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HomeMy WebLinkAboutX2019-0197 - Permits (2)y,'t;wl�rkµ City of Newport Beach - Building Division 44 ,k 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0197 x 2 0 1 9 0 1 9 7 Project No : 1758-2017 Issued Date : 01/22/2019 Inspection Area : 6 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: 19 SARTEANO DR NB Description: SFR - INFILL PORTICO TO ADD 121 SF Legal Desc.: Owner: HSU CHRIS Address: 19 SARTEANO DR NEWPORT COAST CA 92657 Phone: 562-619-3990 Applicant: WHEELER MARK Address: 325 ROYCROFT AV LONG BEACH CA 92801 Phone: 562-856-5665 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 121 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $784.00 Plan Check Fee: $61.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $20.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $977.88 PROCESSED BY: ZONING APPROVAL: Contractor: HOSKINS RENOVATION COMPANY Address: 434 ENCLAVE CIRCLE #307 COSTA MESA CA 92626 Phone: 714-496-9580 Con State Lic: 614309 Lic Expire: 0313112019 Bus Lic: BT30048503 Lic Exp Date: 03131/2019 Worker's Compensation Insurance Carrier: STATE COMP FUND Policy No: 1801111 LONG BEACH CA 92801 Expire: 07/01/2019 Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 0' Front: 10' Left: 0' Right: 0' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $54.88 $0.00 $0.00 Plan Check Fee Architect: Address: Phone: State Lic: Engineer: ARMSTRONG SCOTT DANIEL Address: 25068 VIA LAS LOMAS MURRIETA CA 92562 Phone: 714-225-7056 State Uc:C-074715 Designer: WHEELER MARK Address: 325 ROYCROFT AV Phone: 562-856.5665 Special Conditions: Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 - PNJ Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone:N 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 $0.00 Fee Due at Permit Issuance : $977.88 PUBLIC WORKS APPROVAL: 1"'l- 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 reason(s) indic 'ted 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 L rw (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 Sect!( n 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 (_) all of or (—) portions of it a 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 a ployees' 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 comp) tion, the Owner -Builder will 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, usiness 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 ursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: ar prior to completion of the improvements covered by this permit, I cannot legal) By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yt sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unc erstand 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.l ginf, .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 7 00) of lvisionyG of the Business and Profe i itd , fId y Iiq i in full force and effect. License Class License No Date APbntractor Signature WORKERS' COilIPENSATION DECLARATION WARNING: FAILU?- _` SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALT ES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. t hereby affi0n undel penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of ndustrial Relations as provided for by Section 3700 of the Labor Code, for th k'. pet rmance of thework forwhich this permit is issued. Policy No. nave and w;:l maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe ormance of the work for which this permit is issued. My workers' compensatio su�ance carrirr and, policy number are: Hairier Policy Number Expiration Dale Aline of Agent I Phone # certify that ;'r thy.pr*G)cethe wor 0 hitch this permit is issued, I shall not employ any person in any manner as to become subject to the workers compensation laws of California, and agreIthat, if`I should becomworkm e ion provisions of Section 3700 of the Labor Code, I shall forthwith omply with those provisions. rra'u re of Applican D e�DECLARATION l2EGTRUCTION LEN G AGENCY I hereby affirm undery that there is a construction lending agency for the performance of the work for which his permit is issued (Section 30 7, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the Pert' owner's behalf. have read this application and the information I ave provided r ct. I agree to comply with all applicable city and coun in ce a stat aws relating to building construction. I authorize representatives of this city or county t nter 0 led property for inspection purposes. ' Signature of Property Owner or Authorized Agent rint Property Owner's or Aut orized Agent's Name GArV° ></65.�,4� D ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE JSE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 3 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED I QMD PERMITFINAL �7—!S'2.L p ASBESTOS 10 IS O LICA E TO CERTIFICATE OF SED DE I I OCCUPANCY ISSUED SIGNATURE: J iJ