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Home My WebLink AboutX2021-3388 - Permits+y f,� City of Newport Beach - Building Division *X2021-3388* COMB Permit: X2021-3388 A 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 2957-2021 HI" #, f�' Permit Counter Phone (949)644-3288 v ?ems ,M1.. Inspection Requests Phone (949)644-3255 INSPECTOR zuz�rasKs`�.-' Combination Type -SFP ELEC PLUM �..�i.J t ®� Issued Date: 0112112022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112112025 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: 2111 DESCANSO NB Description: MFR REMODEL KITCHEN AND MASTER BATH 250 SF Legal Desc.: TR 5741 (L.L.84-214029) PAR 39 Owner: MCKITTERICK GARY Contractor: ALLEN CONSTRUCTION & DESIGNIRAMSEY Address: 2111 DESCANSO Address: 950 CONGRESS ST Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 Phone: Phone: 949-307-9892 Phone: Applicant: MANZER BRUCE Con State Lic: 941113 Engineer: Address: 24275 PONCHARTRAIN LN Lic Expire: 1213112023 Address: LAKE FOREST CA 92630 Bus Lic: BT30074218 Phone: 714/720-4394 Lic Exp Date: 02/28/2022 Phone: Code Edit: 2019 Type of Construction: V-B Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X 11 Construction Valuation: $& Building Permit Fee: $929.00 Plan Check Fee: $808.23 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $0.00 CA Seismic Safety: $8.45 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 11 TOTAL FEE : $1,971.32 PROCESSED BY: 13 :75 ZONING APPROVAL: 'DMZ Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Use Zone: 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: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $65.03 $0.00 $83.61 Designer: Address: Phone: Architect: State Lic CHOI DAVID 1327 LOMA AVE LONG BEACH CA 90804 562-961-5600 State Lic:S-004784 MANZER BRUCE 24275 PONCHARTRAIN LN LAKE FOREST CA 92630 Special Conditions: Fire 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 Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $860.23 Fee Due at Permit Issuance : $1,111.09 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: •o a 0 oc co o ocJ,:o 0 o � oaec o 0 •a�oo 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 the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' Slate 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 pore than five hundred dollars ($500). , as owner of the property, or my employees with wages as their sole compensation, will do U 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 I ed for the purpose of sale). 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 ply 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 amelWgpt from licensure under the Contractors' State License Law for the following reason: my signature below 1 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 ll a strW4 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 fessio"s Cgde, is available upon request when this application Is submitted or at the following Web site:http://www.leginfo.w.govlcalaw.htmi.nature oMerly Owner or Authorized Agent Date ENSECI CONTRACTOR'S DECLARATION ereby affirmjrnder penalty of rjury that I am licensed under provisions Chapter 9iCicommencing with Section 700 of I 'si 3 of the Business and Professions a and my li cols-in.Eu orce effeT•t, license Class License ND (/ / J J `2 Dat�Contractor Signature_��RKERS' COMPENSA N DECLARATIONNING:FAIWseaG SECURE WORKERS' COMPENSATION CovERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANTI CML RNES UP TOONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDmON TO THE T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNENSFEES. reby affim under penalty of perjury one of the following declarations: I hav eAmL MI maintain a cert�cate 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 thnnanoe of the work for which this permit is issued. PolicyNo. have j4d Iyill}nafntain 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' compensatiorance carrier and policy number are: rier. Policy Number Expiration Date of Agent Phone# ertify 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 , If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this pemlit is issued (Section 3097 ider's Name Lender's Address my signature below. I certify to each of the fallowing: 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 = to th above -Identified property for inspection purposes. F 1 aIgnamre or eroperty Uwner Or Authorized Agent - Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUlATI0N; PART 61 OF TITLE 40 AND Al RULE PERMITEXPIREO I I 10 I SUBMITTED ASBESTOS NOTIFICATION TO PERM/TF/NAL 1,Y]Y o k BESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PR OSED DEN�OLJTION �— OCCUPANCYISSUED SIGNATURE: ` Civil Code).