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Home My WebLink AboutX2010-3101 - Permits (3)Ag11{ Ppk City of Newport Beach Building Division COMB Permit No: X2010-3101 PROJECT NUMBER: 2415-2010 v PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255 P�<1P4R�Sb Combination Type - SFP/ ELEC/ MECH/ PLUM/ Job Address: 14 VIA GIADA NB Description:RES ADD 791 SF BONUS ROOM @ 2ND FLR, GARAGE ADD 116 SF, INT REM 2000 SF Inspector Area: 6 Legal Desc.: Owner: DADA FESTUSIJEANIE Contractor: YOULD ROBIN CONSTRUCTION Architect: TAJUDIN AMAT K Address: 14 VIA GIADA Address: 2 OAKCLIFF DRIVE Address: 17871 MITCHELL NORTH A NEWPORT BEACH CA 92657 LAGUNA NIGUEL CA 92677 IRVINE CA 92614 Phone: 949-955-3282 Phone: 949-735-1009 Phone: 949-955-3282 State Lic:C018832 Applicant: HERRERA OMAR Con State Lic: 688618 Engineer: RICHARDS GEORGE LEWIS Address: 17871 MITCHELL NORTH Lic Expire: 02128/2013 Address: 60 CORPORATE PARK IRVINE CA 92704 Bus Lic: IRVINE CA 92606 Phone: 949-955-3282 Lic Exp Date: Phone: 949-253-9510 State Lic:C-037096 Code Edit : 2007 Worker's Compensation Insurance Designer: Type of Construction: V - B SPR Carrier: EXEMPT NO EMPLOYEES Address: Occupancy Group: R3I U Policy No: Added /New sq.ft. Bldg: 791 Expire: Phone: Added /New sq. ft. Garage: 116 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: Issued Date: 09/07/2011 11 Construction Valuation: Building Setbacks Rear: I Front: I Left: / Right: / Use Zone: Building Permit Fee: $2,140.00 Solar System PC Plan Check Fee: $1,592.80 Excise Tax: Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $84.00 Grading Permit Fee: Energy Compliance: $180.00 Grading PC Fee: CA Seismic Safety: $30.00 WO Insp. Fee: Disabled Access: $0.00 Fee Increase: Fee: $0.00 Electrical %: Additional Fee : $0.00 Mechanical %: Hazardous Mat: $0.00 Plumbing %: Building Green Fee : $12.00 TOTAL FEE: $6,335.61 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 0 Special Conditions: Fire Hazard Zone : N $0.00 Planning Department - $190.47 Plan check Fee Fair Share SJH Trans $0.00 In -lieu Housing Fee $0.00 Public Works Department - $0.00 Park Dedication : $0.00 P/W Plan Check : $120.00 $149.80 San Dist : $0.00 $107.00 NMUSD Fee: $1,455.44 $214.00 INSTALLORVEAIFYSMOREANDCIk M= MONOXIDE DETECTORS ARE EXISTM PER CROR314.133152 Fire Department $60.00 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 $0.00 $0.00 Plan Check Fee : $1,150.80 Fee Due at Permit Issuance : $5,184.71 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: " PERMITS LXPIRF 133 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. )WNER-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 iot 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 mproved for the purpose of sale). ❑ 1, 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 licensure 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 legal sell a structure that I have built as an owner -builder I 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession , and m is in roe and effect. License Class License No Date �k • 1 Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE :OST 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: DOLLARS ($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 Orrodhbe oPthe rvorR for'WhCh this permit is lasued. Policy No. hav�:}. n"ri`'w llmaintain 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 compensa rance carrier and policy number are'. Agent of Policy Number Date in the performance of the f, hic is it is all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and become su 'ect to the orke 'comp pro i s -t ction 3700 of the Labor Code, shall forthwith comply with those provisions. plicant /I. IECLARATION REGA ING CONST TI LENDING AGENC hereby affirm under penalty of perju at there is a construction I ding 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, certify 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 cor ct. I agree to comply with all applicable city and county ordinan a to I authorize representatives of this city or courlty`o enter t e-Id lej of Property Owner or Authorized Agent ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATEOF "- OCCUPANCYISSUED Suilding construction. lspection purposes. Print Property Owner's or Authorized Agent's Name BY ct.Ltvvanvn yr wmrunnw mn EDERAL REGULATIONS PART M TITLE40 AND AQMD RULE 1403." . ❑ 1 SUBMITTED ASBESTOS WNIF•CAT70N TO: ❑ EPA ❑ AQMD ❑ ASBESTOS N077RCAIION IS NOT APPLICABLE TO Got PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE Dates Vt .-I I-ƒ 0 ca \oU- rZ § @ \ \ � � \ \ 2 .\ _ Y ) \ a \ 2 2 ) \ j / $7& !ef {\0 E \k\ /\\ \ ]Lj q 9 q \ 0 Cl �0 \ \\CL\ \t - E / \ \ / } ± / -; r- v � `_ .. � - r �. 1 .. - -� �r:. , ��: - ,r. �_ _ .-,� _ ` � N 1- _ �_ � i. �: .-�'� � i� � _ '=_ `i� 3 = .., � -r l J' Y. ! r } � - � .=� T.. y �V � t J - � __ . 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