HomeMy WebLinkAboutX2020-0955 - Permits (3)t���rr14 City of Newport Beach - Building Division `X2020-0955' COMB Permit: X2020-0955
x 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0687-2020
Permit Counter Phone (949)644-3288
m Inspection Requests Phone (949)644-3255
Issued Date: 05127/2020
r r, rr Combination Type - MFP ELEC MECH PLUM GRAD
Inspection Area : B
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: 340 VISTA TRUCHA NB
Description: MFR ADD 375 SF, REMODEL 1200 SF
Legal Desc.: N TR 6885 LOT 14
Owner: STONEIRENE
Contractor: HARRISON BUILDING Architect:
I1 SPEUT®R
Address: 340 VISTA TRUCHA
Address: 23 DEERWOOD Address:
-
NEWPORT BEACH, CA 92660
IRVINE CA 92604
Phone:
Phone: 949-278-1727 Phone:
State Lic:
AppOrant Al IDENIS PATRICK
rnn State Lira
951412
Engineer YAGHI SHUCRI I
Address: 22162 LAGUNA CIR
Lic Expire:
0313112021
Address: 112 E. CHAPMAN #D -
HUNTINGTON BEACH CA 92646
Bus Lic:
BT30071474
ORANGE CA 92866
Phone: 949-278-1727
Lic Exp Date:
0313112021
Phone: 714-997-9120 State Li¢C-043206 - -
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 375
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 24
Bldg Sprinklers:
Flood Zone:
Construction
Building Permit Fee: $2,340.00
Plan Check Fee: $1,854.95
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$28.00
Energy Compliance:
$114.80
CA Seismic Safety:
$21.32
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$7.00
TOTAL FEE: $7,439.57
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: NOVA CASUALTY
Policy No: 10000866
Expire: 04/06/2021
Building Setbacks Rear: 0'
Front: 0'
Left: 0'
Right: 0'
Designer: ZOLLER STEVE
Address: 245 ASTER ST #6
LAGUNA BEACH CA 92651
Phone: 949-547-9010
Special Conditions
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$240.00
Fire Inspection:
$3.03
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$312.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$24.00
Grading PC Fee:
$312.00
Public Works Department-
General Service
$197.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
PAN Plan Check: $82.50
Grading Bond:
$0.00
Electrical W
$163.80
San Dist: $874.00
Mechanical W
$93.60
NMUSD Fee: $0.00
$0.00
Plumbing %:
$210.60
$0.00
Plan Check Fee
: $2,014.95 Fee Due at Permit Issuance :
$5,424.62
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) 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
ie permit to rile 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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 exempt from Iicensure"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 covered by this permit, I cannot legalh
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 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:L/www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjuN at I am licensed under provisions of Chapter 9 (commencing with ctio 7000) of D' ision of the Busin sand Professions Co le, a I my license is in full force
nd effect. License Class 77 License No / f�- r''�� `te Contr r Signature
IIORKERS' COMPFNSATION CLARATION
'ARNING: FAILURE Tn SFCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
jST OF CJMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
: ffmn urdE. 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
onnance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
lame of Agent Phone #
�I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject tD the wor rkgrs' compensation laws of California, and agre
Iat- if I should be-ime Subject to the workers' com ensatio ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _'o'
iyl.a:ure of icant �a - f� %to
iECLARAT�NLUARDII�UCTION LENDING AGENCY -�
hereby affirm under na >&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
y my signature b ow, I certify to each of the following:
I am the prop rty owner or authorized t0 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 ordina ws re construction.
I authorize representatives of this citLorcounty t e above -identified property for inspecho oses. , / �jf �, f_
Signature of Property Owner or AuthoA Ag Print Properter's or Authorized Agent's Na ' / liCti' atel C
ACTION I DATE Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I NROFFICEUSEONLY
PERMIT EXPIRED
it
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSOE _
/
�G11
/ j�R� _
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1 SUBMITTED ASBESTOS NOTIFICATION TO
)S NOTIFICATION IS
DEMOLITION_ _-