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Home My WebLink AboutX2022-0933 - Permits'fJ City of Newport Beach - Building Division "- - d, 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r;rg14* Combination Type - MFP MECH ELEC ELEC *X2022-0933* COMB Permit: X2022-0933 Project No : 2924-2021 Issued Date : 06/27/2022 Inspection Area :6 OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID PERMIT EXPIRES 180 DAYS AFTER ISSUANCE 6:30 and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Construction Hours: Monday- Friday 7:00 a.m. to p.m. Job Address: 430 POPPY AVE NB *ADDITIONAL SCOPE* KITCHEN REMODEL, REMOVE NON -BEARING WALL Description: DELTA 1- NWLY112 LOTS 45 AND 46 BILK B ° Legal Desc.: TR 673 LOT 44 BLK B NWLY1/2(AND * • • • ° Owner: BRINSDEN JONATHON & CARRIE Contractor: LION BUILDER CONSTRUCTION Architect: ° + �, ° Address: 430 POPPY AVE Address: 777 W 19TH ST #W Address: ®•° ` ' • ° NEWPORT BEACH, CA 92625 COSTA MESA, CA 92602 Phone: State Lic: • Phone: Phone: 949-698-3146 ®. • ° • �° • °••° Applicant: MIZRENI OMRI Con State Lic: 993326 Engineer: Address: ° "' a a ®•: Address: 777 W 19TH ST #W Lic Expire: 06130/2022 o ° °. • COSTA MESA, CA 92627 Bus Lic: BT30055316 Phone: State Lic: *' • ° Phone: 949-698-3148 ae: Lic Exp Date: 06/30/2022 • a 2019 Worker's Compensation Insurance p Designer: BLACKMORE JASON Code Edit: Carrier: CLEAR SPRING PROP Address: 600 ANTON BLVD ° �jap° Type of Construction: V-B Policy No: CWC00064000 COSTA MESA, CA 92626 a•» ® Occupancy Group: R3/U Expire: 07/2212022 Phone: ° °'• Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 Building Setbacks Rear: / Special Conditions: HIGH DENSITY ZONE No of Stories: 2 Front: / No of Units : 1 Left: I Bldg Height: 0 Right: I Bldg Sprinklers: N X Use Zone: Parkin Spaces: 0 Fire Hazard Zone: N Flood Zone: uction Valuation: $40 000.00 g Permit Fee: $679.00 Excise Tax: $0.00 Planning Department - Fire Department $52.00 Fire Inspection: $0.00 heck Fee: $590.73 Additional Fee : $0.00 Plan check Fee : $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 e Plan Ck: $0.00 Grading Bonds Fee: $0.00 SJH Trans : $0.00 Demolition Fee igation Fee: $0.00 Grading PC Consultant: $0.00 In -lieu Housing Fee : $0.00 Building DepttiAdm d Management : $10.00 Grading Permit Fee: $0.00 Public Works Department- General $0.00 FBuildingcPermit Compliance: $0.00 Grading PC Fee: $0.00 $0.00 Refund Deposit $0.00 ismic Safety : $0.00 WO Insp. Fee: P;r; PlanDed'cation Check : $000 Grading Bond: $0.00 led Access : $0.00dous Mat $0.00 Electrical %: $47.53 San Dist: $0.00$0.00 g Green Fee : $2.00 Mechanical %: $27A6 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 Plan Check Fee: $487.87 Fee Due at Permit Issuance : $920.55 TOTAL FEE : $1,408.42 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: M if PUBLIC WORKS APPROVAL: S PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reasons) 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 applicant 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 'rofessions 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 lot more than five hundred dollars ($500). I, 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, 3usiness 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 0 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 17044, Business and Professions Code: The Contractors' State License Law does not Ipply to an owngil' NbrAciperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 artyexempt }rEfi°licensure under the Contractors' State License Law for the following reason: I If "%Znatur%DLIam I acknowledge that, except for my personal residence in which I must have resided for ai least one year prior to completion of the improvements covered by this permit, I cannot legal ell structure Thad fill 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 'ro°essiions Code,Js available upon request when this application is submitted or at the following Web site:http://vw%k.leginfo.ca.gov/calaw.html. ignAtLre of Property.Owner or Authorized Agent .rGElli C0.47RRCTOR'S DECLARATION Date herDby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 71l df Divi " n 3 of the Business and Professions Code, a ense is in full force I effect License Crass License No nary sC/_`/ ry • DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI :OMPEt�SATIl DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. affirm under ptenalty of perjury one of the following declarations: e e of WON 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 nce of tr�� wofk 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' -ante carrier and policy number are: of Agent Policy Number certify that, in the performance of the work forwhich this pel Is issued, I shall not employ any person in any if I should become subject to the workers' co satin visions of Section 3700 of the Labor Code, I shall lature of Aoolica011 .�.,nvuaa wP1a I nut I MN LEND�N AGENCY hereby affirm under penalty of perjury that there is a c6FAtruction lending agency for the performance of the work for Ender's Name Lender's Address y 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 la elating to building construction. I authorize representatives of this city or county tg enter the above,- property for inspection purposes. ignature of Property Owner or Authorized ADanr R .. . PERMIT `L w l iury ur lV FLIANLE WITH CODE OF FEDERAL I FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO CERTIFIC4TE OF 3 —3 0-2z 07--x} . ASBEED DE NOTIFICATION TI/ PROPOSED DEMOLITION OCCUPANCYISSUED Contractor Signature AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL 1 ($100,000), IN ADDITION TO THE Date so as to become subject to the workers' compensation laws of California, and agre 1 Comply with those provisions. /^ Date l9 l I this permit is issued (Section 3097, Civil Code), USE ONLY