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Home My WebLink AboutX2020-2132 - Permitsrxwr�,p City of Newport Beach - Building Division 100 Civ : Center Drive, Newport Beach, CA 92660 �:. Permit Counter Phone (949)644-3288 " Inspecti in Requests Phone (949)644-3255 Combination Type - GRAD GRAD COMB Permit: X2020-2132 Project No : 0711-2019 Issued Date : 09/24/2020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/25/2023 OR PERMIT WILL BE INVALID Can_ truction 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: 533 PLAYA N:3 Description: MFR'ADDITIuNAL SCOPE* DRAINAGE Legal Desc.: N TR 7166 LCT 16 '�� GT®2 Owner: KATITZASCHIAIDT Contractor: OWNERIBLDR Architect: Address: 14 GLENEAGL ES DR Address: Address: NEWPORT BEACH, CA 92660 Phone: 949.720-1978 Phone: Phone: State Lie: .... ° Applicant: KLEIN BARRY Con State Lie: 015 Engineer: .... Address: 1118 NOTTINC HAM RD Lie Expire: Address: NEWPORT BE 4CH CA 92660 Bus Lie: Phone: Lie Exp Date: Phone: State Lie: ° Code Edit: 2 J19 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 3 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 11 Construction Valuation: $0.00 Building Permit Fee: Plan Check Fee: $0.00 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety: Disabled Access : Hazardous Mat Building Green Fee Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: / Front: / Left: I Right: I Use Zone: $0.00 Excise Tax: Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant $2.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 $0.00 Electrical %: $0.00 Mechanical %: Plumbing %: TOTAL :'EE : $429.00 PROCESSED BY: c_]�J l/ V`_' am� ZONING APPROVAL: l GRADING APPROVAL: Designer: Address: Phone: 00 0 o ° o Special Conditions: REV20-1452 arking Spaces: 0 Fire H; $0.00 Planning Department - $0.00 Plan check Fee $0.00 Fair Share: $0.00 SJH Trans : $232.00 In -lieu Housing Fee: $195.00 Public Works Department - $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee: $429.00 11 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Is " v ' DINNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exemptfrom the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed nexttc the applicable item(s) ` (Section.7031.5, Business and Professions Code: Any city or countythat requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, nisc requires the applicant for the permit to files signed statement that he or she is licensed pursuant lathe provisions of the.Contractors' State.License Law (Chapter 9 (commencingwith Section 7000) of Dr sion 3 of the Business an 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 a plicant to a civil penalty o not more than five hundred dollars ($500). ❑ 1, 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 fc 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 p )party, 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-Builderwill have the burden.of prow j that It was not built or Improved for the, pufpose of sale). ,� I, as owner -q,(.th„e,property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stz = License Law does not apply telan 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). D I am eXempt,fil'dmicensure under the Contractors' State License Law forthe following reason: B; my.,signature below I acknowledge that; except for my personal residence in whichI must have resided for least one year prior to completion of the improvements covered I: this permit. I cannot legs !felt a gfr`ucture chat I have bufit.as an owne6builder# it h ee ontructed i tf ty by licensed contractors.l understand that a Dopy of the applicable.law, Section 70X ? of the Business and Professions Code kt. af+ailable upon request wh I n od a y(el site:http:/Av w.leginfo.ca.gov/calaw.html. _ C ^7 Signature of Pror.Eity Gwneror Authorized Agent G>'' ; �/7;Y� Date 1J -c�T 6 ' LICENSED CONTRACTOWS DECLARATI1-3 f hereh'y.affirm updsir penalty of perjury that I am licensed under prows(ens of Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Professions Code, anc my license is in full force grid 6fect. f-icenss Class License Ne Data Contractor Signature r✓ORKiRS' C0.Mf?E'NSATION DECLARATION KA'RRINU:';FAILURE TO,aeCURE WORRERe' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIWL FINES UP TO ONE HUNDRED THOUSAND DOLLAR (3100,000), IN ADDITION TO TI ntl,v OF 40MPENEATION, rvmveES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm un8e penalty of perjury one of the following declarations: 1 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 370r of the Labor Code, for Jerfornance of the work for which this permit is Issued. Policy No. :1I 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' compensatl nsurance carder and policy number are: .".artier Policy Number Expiration Date Vame of Agent Phone # , - 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 to the workers' compensation aws of California, and ag that, if I should become 'e ovm rs' coin n pr sloonsy.,f�lSection 3700 of the Labor Code, I shall forthwith comply with those provi. 'ons. agree Signature of Applicant / 7ECLARATION RF(9A .4tl 1 N I r eraG nY hereby affirm under penalty of perjurythatlhere_ is a construction lending agency for the perfor once of the work for which this permit is issued (Section 3097, Civil Code). -endees Name Lender's Address 3y my signature below, f 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 Douptgor.1, news and state laws relating to building construction. 1- I authorize representatives of this city or cou a e t o denl certy for inspection purposes. ; rc` -y„c � - ------ - -. 3I nature of Prope Owner or Authorized A en "" -Print Pro a Owner's Dr Authorized Agent's Name ' Aate — -aj ... ACRON DATE BY DE RA !ON FC MPLA E 7H O FEDERAL REGULATIONSPART 61 OFTME40AND 6QMDRULE1403. 00f SUBMITTED ASBESTOS NOTTFICATION TO: 13 EPA ❑ AQMV ASBESTOS 114077ACiTIONIS NOT APPLICABLE TO POSEDDEM l061, �'-....`- 1GNATURE: FDR OFFlCE.U. EONLY PERMITEXPIRED .. PERMITCANCELLED PERMITEXTENDED PERW FINAL 1 G. iK CERTIFICATEOF OCCUPANCYISSUED