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Home My WebLink AboutX2021-3193 - PermitsCity of Newport Beach - Building Division *X2021-3193* COMB Permit: X2021-3193 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2768-2021 v Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 03/23/2022 Combination Type - BLDG Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312312025 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 Hopi ays Job Address: 5 VIA CRISTALLO NB Description: SFR - R/R DET COVERED DINING PAVILION 204 SF Legal Desc.: Owner: KING MARY ANN Contractor: NAJCO BUILDING & DEVELOPMENT Architect: STEVENS BENJAMIN Address: 5 VIA CRISTALLO Address: BERKSHIRE #15 Address: 25251 VIA PIEDRA BLANCA 41 NEWPORT COAST CA 92657 ALISO VIEJO CA 9265 LAGUNA NIGUEL CA 92677fs Phone: Phone: 949-463-5264 Phone: 949-680-8616 State Lic:C032310 Applicant: STEVENS BENJAMIN Con State Lie: 678335 Engineer: GIBBS ERIK Address: 25251 VIA PIEDRA BLANCA Lie Expire: 1013112023 Address: 25991 AVENIDA MARIPOSA LAGUNA NIGUEL CA 92677 Bus Lie: BT30078313 SAN JUAN CAPISTRANO CA 92675 Phone: 949.680-8616 Lie Exp Date: 03/31/2023 Phone: State Lic:C-081137 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 204 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Valuation: $50,000.00 Building Permit Fee: $389.00 Plan Check Fee: $267.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $126.00 Energy Compliance: $0.00 CA Seismic Safety: $0.50 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $836.50 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: BENCHMRAK INS CO Policy No: CST5014387 Expire: 11109/2022 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: 0 Front: 10 Left: 0 Right: 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: Fire Hazard Zone Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM 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: $0130' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $319.00 Fee Due at Permit Issuance : $517.50 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 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 L) 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). ❑ 1, 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.legfnfo.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 f ivisi n 3 of the Business and Profes " s od , and myserrse'TBlrrfuf( force and effect. License Class License No Date -Z--Contractor Signature WORKERS�'.CCP1DENSATION DECLARATION WARNING: F iIIR."'C tECURE 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 CC:T T' MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Innhere affirm ul.der penalty of perjury one of the following declarations: Q have and v,ill 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 the 0 ' 7ormance of the work for which this permit is issued. Policy No. have and A.11 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' compensatiol prance ca-rier and policy number are: Policy Number of Agent Date I .:ertify tI^at, in'Lr�e 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 .rt, if I shoved become sub j workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature o. Ap; lic3nt f� Date 3 Zr3 2 L iECLARATION REGA IN CONSTRUCTION LENDING AGENCY hereby affirm under pdna< 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 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 ances and state>Vsrelating to building construction. % authorize representatives of this city or county ,pnte the above-i fied property for inspection purposes. /'Y. �I r — .,t ^ / �4 A /� 7 of PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED Print ProDertv Owner DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO •a�,J LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO G Q/�— PROPOSED DEMOLITION