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Home My WebLink AboutX2022-0503 - Permits4Hh�4T City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC PLUM MECH COMB Permit: X2022-0503 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No : 0450-2022 Issued Date : 02/18/2022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211812025 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: 305 WALNUT ST NB Description: SFR INTERIOR ALTERATION OF KITCHEN. SPLIT (E) BATHROOM INTO TWO. R/R GLASS DOOR W/ WINDOW 250 SF Legal Desc.: TR 772 LOT 1 BILK 15 NELY 16 FT THEREOF AND ALL (EXNELY 15 FT) LOT Owner: CARLSON CHUCK Contractor: MIGUELANGELO DESIGNS Architect: Address: _ 305 WALNUT ST _ Address: 11724 MONTEVISTA DR Address: _ NEWPORT BEACH, CA 92663 WHITTER CA 90601 Phone: Phone: 562-658-7341 Phone: State Lic: Applicant: RODRIGUEZ MIGUELANGEL Con State Lic: 960403 Engineer: Address: 11724 MONTEVISTA DR Lic Expire: 0413012023 Address: WHITTIER CA 90601 Bus Lic: BT30076039 Phone: Lic Exp Date: 07/31/2022 Phone: State Lic: Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $1,009.00 Plan Check Fee: $877.83 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE : $2,149.63 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9283791 Expire: 09/21/2022 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: I Left: / Right: I 'arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $70.63 $40.36 $90.81 Plan Check Fee Designer: VEGA OSCAR Address: 534 W LINCOLN AV ANAHEIM CA 92805 Phone: Special Conditions: Fire Hazard Zone : N . w Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 $0.00 Fee Due at Permit Issuance : $2,149.63 PUBLIC WORKS APPrOVAL PLAN CHECK BY: L6 GRADING APPROVAL: APPROVAL TO 15§UE: 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 itel, (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 Professions Code) or that he or she is exempt from Iicensure 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 not 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, 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). ❑ 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). ❑ 1 am exempt from Iicensure 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 sell 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o 3 of the Business and Prof ssions/10LLARS Icen Is �,V orce and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATIONNARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THO SA($100,000), IN DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rmance of the work for which this permit is issued. Policy Nc. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatiol Qs Vance carrier and policy number are: p Sorrier YrFAV' COMAr>t�/S�1Q/✓ Policy Number �fL$ C/ Expiration Date 7Ili /Z 2 Vame of Agent Phone # ❑1 certify 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 :hat, if I should become subject totheorkeerrs' pens tion pro Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant �( i�'�//mil' LTV Catz//,f/ )ECLARATION REGA ING ¢ RUCTI ING AGENCY tom, hereby affirm under penalty o perjury that there is a construction le agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y 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 ordinance nd sta laws el in 0 building construction. I authorize representatives of this city or county t nter oy4 tifie for inspection purposes. 3i nature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE BY DE ION OF C PLIANCE fjYH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED L,I I SUP MITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED - E?A ' PERMIT EXTENDED _ ❑AQIv,D PERMIT FINAL (� ASBESTOS X TIT '0 NOT I CERTIFICATE OF O PROPOSED DE OLITf ��`/// OCCUPANCY15SUED SIGNATURE: Name