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Home My WebLink AboutX2022-0767 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 . -. Inspection Requests Phone (949)644-3255 `�3trvarw'�t' Combination Type - MFP IIIIIIIIiIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0767 Project No: Issued Date : 03/16/2022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311612025 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: 1544 MIRAMAR DR NB Description: MFR T/O (E) 28 SQ, INSTALL COMP. SHINGLE, CLASS B MIN. . Legal Desc.: N TR 518 BLK J LOT 20 Owner: TRAN DAVIDIKIMBERLY Contractor: WEATHERGUARD COMPANY INC Architect: Address: 16741 CAROUSEL LN Address: 10722 ARROW ROUTE STE 406 Address: HUNTINGTON BEACH CA 92649 RANCHO CUCAMONGA CA 91730 Phone: Phone: 909-982-7000 Phone: State Lie: Applicant: DEARDEN GREG Con State Lie: 921927 Engineer: Address: 10722 ARROW ROUTE STE 406 Lie Expire: 09/30/2022 Address: ITIM RANCHO CUCAMONGA CA 91730 Bus Lic: BT30078242 Phone: 909.982.7000 Lie Exp Date: 03/31/2023 Phone: State Lie: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EMPLOYEE SERVICE GROUP Address: Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Policy No: Expire: WC476864210 06/01/2022 Phone: -�Y ✓1 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 4 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,500.00 Building Permit Fee: $351.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $362.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $352.00 PROCESSED BY: P(JBLI m WORKS APB,R,OVAL: s ` ZONING APPROVAL: PLA9CRE6K dt: •41 •�� \ GRADING APPROVAL: APPROVAL TO ISSUE: �°° •ua e � oco 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 itemjs) (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 L) all of or L) 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 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). ❑ 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 legally sell 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 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 hapter 9 (commencing with Section 70(p) of Division 3 of the Business and Prof- es ions Cod and license is in full force and effect. License Class . C— 3 �7 License No ` a 1 9 i-T Date 3•Ite .4 Z Contractor Signatu cr WORKERS' COMPENSATION DECLARATION 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 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 3700 of the Labor Code, for IN oerfor0]ance of the work for which this permit is issued. Policy No. and willyla((rtain workers' spRlpelvation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date of Agent I certify that, in the performance of the wokk for which 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 agre iat, if I should become sub' ct to the workkeerr'' mpensation provi of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant I �X Dat _��/G •3-Z IECLARATION REGA I CONSTRUCTION LENDING AGENCY hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 ,Civil Code). ender's Name Lender's Address y 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 agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or cou t enter the a Identifie party for inspection purposes. (�//"/ ionature of Propertv Owner or Authorized Ana _ �� Print Property Owner's or Authorized Agent's Name/ 60 V0 /I /}�2 /Ji'•� .=B'dEe ��b ACTION DATE I B/ ( REGULATIO PARTDECAR11ON OF 061 OF TITLE 40 AND AQMD RULE MPLIANCE WITH CODE OF AL I FOR OFFICE USE ONLY S PERMITEXPIRED IUI SUBMITFEP ASBESTOS NOTIF A�TIgN1TF0 PERMITCANCELLED WEP& •+• • • •• PERMIT EXTENDED • • • • • " PERMITFINAL 3 -5( 'L J A BEST NO 1ACATICPI IS NOT APPUCAB CERTIFICATEOF PROPOS1 • DEMO iTION OCCUPANCYISSUED SIGN AT RE: .. •• Y ••s o gSIZ Cn 'o M— E�(n ;o W •o C) m n 5' I r o o y �. 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