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Home My WebLink AboutX2021-1744 - Permitsa City of Newport Beach - Building Division II��III�II�II�[II�II�III�I�II�IIIlll�f �I�l�ll�l : X2021-1744 . 100 Civic Center Drive, Newport Beach, CA 92660 PCOMBPermit Permit Counter Phone (949)644-3288 ., Inspection Requests Phone (949)644-3255 Issued Date: 07/07/2021 � �t` Combination Type - MFPNO CONSTRUCTIONNOISE inspection Area : 5 PERMIT EXPIRES 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710712024 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: 611 BEGONIA AVE NB C>i�.Ta Itr� SA UR Description: SFR CHANGE OUT (2) WINDOWS, (1) FRENCH DOOR � v 9 S Legal Desc.: PM 265-7 PAR 1 OF PROJECT 938-01 LOCATED ON AP 459-085-23 TOGETHER Owner. FOLLEY/HUMMELBERG Contractor: SMITHLIN DEAN COMPANY INC Architect: Address: 611 BEGONIA AVE Address: 32565 B GOLDEN LANTERN #104 Address: NEWPORT BEACH CA 92625 DANA POINT CA 92629 Phone: Phone: 949-689-7228 Phone: State Lic: Applicant: SMITHLIN DEAN COMPANY INC Con State Lic: 896691 Engineer' Address: 32565 B GOLDEN LANTERN #104 Lic Expire: 05131/2023 Address: DANA POINT CA 92629 Bus Lic: BT30048091 Phone: 949-689-7228 Lic Exp Date: 08/31/2021 Phone: State Lic: Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added Mew sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $1,500.00 Building Permit Fee: $110.00 Plan Check Fee: $0.00 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: $1.00 TOTAL FEE: $111.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: EVEREST INS Policy No: 76000010189 Expire: 11/01/2021 Building Setbacks Rear. / Front: / Left: / Right: / Use Zone: Parking Spa Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 0 Designer: Address: Phone: Special Conditions: HIGH DENSITY AREA Fire Hazard Zone: N Planning Department - Plan check Fee: Fair Share SJH Trans in -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $111.00 o o e P21B!_I(Z'Wf:?RKS APPROVAL: 0 1; PLAN CHECK BY: „,AP�cC7VGaL�OISSUE: 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 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 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 ProfessionsiCode:'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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below [,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 sell a structure that I have'ibuilt 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://www.leginfo.ca.gov/calaw.htmI. Signature of Property Owner or Authorized Agent Dat,. LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 egg of the Business and Pro o e, and my license is in full force and effect. License Class License No Date __ TI Contractor Sign re iNORKERS' COMPENSATION DECLARATION d t NARNING: FAILURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penaltyof perjury one of the following declarations: J 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 th ,ormance of the worEc for which this permit is issued. Policy No. I have and wi m 'tam workers' ompensation insi`rance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio. surance carrier d Policy numb ale,- r arrier n >! A r l yumber Expiration Date ame of Agent ; :� Phone # 11 certify that, iri a performance of t ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens ion laws of California, and agre iat, if I should become subject to th s=corfipensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. ignature of Applicant e / �� ,ECLARATION REG Di CGM UCTION LENDING AGENCY f 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). J ender's Name I I Lender's Address y my signature below, II 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 cLate I agree to comply with all applicable city and county ordinances aaws relating to building construction. I authorize representatives of this city or county to ente!],the ab erty for inspection purposes. iqnature of Property Owner orAuthorized Agent _ Print Property Owners or Authorized Agent's Na &—,l ACTION DATE BY D_�CLARA_n OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( V REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 occ - PERMIT EXPIRED 0I SUBMITTED ASBESTOS NCTIFICATI`ON TO PERMIT CANCELLED OEPA - PERMIT EXTENDED ❑AQM p PERMITFINAL ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO �ff fs. CERTIFICATE OF �� w PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: