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Home My WebLink AboutX2021-3266 - Permits„x•n„�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3266 G 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 2 6 6 ;x p Project No : 2827-2021 H ` - n nl Permit Counter Phone (949)644-3288 ' ?c Inspection Requests Phone (949)644-3255 r, Issued Date : 12102/2021 �r,,,,,u+�`' Combination Type - BLDG Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/02/2024 OR VALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:0 on Sundays or Holid ys Job Address: 2063 COMMODORE RD NB Description: SFRYARDDRAINAGE Legal Desc.: N TR 3082 LOT 28 1i �/ ,f------agp�tCab`e- Address: GOO LINMODORE RD g� Addresstar: S1E5R AIFUE RK( `Y STREET- ER Ad Mites J $()% Of 10aD/D refund NEWPORT BEACH, CA 92660 9.+r SANTA ANA127 �Phone: Phone: 500 ti hone:fe �b0m.Applicant: WENDYISIERRA FUERTE - on - e Lic: er: Address: 931 W BERKLEY ST is E e. Address:> SANTA ANA CA 92707 us Li T30 :r Phone: 562-5W-9226 c Exp Date 12/31/2022 n State Lic: Code Edit : 2019 Worker's Co o n �^ ' ti+s Type of Construction: ierl Occupancy Group: cy Added /New sq.ft. Bldg: 0 ire: Phone: ` Added /New sq. ft. Garage: 0 ,�- No of Stories: 0 41,ngetbacks m No of Units : 0 Front: /Bldg Height 0 �4eci { VJ�riC. Stel?�:�? P C Bldg Sprinklers: i ht / &9,�' }r ac s: Flood Zone: X se ne: 0 Fire Ha and Zone : N' Construction Valuation: $0.00 �Wt�rk $tare 0 [}y. Building Permit Fee: $0.00 Ex ise Tax: $0.00 Planning Departme Fire SF Plan Check Fee: $0.00 Ad itional Fee: $0.00 < ee : $0.00 InSplir Dechon: Overtime Plan Ck: $0.00 Gr in oWee: Fair Share : _-�b0:t1Q' Fir - $0.00 Investigation Fee: $0.00 Gra n®�Irts n $0.00 SJH emolition Fee Record Management: $2.00 Gra g Permit Fee: $237.00 n-lieu H J $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grad g PC Few -9 00 arks Department - General Service $0.00 CA Seismic Safety: $0.00 WQ s ee : Park Dedication: $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $540.75 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $540.75 PROCESSED BY: _ - OUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: 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 reasons) 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 :he 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 iot 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 mprovements 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 mproved 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 licensure under the Contractors' State License Law for the fallowing reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one completion of the improvements covered by this permit, I cannot legal sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed con nderstand 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 followin p://www.eginfo.ca.gq;�alf} z Signature of Property Owner or Authorized Agent 11 r :'•U D,'ate LICENSED CONTRACTOR'S DECLARATION AQO 1 0 5 I hereby affirm under penalty of perjury that I am licens q�r�ions of Ch 9 commencln fiction 000) df}Lii�-B�amass and Pr ssions C `de, and r I el nG se is in full force and effect. License Class Licer�e No �� . �. Vim Dat_ Contractor Sig net VORKERS' COMPENSATION WE rARNING: FAILURE TO SECURE WORKERS 'OST OF COMPENSATION, DAMAGES AS PR ' hereby affirm under penalty of perju TION )MPF 4 VFRA6HSDNLAWFUL, AND SHAL4,SUBJE_ET AN EMPLOYER TO CRIMINAL PENAL IDED CTION 0TO60F THE LADOR&QDE INTEREST, AND ATTORNEYS FEES. one of the following declarations ONE HUNDRED THOyS-AND DOLLARS ($100,000), IN ADDITION TO THE C J I have and will maintain a centificlite oiiiil to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section erformance of the work for which this \ermi s Issued Policy No. 71 have and will maintain workers' cpen bon insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is is Isurance carrier and policy number ar la le of Agent 1 certify that, in the performance of the 0 hat, if I should become subject to the wor Signature of Applicant IECLARATION REGA I CONST U hereby affirm under perialty of per' at t _ender's Name 3y my signature below, I ce to each of th I am the property owl r or authorized to I have read this application and the infor I agree to comply with all applicable city I authorize representatives of this city or signature of Property Owner or Authorized A ACTION DATE PERMITEXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED Number-:- Expiration Date c rk for wl.'I thStS permit Is Issued° I shall not employ any person in s com(,e_0 ,F provisions of Section 3700 of the Labor Code, I N LENDING GENCY ere is a constru le irjg .y f t r ace of the 1 1 ender's Address _ olloing: ,...}ia�tedi a ton ert oyrrIrUhaPf4 TI ion I have pro dlil correct. an county ordinances and state laws relatin g constru co tyQoAnter'[hF{ above= erty for inspection purpo OF AQMD RULE ASBESTOS NOTIFICATION TO LASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION - i(S1� � 'NU. for which ffiiSpermit is issued (Section 3097 FOR OFFICE USE ONLY ensp- of the Labor Code, for My workers' compensa swrof California, and al