HomeMy WebLinkAboutX2020-0964 - Permitsr�wrrgr City of Newport Beach - Building Division II IIII I IIII � II III IIII IIIIII III II COMB Permit: M
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 9 6 4 Project No: 0696-2020
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Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type- SFP ELEC MECH PLUM GRAD Issued Date :
Inspection Arearea :2020
5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/13/2023 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: 536 SEAWARD RD NB
Description: SFR-ADD 15 SF (REDUCE 87 SF, ADD 102 SF, NET 15 SF). REMODEL (E) 2980 SF W/DRAINAGE
Legal Desc.: N TR 1237 LOT 182
Owner: LEVINE KATHLEEN & DAN Contractor: CHRISTIANO HOMES Architect: XAGORARAKIS DENISE
Address: 1515 ANTIGUA WY Address: 729 W 16TH ST #C4 Address: 2778 LORENZO AVE
NEWPORT BEACH CA 92660 COSTA MESA CA 92627 COSTA MESA CA 92626
Phone: 949-244-0418 Phone: 949-6964618 Phone: 9494224364 State Lic:C037154
Applicant:
XAGORARAKIS DENISE
Address:
2778 LORENZO AVE
COSTA MESA CA 92626
Phone:
9494224364
Code Edit: 2019
Type of Construction: V-B-SPR
Occupancy Group: R31U
Added /New sq.ft. Bldg: 15
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Building Permit Fee: $2,407.00
Plan Check Fee: $2,094.09
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$78.00
Energy Compliance:
$210.00
CA Seismic Safety:
$39.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$12.00
TOTAL FEE: $7,046.99
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
848745
Lic Expire:
10/3112020
Bus Lic:
BT30039246
Lic Exp Date:
0513112021
Worker's Compensation Insurance
Carrier: INS. CO. OF THE WEST
Policy No: WVE504588101
Expire: 01/12/2021
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing W
C'rk-vv
Rear: /
Front: /
Left: /
Right: /
'arking Spa
$0.00
$0.00
$0.00
$0.00
$322.00
$322.00
$0.00
$168.49
$96.28
$216.63
0
Engineer:
SILVA CHRISTINA '
Address:
24482 MUELA „
MISSION VIEJO CA 92692 ,
Phone:
949-795-6256 State Lic:C-037201 .'
Designer:
Address:
Phone:
Special Conditions: LANDSLIDE g!
FUEL MOD ZONE 1➢'r�LICTOs
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PAN Plan Check : $255.00
San Dist: $0.00
NMUSD Fee: $0.00
Fire Department
$41.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $2,060.16 Fee Due at Permit Issuance : $4,986.83
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 for the reason(s) indicated below by the checkmark(s) 1 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).
111, as owner of the property, or my employees with wages Be their sole compensation, will do (_) all of or U 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
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 legallt
sell a structure Ciat I ha-:e 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
Professicns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
$ignatum of Prooerty Owner or Authorized Agent Date
LICENSED CUNTRACTOR'S DECLARATION /
I'neiebv affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Professi6 a-C- -an � lice a is in full force
and effect. License Clcss License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SEULRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNOREO THddSANOKOLLARS ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEC TON 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nmpoy affirm under penalty of perjury one of the following declarations:
and wi;l rn.latain 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
e of th"Work for which this permit is issued. Policy No.
have and will I, Idiotain 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'
rance carrier; r.e policy number are:
Policy Number
of Agent
Date
certify that, in the perfo ncg,af-the-nttRrk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe ation laws of California, and agre
t, if I should becomes ct tot a rker'�o nsation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. L/ / �7
nature of Applicant Date G
CLARATION REGA DIN Z ONST CTION LENDING AGENCY
Ireby affirm under p�nalt f perj that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code).
Ider's Name Lender's Address
my signature below, 1 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 boys entif'ed property for inspection purposes.
Iature of Prooertv Owner or Authorized Aaent Print Prooertv Owner's or Authorized
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY �VCLAR IONS OF COMT 61 L TNTCE E WITH
AND DE OF FEDEPILL
I FOR OFFICE USE ONLY
SUBMITTED ASBESTOS NOTIFICATION TO
l4 UASBESTOS
F� PROPOSED DI
SIGNATURE:,
TO