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Home My WebLink AboutX2021-0252 - Permits.,•�,� City of Newport Beach - Building Division *X2021-0252* COMB Permit: X2021-0252 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0275-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone(949)644-3255 Combination Type - SFP MECH ELEC PLUM GRAD INSPEC� Issued Date : 2021 r++u Area : Inspection Area 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/02/2024 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: 2226 PORT CARLISLE PL NB Description: SFR ADD 539 SF & REMODEL 2,216 SF Legal Desc.: N TR 7845 LOT 60 Owner: JENSEN JACK Contractor: OWNERIBLDR Address: 2226 PORT CARLISLE PL Address: JACK JENSEN NEWPORT BEACH, CA 92660 Phone: Phone: 949-678-6313 Applicant: SANTA MARIA ANDREW Con State Lic: O/B Address: 2333 PORT CARLISLE PL Lic Expire: NEWPORT BEACH CA 92660 Bus Lic: Phone: 949-533-8138 Lic Exp Date: Code Edit : 2019 Worker's Compensation Insurance Type of Construction: V-B-SPR Carrier: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 539 Expire: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 10 No of Units: 1 Front: 22 Bldg Height: 0 Left: 5 Bldg Sprinklers: Y Right: 5 Flood Zone: X Use Zone: Parking Spaces: Construction Valuation: $350,000.00 Building Permit Fee: $4,200.00 Excise Tax: $0.00 Plan Check Fee: $3,291.85 Additional Fee : $284.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 Record Management: $68.00 Grading Permit Fee: $232.00 Energy Compliance: $245.00 Grading PC Fee: $195.00 CA Seismic Safety: $45.50 WQ Insp. Fee: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $294.00 Building Green Fee : $14.00 Mechanical %: $168.00 Plumbing %: $378.00 TOTAL FEE : $12,610.11 Plan Check Fee: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL Architect: Address: Phone: State Lic: Engineer: JOHNSON JOHN „ Address: 27919 JEFFERSON AVE ST#201 , TEMECULA CA 92590 Phone: 951-252-1034 State Lic:C-083934 Designer: SANTA MARIA ANDREW > > Address: 2333 PORT CARLISLE PL ' NEWPORT BEACH CA 92660 Phone: 949-533.8138 Special Conditions: ; 0 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee : $185.00 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Public Works Department - General Service $219.00 Park Dedication : $0.00 Refund Deposit $564.00 PAN Plan Check : $215.00 Grading Bond: $0.00 San Dist: $994.00 NMUSD Fee: $991.76 $0.00 $0.00 $4,005.85 Fee Due at Permit Issuance : $8,604.26 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 items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the apprr::ant 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 Secti'n 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of pqt more than five hundred dollars ($500). as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or portions of [ 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 propert w through a ployees' 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 comp) tion, 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). I 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 ydar prior to completion of the improvements covered by this permit, I cannot legal) sell a structure that I have built as an owner -builder if' has not bee onstructed in its entirety by licensed contractors. I un rstand that a copy of the applicable law, Section 7044 of the Bu iness and Professions Code, is available upon request whe ppli su it e t the following Web site:http://.leginf(i.ca.gov/calaw.htmi. 2 -,// Signature of Prnperty Owner or Authorized A n Date b G— IJCENSED CONI RACTOR'S DECLA i,erdby affirm ,Illoer penalty of perjury that I am is Be under ovisi ns of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business and Professions Code, and y license is in full force and effect. License Class Lice se o Date Contractor Signature VORKERS' COMPENSATION DECLAl IARNING: FAILURE 'i O nEGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT ESAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :O$T dF 1.OMPENSFT.'CN DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm urder penalty of perjury one of the following declarations: I he, 'a and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of ndustrial Relations as provided for by Section 3700 of the Labor Code, for th, erformance of the work for which this permit is issued. Policy No. Ihave and will maimain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pal ormance of the work for which this permit is issued. My workers' compensatior Isurance carrier and pulicy number are: :arrier _ - - - - Policy Number Expiration Date lame of Agent Phone # I certify that, in the perfor nce of a work for which this permit is issued, I shall not employ any person in any manner 6 It, if I should becorr P^rtu o workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith nature of Applican CLARATION R GAKIl CONS111RUCTION LENDING AGENCY :reby affirm under pe aIty of pe u that there is a construction lending agency for the performance of the work for which Ider's Name Lender's Address my signature below, rtify toe ch 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 an rdin as and state laws relating to building construction. I authorize representatives of this city or cunt p�b��teJ�deyrntified property for inspection purposes. nature of Property Owner or Authorized Ap A/.f / \ �M.�� _ Print Property Owners or Autl ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE PART 61 OFTITLE 40 AND) RULE SUBMITTED ASBESTOS NOTIFICATION TO EPA IS NOTAPPLICABLE TO as to become subject to the workers' compensation laws of California, and agre imply with those provisions. Date is permit is issued (Section 3097, Civil de). ONLY Date