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Home My WebLink AboutX2021-0421 - PermitsCity of Newport Beach - Building Division *X2021-0421* COMB Permit: X2021-0421 �wacrk 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0403-2021 Permit Counter Phone (949)644-3288 c. 1 Inspection Requests Phone (949)644-3255 PLUM . � Q � � � I IE(D Issued Date : 09/15/2021 Combination Type -BLDG � 1 It'-1 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/15/2024 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: 20462 SANTA ANA AVE N8 Description: DEMO SFR - 3 BEDROOMS. 1300 SF. SEWER CAP INCLUDED Legal Desc.: Owner: TASO NIKOLAOU Contractor: Address: 1501 MESA DR Address: NEWPORT BEACH CA 92660 Phone: 562-446-6265 Phone: Applicant: TASO NIKOLAOU Con State Lic: Address: 1501 MESA DR Lic Expire: NEWPORT BEACH CA 92660 Bus Lic: Phone: 562-446-6265 Lic Exp Date: Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/1.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction valuation: Building Permit Fee: $122.00 Plan Check Fee: $223.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE : $2,445.98 PROCESSED BY: ZONING APPROVAL: OWNER/BLDR O/B Worker's Compensation Insurance Carrier: 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 W Plumbing %: Rear: / Front: I Left: / Right: / 'arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.98 Plan Check Fee Architect: Address: Phone: State Lic: , Engineer: BENESH MICHAEL Address: 234 E 17TH ST #205 ' COSTA MESA CA 92627 Phone: 949-548-1192 State Lic:C-037893 >> Designer: , Address: Phone: Special Conditions: Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $104.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 $320.00 Fee Due at Permit Issuance : $2,125.98 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: W 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 he 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 'rofessions 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 lot 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, 3usiness 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 mprovements 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 Zm 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 pply 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 axempt from licensure under the Contractors' State License Law for the following reason: 3v 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 ,EII a structurr that I have built as an owner -builde. if has not een cons Ducted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when I applicaf Is sub d-or9i'the following Web site:http://www.leginfo.Ca.90VIGalaw.html. )Ignature of ?roperty Owner or Authorized Agent Dat 7 _ICENSED CONTRACTOR'S DECLARATION hereby arfirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force I id effect. L ice Tse Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION l.,RNING: FAILU7E TO SECURE 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undt.r penalty of perjury one of the following declarations: 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 thi ^r'ormanca ut the �verk for which this permit is issued. Policy No. I 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' urance carrier and policy number are: me of Agent I certify that, in the performance of the work t. if I should become subject to the workers' Policy Number Expiration Date 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 agref I� ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicantl i Date �� f S — 2/ DECLARATION REGARDIITG CONSTRUCTION LENDING AGENCY I 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). 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 property owner's behalf. I have read this application and the information I have provided is correct. I I agree to comply with all applicable city and county ordinances and statq,laws relating to building construction. I L_ (<k�.., f I authorize representatives of this city or cou enter the� hove-id�ery'�"-d pro —rty f^�^_^_ r_^n yrooses. ^^ �Nl 1 Signature of Property Owner or Authorized Agent /v - Print Property Owner's or Authorized Agent's Name /� kei,f'4 3-1 G-s- Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED qJ AQMD CERTIFICATE I�io(Z 1 ESTOS TIFICATION IS NOT APPLICABLE TO P OPOS OLITION OCCUPANCYISSUED SIGNATURE