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Home My WebLink AboutX2021-2390 - PermitsCity of Newport Beach - Building Division m 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v fi Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM *X2021-2390* IN q�LC T COMB Permit: X2021-239 Project No : 2072-2021 Issued Date : 09/0912021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST dE GUMPLE I kU BY U9/UY1ZUZ4 OR i'EKMII WILL tit INVALIL) 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: 2247 DONNIE RD NB Description: DEMO SFR 3097 SF (4 BEDROOMS) ' - Legal Desc.: N TR 2819 LOT 8 Owner: CAPOLINO TONY Contractor: STREAMLINE CONSTRUCTION INC Architect: Address: 2247 DONNIE RD Address: 31878 DEL OBISPO ST #118.510 Address: NEWPORT BEACH, CA 92660 SAN JUAN CAPISTRANO CA 92675 Phone: Phone: 800.965-9728 Phone: State Lic: Applicant: ADAMS JASON Con State Lic: 991086 Engineer: Address: 23632 VIA FABRICANTE #F Lic Expire: 03/31/2022 Address: MISSION VIEJO, CA 92691 Bus Lic: BT30071284 Phone: 949-228-2242 Lic Exp Date: 03/30/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: EVEREST NTL INS CO Address: Occupancy Group: R3 Policy No: 7600017436211 Added /New sq.ft. Bldg: 0 Expire: 03/23/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: CERT MAIL RECEIPTS No of Units : 1 Front: / ATTACHED Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25,000.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $223.00 Additional Fee : $0.00 Plan check Fee : $104.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: Hazardous Mat $0.00 Electrical W $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $10.98 TOTAL FEE : $2,446.98 PROCESSED BY: ZONING APPROVAL: $0.00 $0.00 $27.00 $265.00 $1,692.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,446.98 PUBLIC WORKS 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 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 Busirrss 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). I, as owner D, uie oroperty, 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 owns, _f 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 exemp.'rom Iicensure under the Contractors' State License Law for the following reason: By my signaturE tcicw 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.leginfo.ca.gov/calaw.html. Cignature of Property Owner or Authorized Agent Date 'LICENSED CONTRACTOR'S DECLARATION I 1,9�Pby affirm, under renalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section O) f Civiss��'o 3 of the Business and Prof a ops�Code, and Ipty icen� is in full force land effect. License Class License No Date '`�rL Contractor Signature 7� y --LL �� IWO-KERS' COMPENSATION DECLARATION ✓ \ V -WARNINI:: FAILUPE TO SEDURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000I, IN ADDITION TO THE ICOST OF COMPENEA710N; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 7 hereb; affirm u.ider panalty of perjury one of the following declarations: I have and will 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 tht performance of the work forwhich this permit is issued. Policy No. 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' 'ante carrier and policy number are: Policy Number Expiration Date of Agent Phone # 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¢ iat, if I should become sybjethe workers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,A 'ignature of Applicant\X/ /�_ Datu IECLARATION REGARDl14 ,OONSTRUCTION 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 ode) Ender's Name Lender's Address Iy 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 1 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 cityorcounV an he above -ide i ed erty for inspection purposes. _6 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQM D PERMITFINAL 2 1 ASBESTOS NOTIFICATION IS NOTAPPPLICABLE TO ` CERTIFICATE OF PROPOSED a'1nnE OU OCCUPANCY ISSUED SIGNATUR r✓`