to become subject to the workers' compensation laws of California, and agre
Imply with those provisions.
Date
is permit is issued (Section 3097, Civil Code).
ONLY
Name NAr_,O.1 ,4 ,%1n/ Date