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Home My WebLink AboutX2021-2791 - Permits��„� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2791 �; 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 7 9 1 Project No : 2428-2021 , N Permit Counter Phone (949)644-3288 J Inspection Requests Phone (949)644-3255 ' r'riivriw+�t> Combination Type - MIFF EL0EC MECH PLUM Issued Date : 11/01/2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110112024 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: 2127 VISTA LAREDO NB Description: MFR INTERIOR REMODEL 281 SF Legal Desc.: TR 5692 LOT 25 AND POR LOT 70 Owner: REYNOLDS JOEL & CHANTELL Contractor: TRUE HOME BUILDERS INC Architect: BAILEY DAVID Address: 2127 VISTA LAREDO Address: 67 EDGEWOOD Address: 23183 LA CADENA DR #101 NEWPORT BEACH, CA 92660 IRVINE, CA 92618 LAGUNA HILLS CA 92653 Phone: 949-637-6898 Phone: 310-465-4586 Phone: 949-573-1050 State Lic:CO27404 Applicant: BAILEY DAVID Con State Lic: 1073280 Engineer: WILSON KALEN Address: 23183 LA CADENA DR #101 Lic Expire: 02128/2023 Address: 23152 VERDUGO DR #102 LAGUNA HILLS CA 92653 Bus Lic: BT30074726 LAGUNA HILLS CA 92653 Phone: 949-573-1060 Lic Exp Date: 03130/2022 Phone: 714-576-6524 State Lic:C-083753 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: ACCREDITED SURETY Address: Occupancy Group: R2 Policy No: 1ATCA16004567 Added /New sq.ft. Bldg: 0 Expire: 03/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 3 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $28,000.00 Building Permit Fee: $635.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $465.45 Additional Fee : $0.00 Plan check Fee : $52.00 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 : $36.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 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 %: $37.46 San Dist : $0.00 Building Green Fee : $2.00 Mechanical %: $21.40 NMUSD Fee: $0.00 $0.00 Plumbing %: $48.15 $0.00 TOTAL FEE : $1,258.45 Plan Check Fee : $578.45 Fee Due at Permit Issuance : $680.00 flee oflfl oflo PROCESSED BY: co o c co 6U�BLIC WORKS APPROVAL: ..,fl Dn u a a o ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: �o�: OO° o eo 000 oeo APPROVAL TO ISSUE: 0 oc occ o 0 000 00o uoo 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 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 Irofessions Code) or that he or she is exempt from Iicensure 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 lega11, 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://www.leginfo.ca.gov/calaw.htm[. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Div' ion 3 of�t{he Business and Professions , Icense is in full force nd effect. License Class License No Date �2;ttractor Signature UORKERS' 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 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: 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 �09rmance 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 Expiration Date of Agent certify that, in the performance of the work forwhich 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 if I should become subject to the worker ' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / IatureofApplicant (��— `� ., ..�..r,nu ecn� iun rnucr... nr1nu cumin_ nr_cniry I 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). Lender's Name Lender's Address By 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter -1 tified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name t t I' •�%''�'6t" Date ACTION DATE BY DECLA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• •.• •.• PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICAT] 0N 10 PERMITCANCELLED 12EPA • • • . •. • • •' •• •• PERMIT EMENDED QMD --PERMIT —FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITI .•• • • • ••• •• OCCUPANCY ISSUED SIGNATURE . . . . . . . . • —•