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Home My WebLink AboutX2022-0484 - Permits�y�,w•I'ry City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H V ! Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `sz;raiti�'• Combination Type - BLDG ELEC `X2022-0484" COMB Permit: X2022-0484 Project No: 0434-2022 Issued Date : 03/08/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310812025 OR 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 S Job Address: 502 VIA LIDO NORD NB Description: BACK UP BATTERY SYSTEM Legal Desc.: TR 907 LOT 493 ALL -EX NWLY 40 FT - Owner: SNELL MARK Address: 502 VIA LIDO NORD NEWPORT BEACH, CA 92663 Phone: Applicant: MEYERS SEAN Address: 933 NEWHALL ST COSTA MESA CA 92627 Phone: 949/326-3162 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $178.00 Plan Check Fee: $154.86 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $78.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $476.32 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: BRIGHT LIFE REMODELING Architect: Address: 933 NEWHALL ST Address: COSTA MESA CA 92627 Phone: 908-489-3911 Phone: Con State Lic: 1029267 Engineer: Lic Expire: 07/31/2023 Address: Bus Lic: BT30060552 Lic Exp Date: 09/30/2022 Phone: Worker's Compensation Insurance Designer: Carrier: STATE FUND Address: Policy No: 9053332 Expire: 0411912022 Phone: 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: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.46 $0.00 $0.00 State Lic MORALES DOUGLAS 20751 KELVIN LN HUNTINGTON BEACH CA 92656 949-285-5104 State Lic:C-069163 Special Conditions: Fire Hazard Zone : N 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 : $0.00 Fee Due at Permit Issuance : $476.32 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: / 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 1e 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 n roved 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 pply 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 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legall, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)AD-12Sion 3 of the Business and Profession de,Fand my license is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNINr:: FAILUPE TO SE^URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPEr:EATIJ::, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. horeb,, affirm under penalty of perjury one of the following declarations: I have and well 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 e,toro;ence of Cid Aark for which this permit is issued. Policy No. and Yill 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 carrier and policy number are: to cf Agent uenify that, in the pi if I should beccmu Of Policy Number Date of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen ation laws of California, and agre the workers' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t< r,� �-e.�L-�_ Date /K/Z L CLARATION REGAADTlgf; CONSTRUCTION L NDING AGENCY �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 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 9rdinances and state laws relating to building construction. I authorize representatives of this city or county to teAlthe above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent - ePrint Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY � REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED E3AQM D PERMITFINAL 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF �f PROPOSED DEMOLITION OCCUPANCYISSUED //� SIGNATURE: