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Home My WebLink AboutX2021-3386 - Permitsxlrlr, - City of Newport -Beach - Building Division *X2021-3386* COMB Permit: X2021-3386 .,� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1845-2020 t = r Permit Counter Phone (949)644-3288 ct a x Inspection Requests Phone (949)644-3255 Combination Type- SFP MECH MECH PLUM p 5'� � `t r� � � Issued Date : 12/16/2021 "?rrnaN' GRAD �"�! � � �6 6 yd � � _ Inspection Area : 3 PERMIT EXPIRE$4B0 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/16/2024 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: 1224 DEVON LN NB Description: **CHANGE OF CONTRACTOR" SFR -ADD TO 1ST FL 8: CREATE 2ND FLOOR 1641 SF, REMODEL 1914 SF, ADD 179 SF TO GARAGE, COVERED PORCH 160 SF Legal Desc.: N TR 3000 LOT 33 Qaoe¢• Owner: HOROWITZ TRACY & ERIC Contractor: DRAKE CONSTRUCTION INC Architect: BENSON JEFFREY JAMES Address: , 1224 DEVON LN -NEWPORT Address: 7422 MOUNTJOY DR Address: 234 BROADWAY - �•+ °° v�`�°: 'BEACH, CA 92660 HUNTINGTON BCH CA 92648 COSTA MESA CA 92627 ° ° • • c Phone: 949-510-5780 Phone: 714-369-5550 Phone: 949-534-2724 State Lic:C032268 Applicant: BENSON JEFFREY 9 Con State Lic: 881821 Engineer: VOLPE ROBERT M ;.... % • ` ° Q Address: 234 BROADWAY Lic Expire: 07/31/2022 Address: 20321 LAKE FOREST DR STE D-6 COSTA MESA, CA 92627 Bus Lic: BBGQ -BT30051436 LAKE FOREST CA 92630 ° Phone: 949-532-2724 Lic Exp Date: 06/30/2022 Phone: 949-305-4700 x1 State Lic:C-025116 • • ° ° ..... Code Edit : 2019 Worker's Compensation Insurance Designer: *+ • �•¢oc • • + Type of Construction: V-B-SPR Carrier: STATE COMP FUND Address: a ' a • ° ` ° Occupancy Group: R3/U Policy No: 9022425 cca��• Added /New sq.ft. Bldg: 1641 Expire: + 08/30/2022 Phone: '°"°° '°•° Added /New sq. ft. Garage: 179 °- No of Stories: 2 Building Setbacks Rear: 6 Special Conditions: - No of Units : 1 Front: 20 Bldg Height: 0. Left: 6 Bldg Sprinklers: Y Right: 6 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $38.00 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 WO Insp. Fee: $0.00 Park Dedication: $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $38.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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) iection 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 rofessions Code) or that he or she is exempt from Hcensure 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 3t 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, usiness 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 iprovements 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 iproved 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 Dply to an owI;Et" pa)perty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I are exempt from Gcensure under the Contractors' State License Law for the following reason: ySIS11'§gnaturlI 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 legall) all 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 Wessions Codepis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Qwner or Authorized Agent Date TQEVED CTR7"CTOR'S DECLARATION her9Dy affirm ur�def�oenaItw of perjury that�l am licensed under provisions of Chapter 9 (commencing with Section 7000) isi 3 of the Business and Professions Code, and my license is in full force ■6 efifect. Liaenae Class `i2 P C"ff License No Date 2 1 Contractor Signature K 'ORiCERS' COJNPENSATION DECLARATION - AM". 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 ($100,000), IN ADDITION TO THE o9'r O*OMPEIVATIV, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I4P,rQ"affirm urldbr p8nalty, of perjury one of the following declarations: L+Fa1ve andti$iFtantain 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 Brformance of the work forwhich this permit is issued. Policy No. ]I have 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' compensatiol isurance carrier and policy number are: arner �Policy Number Expiration Date ame of Agent 75i�— JOB Phone # ]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 lat, if I should become subject to the w�or%rrreee' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f ignature of Applicant (11� v '� Date ECLARAT[ON REGARDING CONSTRUCTION LENDING AGENCY 0 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 enterth ov - Tied ro art for inspection purposes. Signature of Property Owner or Authorized Agent roperty Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION 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 NOTIFICATION TO PERMIT CANCELLED EIEPA PERMIT EXTENDED EIZIAD PERMITFINAL 6-2.1.17L ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF 4 PROPOSED DEMOLITION OCCUPANCVISSUED SIGNATURE: X