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Home My WebLink AboutX2021-1595 - Permits" City of Newport Beach -Building Division II��0�� II COMB Permit: X2021-1595 '.'�� " 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 5 9 5 'S Permit Counter Phone (949)644-3288 Project No : 1402-2021 .:. ., Inspection Requests Phone (949j544-3255: °:a2 r vxi> Combination Type - SFP ELEC PLUM MECH Issued Date : 07/1412021 0 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711412024 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: 423 REDLANDS AVE NB Description: SFR ALTERATION 264 SF. R/R DOORS WI LA CANTINA DOORS. RMV BATHROOM. CREATE GAME ROOM Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS LOT 18 BILK 14 AND LOT19 BLK 14 Owner: DAHLJEFFREY Contractor: LONGMAN JEFF Architect: Address: 423 REDLANDS AV Address: PO BOX 16372 Address: NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92659 Phone: 310-926-3522 Phone: 949.202-6029 Phone: State Lie: Applicant: CONRAD KELLIE Con State Lie: 885301 Engineer: FORBES DALE L Address: 115 GOODWILL CT Lie Expire: 10/31/2022 Address: 1800 E 16TH ST #B NEWPORT BEACH CA 92663 Bus Lie: BT30019621 SANTA ANA CA 92701 Phone: 614-558-3744 Lie Exp Date: 05/31/2022 Phone: 714-835-2800 State Lic:C-030407 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Valuation: $30,000.00 Building Permit Fee: $559.00 Plan Check Fee: $486.33 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9247121 Expire: 03109/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $39.13 $22.36 $50.31 II TOTAL FEE: $1,233.13 Plan Check Fee: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Designer: PETRUCCI MALIA Address: 2 VILLENEUVE NEWPORT BEACH CA 92657 Phone: Special Conditions Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspections... $0.00 $0.00 Fire Plan Rev - $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $532.58 Fee Due at Permit Issuance : $700.55 PUBLIC WORKS APPROVAL: PLAN CHECK BY: f/Y' APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 items) ((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 Spplicant 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 civiApenalty 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 (_) all of or U 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). ❑ 1, 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 isell 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 I LICENSED CONTRACTOR'S DECLARATION / I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f )lvis, 3 of the Business and Professions de, and licee " n f nsull force and effect. License Class License No D e yf �%� Contractor Signatur WORKERS' COMPENSATION DECLARATION % �f r WARNING: 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 ($100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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 the tformance of the work for which this permit is issued. Policy No. 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' compensatior rance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performan the w1 rk Jr which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compenn�fi laws f California, and agree that, if I should become SLUE the w e compen ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date � l� DECLARATION REGAR CID fR TION LENDING AGENCY / I hereby affirm under pe alty of p ury that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil C de). 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 owners behalf. I have read this application and the information I have provided is corr . I agree to comply with all applicable city and county ordinanc and a laws relating to building construction. I authorize representatives of this city or county to ante a abo I ntifie operty for inspection purposes. `� Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name ('�`� �i�i 1 Date ( � ACTION DATE BY DECLAPXION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY f REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO ••• •r PERMIT CANCELLED EPA PERMIT EXTENDED QMD • •` PERMIT FINAL 7 ASBESTOS NOTIFI ION IS T PLI LE TO CERTIFICATE OF (• PROPOSED TION •�• •.. •• OCCUPANCV ISSUED SIGNATUR • • • • r •; . •: