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Home My WebLink AboutX2021-1311 - Permits"i'� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1311 '` 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 1 1 Project No: 1146-2021 $0.00 ' - Permit Counter Phone (949)644-3288 $0.00 Disabled Access : p.. � � Inspection Requests Phone (949)644-3255 $0.00 Building Green Fee : e;ax,t,��,€� Combination Type - MFP PLUM NMUSD Fee: Issued Date : 06/08/2021 Refund Deposit $0.00 Inspection Area : 6 $0.00 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0610812024 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: 6 DAUPHINE NB $0.00 Description: MFR INTERIOR KITCHEN & BATH ALT 240 SF (PLMB ONLY) **STOP WORK 121-1210** Legal Desc.: TRACT 14588 LOT 11 OF PROJECT 936-46 LOCATED ON AP 461-201-61 Owner: JOHNSON RYAN Contractor: TRUADDITIONS CORP Architect: WITTEVEEN RONALD GARY Address: 6 DAUPHINE Address: 630 S GLASSELL ST SUITE #201 Address: 20032 SANTIAGO CANYON RD NEWPORT COAST, CA 92657 ORANGE, CA 92866 ORANGE CA 92869 Phone: Phone: 714-289-4652 Phone: 714-642-3248 State Lic:C030197 Applicant: LOPEZ LORENA Con State Lic: 1059227 Engineer: Address: 630 GLASSELL ST STE 201 Lic Expire: 1013112021 Address: ORANGE, CA 92866 Bus Lic: BT30075508 Phone: 714-289-4652 Lic Exp Date: 06/3012022 Phone: State Lic: Code Edit: 2019 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 - No of Units : 6 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $246.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $783.41 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: 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: I Front: I Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $22.14 Designer: Address: Phone: Special Conditions: *NO ELEC/MECH WORK* Planning Department - Fire Department Plan check Fee $46.25 Fair Share: $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $186.32 Fee Due at Permit Issuance : $597.09 009 Ip.. m PUBLIC WdRKS APPROVAL:. ° �« PLAN CHECK BY: APPROVAL fist I99*Eo°„ C �OfI OGp L & OOn OGo Gp0 Fire Department $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $186.32 Fee Due at Permit Issuance : $597.09 009 Ip.. m PUBLIC WdRKS APPROVAL:. ° �« PLAN CHECK BY: APPROVAL fist I99*Eo°„ C �OfI OGp L & OOn OGo Gp0 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 licensure 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 legal) 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe that I am licensed under provisions of ha t r 9 (com ncing with Section 7000) of Division 3 of the Business and Professions dde, and my lice;) se is in full force and effect. License Class Ih .. License No I M52021� `C��nc;`� ;0�Contractor Signature > WORKERS' COMPENSATION ECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USANO DOLLARS ($700,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 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 IN performance of the work for which this permit is issued. Policy No. ❑1 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' compensatio insurance carrier and policy number are: vier Policy Number Expiration Date Na a of Agent Phone # . ❑1 ertify that, in the performance the work for which this per it 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 th , if I should become subject to;a workers' compensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat(; ! `;7 i) U DECLARATION REG. D N STRUCTION LENQINIG AGENCY 1 hereby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter theAbove-identified propert for inspection purposes. Signature of Propedy Owner or Authorized Agent 'nt Property Owner's or Authorized A ent's Name _ ce ) Date CAL ACTION DATE BY RATION OF COMPLIAN ITH ODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • .•. ••• PERMIT EXPIRED • ' 1 SL13914EIIASBESTO5 WiFIFICATION TO PERMITCANCELLED Pp • • • • •• PERMIT EXTENDED LJA4MD PERMITFINAL ff� /, ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ��,�'%i (.J•��y PR POSED DE•MD VN' "• OCCUPANCY ISSUED � SrGMATUR