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Home My WebLink AboutX2021-0871 - Permits (2)City of Newport Beach - Building Division Illlllllll�llllllllulll�lll�llllllllllllllllll II COMB Permit: X2021-0871 ti 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 6 7 1 -; Po;mih6oanter Phone (949)644-3288 Project NO :2087-2018 U.. Inspection Requests Phone (949)644-3255 ri;fie a /' Combination Type - SFPMECHELECPLUM NO CONSTRUCTION NOISE Issued Date: 04114/2021 6 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411412024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7.00 a.m. to 6:30 p.m. and Saturday &from 8:0000 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1703 PLAZA DEL SUR NB wO VV 6°e"& 9'� 9y-�p/�i�,�gf Description: SFR *CHANGE OF OWNERICONTRACTOR OF RECORD* ADD 3RD STORY 396 SF & REMODEL 00 SF C2018-0149*§2018-3778) Legal Desc.: N TR 518 BLK K LOT 31 Owner: DNE ASSOCIATES Contractor: OWNERIBLDR Architect: Address: 2020 E ORANTHORPE AVE #210 Address: ZICKEFOOSE DAVID Address: FULLERTON CA 92831 Phone: Phone: Phone: .State Lie: Applicant: ZICKEFOOSE DAVID Con State Lie: O/B Engineer: XIAO QIANG r®y Address: 1525 MIRAMAR DR Lie Expire: Address: 1520 BROOKHOLLOW DR #45 1.4J NEWPORT BEACH CA 92661 Bus Lie: SANTA ANA CA 92705 `� Phone: 909-224-6367 Lie Exp Date: Phone: 714.662.0510 State Li¢C-066510 u Code Edit: 2016 Worker's Compensation Insurance Designer: �y Type of Construction: V -B -SPR Carrier: Address: ` J Occupancy Group: R31U Policy No: Added /New sq.ft. Bldg: 396 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 15' Special Conditions3 YEAR,DATELINE',--q - No of Units: 1 Front: 15' t 12174/2021 1 X Bldg Height: 0 Left: 2' LIQUEFACTION AREA Bldg Sprinklers: Y Right: 2' Flood Zone: 0.2 Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $35.00 Plan check Fee: $0.00 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: $0.00 Grading PC Consultant : $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $0.00 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 PM Plan Check : $0.00 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: $35.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00 PROCESSED BY: ZONING APPROVAL: °;o m pattC WORKS APPROVAL: ° ° o PLAN CHECK BY: GRADING APPROVAL: o: v c ° ° ".0014OVAL TO ISSUE: v o c c c c c ° ° o c c c o 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) 1 have placed next(o the 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 1 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, lusiness 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 0133rbvirnents 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 n rov for the purpose of sale). I,Y owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not o 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). f7am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request whenh' application i mitt r the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date C,/L/ .ICENSED CONTRACTOR'S DECLARATIO hereby affirm under penalty of perjury that I am li need under provigidneof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION WANING: 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 ($700,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 erformance 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: Policy Number Date Jame of Agent rnvne s kl certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become subjec -to the workers' cpmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant �/9V - D� y' / y )ECLARATION REG CONST CTION LENDING AGENCY hereby affirm under penalty of perj hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y 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 stale laws relating to building construction. I authorize representatives of this city or counj enter the b e-ide tified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Na2!"l / . ACTION DATE BY/ DECLARAp OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATION PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• •.. PERMIT EXPIRED UISUBMITTE LIEPA ASBESTOS NOTIFICATION TO" s• •• • • ° ° o • i•• e s • PERMITCANCELLED QMD ASBESTOS : OTIFICATION 15 NOT APPLICABLE TO :• i PERMITEXTENDED PERMITFINAL .( CERTIFICATEOF ) PROPOSED LITTON 64 ,,,� ° • ° • ° OCCUPANCY ISSUED SIGNATU • o o T' o o • • ° ° ° o • • o