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Home My WebLink AboutX2021-1071 - PermitsCity of Newport Beach - Building Division *X2021-1071* i+ G 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Combination Type SFP MECH ELEC PLUM - '40y i PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTI . PR J, TS MMZ E COMP TED BY Construction Hours: Monday Friday 7.00 6:30 - a.m. to p.m. d 0 Sat ay from 0a.m. t 6:00 p.m. A Job Address: 15 VINCENNES NB\fjQ' O Description: SFR ADD (131 SF) CONVERT PATIO COVER INTO DINING ROOM 4 �t Legal Desc.: N TR 15717 LOT 43 � Owner: LEE JOHN Address: 35 TRIPLE LEAF IRVINE CA 92620 Phone: Applicant: CUETO LUIS Address: 402 ENCLAVE CIR COSTA MESA CA 92626 Phone: 714-732-8256 Code Edit: 2019 Type of Construction: V13 Occupancy Group: R3/U -" i Added /New sq.ft. Bldg: 131 Added /New sq. ft. Garage: 0 a - No of Stories 2 No of Units : 1 / Bldg Height: 0 . C ^ Bldg Sprinklers: Flood Zone: Ak COMB Permit: X2021-1071 Project No : 0989-2021 Issued Date, 12/0312021 Inspection Area : 6 PERMIT WILL BE INVALID undays or Holidays Contractor: .- l0 C BUILDE r OUP INC�(�' Architect: �., Address: p 600 W SANTA NA BLV1r 14A-499 Address: ZW TA ANA CA 92701,\P� f41��o Phone: State Li0'6n Sta90 Engineer: TR HONG Lic Expi0g�` 23 `� Address: 0 IMBERLINE LN Bus Li7 L T CA 91789 Lic xp f '2 Phoned 9-ZS4:2751 tale -0 ;r's Co lance De Ca � i ATE FUG Q ._ Po o 92566 sa 'Eif it ^ 06/ _ ' Rhone,Q 3 0 a acks FNIQN cial Conditi s: L gDSL AREA /y EC FIRE PROTECTION ¢ J , Building Permit Fee. '$484.0 xcise Tax Plan Check Fee: $489.08 r - Ad ' Fee Overtime Plan Ck: $0-00`. ding . ds Fee: Investigation Fee: $0 00—",,_- rading P nsultant: Record Management: $30.00 -'r'- ding it Fee: Energy Compliance: CA Seismic Safety: $61.00 $3.12 G Fee: - WO Fee: Disabled Access : $0.00 p. `'S Hazardous at $0.00 E trical 0/ Building Green Fee: $1.00 :Mec nical P3utnb %: TOTAL FEE: $1,55175 ti .7( `✓1 - PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: a �, $0.00 `� v Planning Del $284.00�'^ Plan check Fair Shar�/ SJH Ttahs Fee: Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev s $0.00 Demolition Fee $0.00 Building Dept Adm mt- General Service $0.00 Refund Deposit $50.75 Grading Bond: $0.00 $0.00 so•eae a a e $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,177.00 Fee Due at Permit Issuance : $374.75 PUBLIC WORKS APPROVAL: PLAN CHECK BY: M K APPROVAL TO ISSUE: •aa•• @ aecaa aaa.oa a a uoaee • 3�33 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law r the reason(s) in ted`ai' ow 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 cons ct, alter, improve, em h,d[yepair 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 ntractors' State Lise Law hapte 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 ex ption. Any violatie Section 70- .5 bya�L�y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). \\oo4i 'rq. ❑ I, as owner of the property, or my employees with wages as their sole compensatio will d0,1 • all of o&) portions o e work, an he s�}rdture is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not appi an o f pro�i�y who, thro h employees' or rsdAFisffort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or im vemen i old yin one year co pletion, the Owns uildLFr will have the burden of proving that it was not built or improved for the purpose of sale).pp� ❑ I, as owner of the property, am exclusively contracting with licensed Co actors tstru �W project ( ction 7044, Business and Profess) s @4jjiB, The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who c racts f tha pro with a lice ad Contractor pursuant to the Contrac ' SAsLicense Law). 0 1 am exemp4tanJicensure under the Contractors' State License w for the followi 14eason: •'1"°=` By my signature below ?acknowledge that, except for my personal sidence in which I st hav ded for at least o 'e year prior to com ion of the i roWfvents covered by this permit, I cannot legalll Se11 a Sid cture 9t �hg� a built as an owner -builder if it has not n constru tact in its entirety by�icensed contractors. I understand that f the applic leWSection 7044 of the Business and Prpfessions Coda,os alilable upon request when this applic, n is sub ad or at the follow fit Web site: http://v .le mfo.ca.gov/ Signature of Prope;ty Owner or Authorized Agent ' ' to LIC9ASED COIyT,13ACTOR'S DECLARATION JJ 4 h`ereb';4 affirm EgdeJpEnalty of perjurythat I am lice d under p vision ter commencing with Section 70 y) of D' n f the Busin/aPrYepon od and my license is in full force 'and QRect. Lichnse lass Li nse Date Contract WBRPGERS' jQ VLP, -NSATION DECLA ION y WARMIIG: FAILURE TQQ SECURE WORKERS'COMP ATION__C44VE GE IS UL, All SHALL SU T A P ER TO CRIMINAL s ApN,Iv.iVIL FINES UP 0 ON ❑ THOUSAND DOLLARS ($ ,6 61, IN ADDITION TO THE CssYGOCOMPENSAiION,DAMAGES ASPROVID OR IN $) T N3706 E DE, INTE A • IEY'SFEES. �X• 4. 1 hby` affirm lInd%r penalty of perju ne of th�i owin��e?t® ere [3. R re and gill maintain a ce Icate o sent o sal - re r work c an " on, issued by e Irect Industrial elatiQ,N"S�as ovided for by Section 3700 of the Labor Code, for th pt;?fClfiance oi4he+No:k for wh' this per Is i CV,�• I have and will maintain orkers' co ens in e, s req b 3700 of th abor de, f�the perto ancP® he rk for which this permit is issued. My workers' compensatio) insurance carrier and of nu ber Carrier icy Nu a piration Date Name of Agent Y U,V I_A Phone # ❑I certify thatJn perf ance t rk for which t ' arm ad, I shall not y any person in any an er a o become subject to the workers' compensation laws of California, and agre that If I should°tieco subject a or ' compe o ovl ns of Sectio 3 the Labor Code, I s II forth ply with those provisions. Signature of Appli-', t DECLARATION REZiRDI DING ENCY 1� 7 hereby affirm under pe�1@ky erjury hat t e is nstruction lending cy ttt�$erformanc of thew f which this permit is issued (Section 3097, Civil Code). Lender's Name ` ' "r . >L(Wder's Addr S By my signature below, I cerfty-to ch of follow I am the property owner d� Btftpor I to a .i" e property n s eh f. I have read this application a e I rmation I have pr vi I corns I agree to comply with all appllcatll,ycit nd county o ce and\}'e laws rel g to b in onstruction.%��/ZI authorize representatives of this cihior c ty to bove-I ntified pr arty for sp ion purposes. Signature of Property Owner or Authorize>ent nt Property Owners orlAuthodzed Agent's Name Date ACTION DATE B DECLARATION OF COM ANCE H DE OF FEDERAL FOR OFFICE USE ONLY '}`>�. ULATIONS PABT OF TIT 40 DAQMD RULE-] p PERMITEXPIRED"'LEIS 1�tD ASBES S IFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED MD PERMITFINAL ASBESTOS NO W ICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DE`MOLITI�O ///`� OCCUPANCYISSUED SIGNATURE: 7(�! mil' /