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Home My WebLink AboutX2022-0230 - Permitsw r, City of Newport Beach - Building Division *X2022-0230* 100 Civic Center Drive, Newport Beach, CA 92660 c: v. Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 +uznu'" Combination Type - SFP ELEC MECH PLUM COMB Permit: X2022-0230 Project No: Issued Date : 01125/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.-Mbst'k. � E COMPLETED BY 0112512025 OR PERMIT WILL BE INVi Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 0 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 133 VIA WAZIERS NB Description: SFR BATHROOM REMODEL 54 SF Legal Desc.: N TR 907 LOT 291 Owner: CHRISTENSEN NANCY Contractor: INNOVATIVE CRAFTSMANSHIP INC Architect: Address: 133 VIA WAZIERS Address: P O BOX 1626 Address: NEWPORT BEACH, CA 92663 NEWPORT BEACH, CA 92659 Phone: 949-244-1979 Phone: 949-335-8119 Phone: State Lic: Applicant: BROOKS CLARK Con State Lic: 1023122 Engineer: Address: 120 KINGS PL Lic Expire: 01/31/2023 Address: NEWPORT BEACH, CA 92663 Bus Lic: BT30060679 Phone: 949.903-4373 Lic Exp Date: 09130/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STSTAE NATIONAL INS CO Address: Occupancy Group: R3/U Policy No: AMX2000151003 Added /New sq.ft. Bldg: 0 Expire: 10/0112022 Phone: Added/New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $22,000.00 Building Permit Fee: $460.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $391.50 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access: $0.00 PNV Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $31.50 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $18.00 NMUSD Fee: $0.00 Plumbing %: $40.50 TOTAL FEE: $986.50 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee e•em•• m $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $986.50 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 4� APPROVAL TO ISSUE: a o •uooc e0000 0 •mooc m mmacc m c c m c emm000 0 0 0000 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 :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 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 Tot 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 mprovements 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). 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 exegM8Fib% 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 11a169, Itructure that I Wave 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 CV18,619'Dvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Syi nature of Property Owner or Authorized Agent Date LWASED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of Division 3 of the Business and P f sions C n y license is in full force addeffect. Lica6se Class License No Date /X � 0 1Contractor Signatu AURKERS1161VINENSATION DECLARATION if4F %: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm Isrideppenalty 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 th Moviance of the,,T(rk for which this permit is issued. Policy No. '<hhave and wlltmamtain 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' compensatior nsuraZtce carrier and policy number are: Policy Number Date me of Agent F none n I 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 laws of California, and agre, I, if I should become sidbject to the worker ' nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (nature of Applicant I/ Da ICLARATION REGA DI NSTR TION LENDING AGENCY =_reby 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 309 Ci it Cade). ider's Name Lender's Address 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 ounty ordinances and state laws relating to building construction. I authorize representatives of this city or counto enter the ab B property for inspection purposes. mature of Prooertv Owner or Authorized Aaent �._ Print Property Owner's or Authorized Agent's Name �Gc./3rvt.. p1LVD L.-f D ACTION DATE BY , REGULRATION ATIONS OF COMPLIANCET 61 OF 40 WITH CODE OF E FEDERAL FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED EPA FICATION TO TO