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Home My WebLink AboutX2022-0391 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 N... Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC PLUM �1111 1111111111111111111111111111111111111111111111 111� 11COMB Permit: X2022-0391 Project No : 1356-2021 Issued Date : 03/22/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/22/2025 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1822 BUTTONSHELL LN NB Description: DELTA 1 -ADVL SCOPE. 5 NEW WINDOWS, REVISE BONUS BATH, ADD ENTRY & REAR AWNINGS & PORCH, REV BR 4 AWNING Legal Desc.: N TR 3763 LOT 69 Owner: SHEA PETER Contractor: Address: 1822 BUTTONSHELL LN Address: NEWPORT BEACH, CA 92660 Phone: Phone: Applicant: MAHDI Con State Lic: Address: Lic Expire: Bus Lic: Phone: Lic Exp Date: Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/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: Flood Zone: Valuation: $8,000.00 Building Permit Fee: $212.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $246.92 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: ENGLISH SCOTT GC 1561 ORCHARD DRIVE NEWPORT BEACH CA 92660 949-355-6228 784484 09130/2022 BT30056763 10/31/2022 t. Worker's Compensation Insurance ' Carrier: WIC EXEMPT .� Policy No: (NO EMPLOYEES) Expire: 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: / irking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14.84 $0.00 $19.08 0 Architect: Address: Phone: State Lic Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA CA 92705 Phone: 714-662-0510 State Lic:S-005289 Designer: Address: Phone: Special Conditions: 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 $0.00 Fire Inspection: $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 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $246.92 o " PUBLIC V'VORKS APPROVAL: PIYN CHECK BY: o a �,,., ° APPROVAL TO ISSUE: a 0 a� 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 item(s) ction 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 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 fessions 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 more than five hundred dollars ($500). J I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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). II ❑ 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). L_I I am exempt from licensure under the Contractors' State License Law for the following reason: I By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least on year sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I ,4rider Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.legfnfo.c� Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section,7'0 ), and effect. License Class License No Da COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL DST 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: to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date 0 of the Business and Prof sron�d my license is in full force ntractor Signature �� AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director lof Industrial Relations as provided for by Section 3700 of the Labor Code, for rmance 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 rance carrier and policy number are: ier Policy Number of Agent ertify that, in the performance of the work f r which this permit is issued, I shall not employ any person in any mann if I should become subject to the wor - r ec 3700 of the Labor Code, I shall forth, of :reby affirm under penalty of perjury that there is co tructl'on lending agency for the performance of the work for 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 owners behalf. I have read this application and the information I have provided is correct. agree to comply with all applicable city and county ordinances and state la relating to building construction. I authorize representatives of this city or county nspection purposes. nature of Prooertv Owner or Authorized Agenfy ____ Print Property Owner's nonce of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agre h comply with those provisions. .F Date h this permit is issued (Section 3097, Civil Code). ACTION DATE BY ECLARATION-OF-COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE j 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO _ ••• •• : •• PERMITCANCELLED EPA • • PERMITEXTENDED PERMITFINAL -__t2AQMD • • • ASBESTOS NOTIFICATION IS NOTAPPUCABL? TO. CERTIFICATE OF ��`'c / PROPOSED DEMOLITION ••• • • ' ••. •• OCCUPANCYISSUED SIGNATURE: • • ' s 00 o a° ° •o 6 ° ° ••