HomeMy WebLinkAboutX2019-3939 - PermitsIIIII�����������������II���I���I��������������III����I III Project
rOMB Permit:
20 s 019-3939
City of Newport Beach -Building Division x 2 6 1 9 3 9 3 9
\ Iro Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 Issued Date : 06/30/2020
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM - Inspection Area : 1
Ej
R PERMIT
lConstruction Hours: Mondays Friday 7:00 a.m. toASundays or H6.30 p.m. and Saturday from 8:00 a.m. to6 00 p.m. No�work o� Holidays
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Job Address: SF VA LIDO SOLID NB REAR COVERED PATIO. ADD BAR SINK IN KITCHEN
Description: 447 IA 45 DEGREE ANGLE FROM REAR COVERED PATIO. ADDING FOLDING ACCORDIAN DOORS 8 WINDOWS @
Legal Desc.: N TR 907 LOT 463
Architect: D'ARCY CHARLES
Owner: GAW 1994 TRUST Contractor: REUTER HOMES Address: 18 TECHNOLOGY DR #158
Address: 447 VIA LIDO SOLID Address: 1537 MONROVIA AVENUE IRVINE CA 92618
NEWPORT BEACH CA 92663
NEWPORT BEACH, CA 92663 Phone: 949407-7760 State Lic:C032314
Phone: 408-981-5489 Phone: 949-645-5824 S
HAKIM FADY
Con State Lic: 760411 Engineer:
Applicant: D'ARCY CHARLES Address: IRV PEONY
Address: 18 TECHNOLOGY DR #158 Lic Expire: BT300435 IRVINE CA 92618
IRVINE CA 92618 Bus Lic: BT31/20220 phone: 310-422-1536 StRle .y➢A573 w\�\�+�
Phone: 949-407-7760 Lic Exp Date: 05/3112021
Designer: V
2016 Worker's Compensation Insurance Address:
Code Edit: Carrier: LIBERTY MUTUAL
Type of Construction: V-B \vO GINS
R3/U Policy No: XWS59339306 Phone:
Occupancy Group: Expire: 12110/2020
Added /New sq.ft. Bldg: 0 Special Conditions: LIQUEFACTION`�pP�
Added /New sq. ft. Garage: 0 Building Setbacks Rear: I HIGH DENSITY FO fWCINIa
No of Stories: 2 Front: 1 Z)
No of Units : 1 Left: 1
Bldg Height: 0 Right: /
Bldg Sprinklers: N Fire Hazard Zone : N
Flood Zone: X Use Zone: Parkin S aces: 0
Construction Valuation: 5.55 000.00 Fire Department
0.00
Building Permit Fee: $829.00 Excise Tax: $0.00 Planning Department Fire
Fee: $0.00 Plan check Fee : $41.60 Fire Inspection: $0.00
Plan Check Fee: $784.23 Fair Share: $0.00 Fire Plan Rev
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 SJH Trans : $0.00 Demolition Fee
Investigation Fee: $0.00 Grading PC Consultant : $0.00 Building Dept Adm $0.00
In -lieu Housing Fee : $0.00 0.00
Record Management : $90.00 Grading Permit Fee: $0.00 General Service $
Grading . Fee: $0.00 Public Works Department - Refund Deposit $0.00
Energy Compliance: $60.00
Park Dedication : $0.00 Grading Bond: $0.00
CA Seismic Safety : $7.15 WO Insp. Fee : $0.00 PIVV plan Check: $85.00
Disabled Access : $0.00 Electrical %: $58.03 San Dist: $0.00 $0.00
Hazardous Mat $0.00 l o� $0.00 NMUSD Fee: $0.00 $0.00
Mechanical Building Green Fee : $3.00 plumbing $74.61
Plan Check Fee : $2,055.41 Fee Due at Permit Issuance : ($22.89)
TOTAL FEE : $2,032.52 -
PUBLIC WORKS APPROVAL -
PROCESSED BY:
PLAN CHECK BY:
ZONING APPROVAL:
J
APPROVAL TO ISSUE: -
GRADING APPROVAL:
UWNER-BUILDER DECLARATION
the reby 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 -Builder will have the burden of proving that it was not built or
iirn roved for the purpose of sale).
LJ 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
❑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).
I 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, 1 cannot legally
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, 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.leginfo-ca.gov/ca of Property Owner or Authorized Agent law.html.
LICENSED CONTRACTOR'S DECLARATION to
I hereby affirm under penalty ofperjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Pr es I s d n
and effect. License Class YJ License No y licensasue
NORKERS' COMPENSATION DECLARATION Da t� —z�— Contractor Signature
VAR,DST OF F COMPENSATION, FAILURE TI MPLOYER TO CRIMI
ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN ENAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
:DST
hereby affirm under penalty of perjury one of the following declarations: TORNEYS FEES.
Varia1 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 th
nce of the work for which this permit is issued. Policy No.
hIlave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' comoensatin
1su nce carrier and policy number are:
1e of Agent _
Policy Number
Date
II certify that, in the perform Ice oft 1e work for whicl th' p rmit is issued, I shall not employ an rnone 0
It, if I should become subj `o th rkers' compen a o rovisions of Section 3700 of he Labor Code, in
shall forthwith comply with those provisionscome subject to .
workers' compensation laws of California, and agre
Inature of Applicaq I `
!CLARA affirm
u REG I CO R I LENDING AGENCY Date1 _%�— 06 -- j0
areby affirm under penalty of perjury that t ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ivil Code).
my signature
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 p wided is correct.
I agree to comply with all applicable city and county antes state lawsfe
' g o building construction.
I authorize representatives of this city or county /to h� move -I entified pr f inspection purposes.
nature of Property Owner or AuthnnIAH A„om/U ITTT
ACTION DATE BY
PERMIT EXTENDED
PERMITFINAL
CERTIFICATEOF —1 --ZZ F�
OCCUPANCY ISSUED n�
1 n r, Vyc, iy owners or AUtnorized Ag
D CLARATI N OF C MPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
15 NOT
TO
Date