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HomeMy WebLinkAboutX2022-1660 - Permits',,~"Pok City of Newport Beach - Building Division `X2022-'1660* COMB Permit: X2022-1660 t r� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1506-2022 l Permit Counter Phone (949)644-3288 G Inspection Requests Phone (949)644-3255 r':i4rrx . N,:. Combination Type - MFP MECH ELEC PLUM Issued Date : Area : 2022 u Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 86 SIDNEY BAY DR NB Description: MFR INT REMODEL 1,318 SF "122-1014- Legal Desc.: Owner: TANNENBAUM ZVI Contractor: FRANK] E'SCONSTRUCTION Architect: FRANCIS CHRISTOPHER DAVID Address: 86 SIDNEY BAY DR Address: 420 N MCKINLEY ST #111 Address: 26897 PINCKNEY WAY NEWPORT COAST, CA 92657 CORONA CA 92879 MENIFEE CA 92586 Phone: Phone: 858-353-0279 Phone: 951-415-4284 State Lic:C019015 Applicant: BARIU FLORIN Con State Lic: 975130 Engineer: Address: 16171 VILLAGE MEADOW DR Lic Expire: 07/31/2024 Address: • - RIVERSIDE, CA 92503 Bus Lic: BT30078899 - - Phone: 858-353-0279 Lic Exp Date: 0613012023 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: WIC EXEMPT Address: Occupancy Group: R31U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: / Special Conditions: 122-1014 , No of Units : 2 Front: / - _ - Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $105,440.00 Building Permit Fee: $1,273.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,107.51 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $1,273.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $12.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $178.22 San Dist: $0.00 $0.00 Building Green Fee : $5.00 Mechanical %: $140.03 NMUSD Fee: $0.00 Plumbing %: $114.57 $0.00 TOTAL FEE : $4,155.33 Plan Check Fee : $1,159.51 Fee Due at Permit Issuance : $2,995.82 PROCESSED BY: PUBLIC WORKS APPROVAL: ` ZONING APPROVAL: 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) 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 Iicensure 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 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 Iicensure 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 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://v .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under oenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession ode, n m license is in full force and effect. License Crass License No Date 1— 2 Contractor Signature I✓JO;iY.ERS' COMPENSATION DECLARATION (WARNING: FAILUPE TO SEUURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 11 hereby affirm under penalty of perjury one of the fallowing declarations: L 1 have anu wilS 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 tht penormance of the work for which this permit is issued. Policy No. h6ve and will niointain 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 and policy number are: a of Agent ertify that, in ttia performance of if I should'7ecome suldct to the Policy Number Date �r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and egret compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant ✓� _ Date 1-2-022 IECLARATION REG RDING CONSTRUCTION LENDING AGENCY hereby affirm under 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 ly 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 pr Vitt s correct. I agree to comply with ail applicable city and county ordirl c and state laws relating to building construction. I authorize representatives of this city or county enter t ove-iden`tifed property for inspection purposes. / Iignature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam iarI r7 Upa n u Dat H-2'1?7 ACTION DATE BY r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT EXTENDED I F I I 11AQMD PERMIT FINAL ` I1 JSBESTOS(((NOTIFICATIONI N PPLICABLE TO CERTIFICATE OF J POSED DITION OCCUPANCY ISSUED SIGNATURE: