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Home My WebLink AboutX2021-0006 - Permits#,wrcx City of Newport Beach - Building Division ` 1Q0 QIvic3Center Drive, Newport Beach, CA 92660 N Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 rzrrur'c; Combination Type - MFP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIII�Illlllllull COMB Permit: X2021-0006 Project No : 0005-2021 Issued Date : 02/24/2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/25/2024 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: 232 HARTFORD DR NB Description: MFR BATHROOM REMODEL 50 SF "STOP WORK" Legal Desc.: TR 11604 LOT 6 UNIT 132 OF PROJECT LOCATED ON AP 442-291-40 TOGETHER ®s�- Owner: SHERTZER CAROL Contractor: OWNER/BLDR Architect: I 1 p��,v, CT Address: 232 HARTFORD DR Address: Address: NEWPORT BEACH, CA 92660 Phone: - Phone: Phone: State Lic: Applicant: MCNEELY JOHN Con State Lic: OIs Engineer: - Address: 242 HARTFORD DR Lic Expire: Address: NEWPORT BEACH, CA 92660 Bus Lic: Phone: 949-233-3435 Lic Exp Date: Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: MC NEELY JOHN oouo0� Type of Construction: VB Carrier: Address: 242 HARTFORD DR Occupancy Group: R21U Policy No: NEWPORT BEACH CA 92660 Added /New sq.ft. Bldg: 0 Expire: Phone: 949-233-3435 Added /New sq. R. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units: 1 Front: I Bldg Height: 0 - Left: I Bldg Sprinklers: N Right: 1 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4.000.00 u0oo0o ° 0 ° 0000 Building Permit Fee: $144.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $125.28 Additional Fee : $0.00 Plan check Fee: $46.25 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $144.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $10.08 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $5.76 NMUSD Fee: $0.00 $0.00 Plumbing %: $12.96 $0.00 TOTAL F E $$493.3 Plan Check Fee : $171.53 Fee Due at Permit Issuance: $321.80 PROCESSED BY: PUBLIC WORKS AP OVAL: ZONING APPROVAL: V ILI 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 lathe 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 im roved 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 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 whet hi PH ti 9 is submi ed==,gWebsite:http://www.leginfo.ca.gov/calaw,html. Web site:http://www.leginfo.ca.gov/calaw,html. Signature of Property Owner or Authorized Agent at the f I owinDateg=-'t4-7_GZ� LICENSED CONTRACTOR'S DECLARATIO / vv I hereby affirm uncle; penalty of perjury that I am tic nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Glass License No Date _ Contractor Signature .... WORKERS' COMPENSATION DECLARATION AARANTNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENS.QTIOe DAMAGES AS PROVIDED FOR IN SECTION 0708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty 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 th eff9rplance of fhe work for which this permit is issued. Policy No. .•.. 1 hRve and will rjlijiptaln 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' compensatlo 'gs,Ure N carrier and policy number are: 5th,4f-I Policy Number Expiration Date Phone# y that, iB 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 should tlMArjs ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applica f l 0_ �fi�-�.�L.4.2 .C�1/ _ Date 4- 20 DECLARATION REG RDING CONSTRUCTION LEND—I� AGENCY 1 hereby affirm under enalty of 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, 1 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. 1 authorize representatives of this city or coun,(y to enter the above -identified property for inspection purposes. Rinnature of PrODertv Owner or Authorized Aaent "A_ck�.,t._ktL- ,9..o.��civ Print Property Owner's or Authorized Agent's Nam LD1 -,ex 42e Dat DATE BY DECLARATION OF COMPLIANCE WITH CODE OF In REGULATIONS PART 1 OF TITLE 40 AN AQMD RULE FEDERAL 11 FOR OFFICE USE ONLY NOTIFICATION TO PERMIT EXTENDED PERITFINALCERTIFICATE OF 7 1 1lt!` SED DEMOLITITIONASBESTOS NOTIFICATION PPLICARLE TO OCCUPANCY ISSUED VVV