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Home My WebLink AboutX2021-2441 - Permits�gWPO,Q� City of Newport Beach II IIII I II I II III II IIIII IIIII IIII I II COMB Permit : X2021-2441 D� e Community Development Department- Building Division X 2 0 2 1 - 2 4 4 1 F �" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 09/13/2021 u S newportbeachca.gov/civic Final Date: "",oaP`r Combination Type - SFP Permit Status: Reissued Work Class - Alteration Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 220 NARCISSUS AVE Legal Desc : P BK 354 PG 3 PAR 1 Description: SFR INTERIOR ALTERATION OF BASEMENT BATHROOM (CITY STANDARD) AND LAUNDRY ROOM 100 SF Owner: DAHLIA DEL MAR LLC Contractor: CROWN RECONSTRUCTION SVCS Architect Address : 220 NARCISSUS AVE Address : 45 VANTIS DR Address: NEWPORT BEACH, CA 92625 ALISO VIEJO, CA 92656 Phone : Phone: (949) 273-6782 Phone Con State Lic : 1051230 State Lic: Lic Expire : 03/31/2025 Applicant : CROWN RECONSTRUCTION SVCS Bus Lic: BT30066708 Engineer Address : 45 VANTIS DR Bus Lic Expire : 04/30/2024 Address: ALISO VIEJO, CA 92656 Phone: (949) 273-6782 Workers' Compensation Insurance Phone: - Carrier: STATE FUND Owner/Builder : Policy No: 9224420 Designer: Address : W. C. Expire : 1/17/2024 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason€s) indicated below by the checkmark(s) I have placed next to Ute 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, 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 703L5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1,, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 improvesthereon; 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 ter 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 improvementscovered by this permit, I cannot legail) 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:/I ww.leginfo.ca,gov(calaw.html. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of D''visi 3'of the Business and Profession Code, and my ti erase is In full force and effect. License Class License No '- Oafa "(— L Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNURE USANO DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYe FEES. IIhhereby affirm under penalty of perjury one of the following declarations: 11 1 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 th performance of the work for which 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' rance carrier and policy number are: to of Agent certify that, in the performance of the work if I should become subject to the work miure of Applicant _,,,,;_ ,,,_„ _�,_ Policy Number Date 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 alien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date � hereby affirm under p of perjury that there. onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). adder's Name _ Lender's Address :y my signature berow, I certify to each of lowing: I am the property owner or authorize o 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 county to-91�erthe above -identified property for inspection purposes. „f P.nnortv nwntar nr A,dnnriYAd Ahaiv ?1� �ti s/n� Print Prnaartv Owner'sor Authorized Aaent's Nama ACTION I DATE I BY PERAR T EXPIRED PERM T CANC@CLE9 PEFM77FkTEND=D PE RNIIP FINAL CERTIfICAYE OF OCCUPANCY ISSUED y 1403 iNIPLIANCE WITH CODE OF FEDERAL ( FOR OFFICE USE ONLY 61 OF TITLE 40 AND ACtNID RULE, ASBESTOS NOTIFICATION TO U ASBES105 NOl IFICAt[ON 15 NO]' APPLICABLE PROPOSED DEMOtITIqlN I---� l" tag City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFPELECMECHPLUM ��traix 111111111111111111111111111111111 111111111 COMB Permit: X2021-2441 X 2 0 2 1 2 4 4 1 Project No : Issued Date: 09/13/2021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUS-T-BE COMPL�ED BY 0911312024 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 6:0 p.m. No work on Sundays or Holidays Job Address: 220 NARCISSUS AVE NS Description: SFR INTERIOR ALTERATION OF BASEMENT BATHROOM (CITY STANDARD) AND LAUNDRY ROOM 100 SF ; - Legal Desc.: Owner: DAHLIA DEL MAR LLC Contractor: SIEMONSMA CONST Architect: _-.....� Address: 220 NARCISSUS AV - Address: 1048 IRVINE AVE #430 CDM CA 92625 Phone: " -done 949 722-0628 Phone: i State Lie: If r'l pjICap02: Applicant: Address: SIEMONSMA DAVID 1048 IRVINE AV STE 430 ._. - - e ------ 07/31/2022 Enginedr.. Ar}d Sto o/f Or ❑ 100% rr(el�funle�cNEWPORT Phone: 9 9-4222 06 BEACH CA 92660 Lie LieSEzp Date' �' 03Y3112022 6 `,n""t.- ,�`: � , Phone: TI�t9teli ... r.nn�STR11C Code Edit . 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X $12 000.00 Building Permit Fee: $280.00 Plan Check Fee: $243.60 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $632.60 PROCESSED BY: ZONING APPROVAL: iii�uien�e. "�''tiT� ]a., QRj{)'tJ'SEldff]NSAAPrHA'VItT - Carrier w, V EXEMPT ddress: 1048 IRVINE AV STE 430 * Policy No NO EMPLOYEES NEWPORT BEACH CA9: { Expire Phone: p p � ' S d 91 ME Zone: A -,y 1 it f '� ' In I Right: I r �ng Bonds Fe : i�_0/�9qqQ Grading PCI KnEitartS0:0® Grading Permit Fee: $0.00 PC Fee: $0.00 �G�r�qading N dt,0:l nsp. Fee C�1y� Electrical %: Plan Check Fee : 0 Fire Hazard Zone : N .......... m� arr ,er0'kni� $ �-- g3 ° �'�,'FF! oapartment ]an cheee Fair Share: s 10 Wolin �Ot`t��" r'on: ire Plan Rev SJH Trans : \ $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Public Works Department. mw� PNV Plan Check: $0.00_I?;^P. init-WJiAwn $0.00 Fee Due at Permit Issuance PJBLC'.VCRKS .APPROVAL: PLAN CHECK BY: GRADING APPROVAL: , AFPROVA-L TO ISSUE: M.i S I $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 $0.00 $632.60 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 g (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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). J I, as owner of the property, am exclusively contracting with licensed Cootractw�construcF•iMe=prej�"EfSti'70�4, Business and Professions Code: The I pply to an owner of property v#,kQ baAlds ocimproves thereorr," aridwFid contracts for the projects with a licensed Contractor pursuant tq the Contractors' State Lic( 1 am exempt from licensur under the Contracts�'^'^"^^ —' =' "-'le following reason: ,f RppllCabie: ly my signature below I ackno ledge, that, except fr _ .., „a,,.:,co., or at least one year prior to completion of the provggr ell a structure that I have built s an lowner-bull ' ' s no een constructed in its entirety by licensed contractors.-� ¢tar�yhrlr!$iifal 'rofessions Code, is available on request when this application is submitted or a,),�he fo!<,by{ng Weirs_ire;Etjtp://wwvid� f�.d�?gBLlc .h'tmml. r� lignature of Property Owner or utho,rized Agent °'� ` .ICENSED CONTRACTOR DECLARATION y, hereby affirm under penalty of erlurthat am Ora^�=^' y,.,,,PHier a (commencing with Sectig0) DI1 a usiness and P,rP�f�e� nd effect. License Class License No ' - Dat��Kt\ Contractor Signatu�"S 1/ORKERS' IC ENSATI N D -CARATfON IARNING: FAILURE TO SECURE WOR FIT COMPENSATION COVERAGE tS UNLAWF4 ,, AND SHALL SUBJECT AN EWPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OST OF COMPENSATION, DAMAGES PRO�dDED'ra:,°rIW�$ECTIOVi706UF THE LABOR CODF WTFPCCT PFFs hereby affirm under penalty of rjuryytJn1q o?r I have and will maintain a rlific4te nt to elf Boa. for,_Woakers' compensation- Issued by the Director of Industrial Relations as provided for by erformance of the work for whit this ad. F o icy No It have and will maintain work s' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of t e work r whit this pe Isurance carrier and policy P Y num r are: e of Agent .� m N. 2 b+ti n 8 -••vj �"/' r' pyhr}g I ify that, in the pertormanc of the or fo hi hXthis per jrl shall not employ any person in arryhmlrtl 'abecome bject to the workers' I sat, if should become / t to he ers' mpk r motion 3700 of the Labor Code, I shall forthwith comply with those provisions. li ure of Applican )ECLARATION REGA*51NG CLorein ON LENDING AGENCY hereby affirm under penalty ofer c Ion an ing agency for the performance of the work for which th-pArpit .ender's Name Lender's Address 3y my signature below, I certify following I am the property owner or auct on t R,vepD€ vided iI have read this application ation I have provided is correct. I agree to comply with all applicable city and Co ordinances and Ste laws relating to building construction. I authorize representatives of this city or co to r the ova-ide I "ed property for inspection purposes. signature of Property Owner or Authorized Ag t Print Property Owner's or Authorized Agl ACTION DATE BY LARATION OF COMPLIANCE WI CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBES", OS NOTIF-CATIONITO PERMIT EXTENDED PERMITFINAL n/J CERTIFICATE OF je OCCUPANCYISSUED TO .c l Date State License Law does not !d by this permit, I cannot 7044 of the Business and ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for is issued. My workers' laws of California, and