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Home My WebLink AboutX2019-0820 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0820 .�` >• 100 Civic Center Drive, Newport Beach, CA 92660 x 2 e 1 9 6 8 2 9 Project No: 0554-2019 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 °:�r ,nr•'' Combination Type - SFP MECH ELEC PLUM Issued Date : Inspection Arearea :2019 8 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: 20082 KLINE DR NB Description: SFR CONVERT DETACHED GARAGE TO POOL HOUSE 400 SF (NON -HABITABLE) Legal Desc Owner: RUSU LUCIAN Address: 20082 KLINE DR NEWPORT BEACH CA 92660 Phme: Applicant: COJOCNEHN DAN Adc�ess: 13312 MALENA DR - SANTA ANA CA 92705 Phone: 714-669-3870 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $548.00 Plan Check Fee: $537.76 Overtime Plan Ck: $0.00 Investigation Fee: $548.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE : $1,836.61 PROCESSED BY: ZONING APPROVAL: Contractor: KBKONCEPT KITCHEN Architect: Address: 19 CALDWELL LANE Address: LADERA RANCH CA 92694 Phone: 949.378-2725 Phone: State Lic: Con State Lic: 897343 Engineer: MOSBY KARL OLSEN Lic Expire: 05/31/2021 Address: 212 NORWOOD DR Bus Lic: BT30069613 BRANSON MO 65616 Lic Exp Date: 1113012020 Phone: 951.333-6057 State Lic:C-042642 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: 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: 25' Front: 20' Left: 5' Right: 5' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $38.36 $21.92 $49.32 Designer: Address: Phone: Special Conditions: COSTA MESA SANITATION LANDSLIDE AREA Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $41.25 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 - Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: ayyrr� ( 0 -7 Do $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $476.76 Fee Due at Permit Issuance : $1,359.85 F'UFf7C V40-IKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPFiOttAl. 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) 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 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 im roved 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). J 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 covert ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f 'vi io 3 of the Business andessio od nd effect. License Class License No Date ry00ntractor Signal VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL DST 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: of the Business and in full force ($100,000), IN ADDITION TO THE I 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 'ormance of the work for which this permit is issued. Policy No. have and will maintain 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' compensal Trance carrier and policy number are: Policy Number Expiration Date I e of Agent rnone 7r certify that, in the performanc of the ork for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should become su ject to IS' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. { signature of Applicant t,o�� )ECLARATION RE G C NST CTION LENDING AGENCY hereby affirm unde penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address 3y 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 ordinance d at s relating to building construction. I authorize representatives of this city or county to t e ab de ed property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO " EPA r _ PERMIT CANCELLED PERMIT EXTENDED OAQMD PERMITFINAL 57hitzo P1Ce. is. ASBESTOS NOTFICkTION IS NOT APPLICABLE TO CERTIFICATEOF PR POSED DELITI /\��_--> OCCUPANCYISSUED SIGNATURE:M I r<1 4