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Home My WebLink AboutX2021-2102 - PermitsCity of Newport Beach - Building Division *X2021-2102* COMB Permit: X2021-2102 t�wp'r 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1821-2021 '. Permit Counter Phone (949)644-3288 su r'a<eva�as ` Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC GRAD MECH PLUM @ �' f 6 � L Issued Date : 1111012021 yP E % t Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111012024 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: 430 TUSTIN AVE NB , Description: NEW SFR & GARAGE 4271/759 SF Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 26 LOT 8 Owner: 430 TUSTIN LLC Contractor: SEPULVEDA BUILDERS INC Architect: Address: 790 NEWTON WY Address: 790 NEWTON WY Address: COSTA MESA CA 92627 COSTA MESA CA 92627 Phone: Phone: 714-222-1150 Phone: State Lic: Applicant: SEPULVEDA JAMI Con State Lic: 695401 Engineer: ROHRER PAUL DUANE Address: 790 NEWTON WY Lic Expire: 10/31/2022 Address: 1527 E. AUTUMRIDGE CT COSTA MESA CA 92627 Bus Lic: BT30058100 ORANGE CA 92866 Phone: 714-268-0732 Lic Exp Date: 0212812022 Phone: 714-272-9579 State Lic:S-004340 Code Edit : 2019 Worker's Compensation Insurance Designer: OSLIN BRIAN ' Type of Construction: V-B-SPR Carrier: NO EMPLOYEES Address: 8621 BELLMEAD DR Occupancy Group: R3/U Policy No: HUNTINGTON BEACH CA 92646 Added /New sq.ft. Bldg: 4271 Expire: Phone: 714-962-1148 , Added /New sq. ft. Garage: 759 No of Stories: 2 Building Setbacks Rear: 5' Special Conditions: No of Units : 1 Front: 20' ; Bldg Height: 0 Left: 4' Bldg Sprinklers: Right: 4' Flood Zone: Use Zone: R-1 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $850,000.00 Building Permit Fee: $6,431.00 Excise Tax: $1,056.30 Planning Department - Fire Department Plan Check Fee: $4,416.00 Additional Fee : $0.00 Plan check Fee : $520.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $78.00 Grading Permit Fee: $973.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $846.51 Public Works Department - General Service $0.00 CA Seismic Safety: $110.50 WQ Insp. Fee : $152.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $304.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $450.17 San Dist: $2,031.00 Building Green Fee : $34.00 Mechanical %: $257.24 NMUSD Fee: $5,468.48 $0.00 Plumbing W $578.79 $0.00 TOTAL FEE : $24,010.49 Plan Check Fee : $5,239.00 Fee Due at Permit Issuance : $18,771.49 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: "� v GRADING APPROVAL: 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 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 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 not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 t0 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). I am exempt from licensure 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 Iegall1 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 CCINTROCTOR'S DECLARATION I herebv affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section D} o ion 3 of the Business and 'ons Code, and my license is in full force 3-1d 3'fcct. License Crass License No Date It Contractor Signature WORKERS' COMPENSATION DECLARATION 'NAI.NING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA D DOLLARS ($10o 0001, IN ADDITION TO THE COST OF COMPENSITION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and wil, ,naintain 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 penormnnce of the wcrk for which this permit is issued. Policy No. I 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' compensatioi isurance carrier and policy number are: Policy Number of Agent ----- Date (\I 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 la' , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �// 'signature of Applicant � Date(/I G� IECLARATION REGA DI O CTION LENDING AGENCY ✓ \ hereby 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). Ender's Name Lender's Address ly 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 laws relating to building construction. I authorize representatives of this city or coun'77-, �j he abojv �-identified property for inspection purposes. ' lignature of Property Owner or Authorized Aqent X / V \ i Print Property Owner's or Authorized Agent's Name'1 Dat� ACTION DATE BY V ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY v I Y REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED w r' AQMD PERMIT FINAL $`"LS ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PRO SE 1^D/E4 OCCUPANCY ISSUED SIGNATURE./