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Home My WebLink AboutX2021-0275 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 7; y, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "a�x�nr`a Combination Type - SFP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0275 Project No : 0300-2021 Issued Date : 08/24/2021 Inspection Area : 4 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/24/2024 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: 1748 PORT MANLEIGH CIR NB Description: SFR ADD 60 SF @ MASTER SUITE, REMODEL 200 SF Legal Desc.: N TR 6938 LOT 59 �h Owner: BRADLEY ELIZABETH & MATT Contractor: RBC BUILDERS GROUP Architect: Address: 1748 PORT MANLEIGH CIR Address: 14271 JEFFREY ROAD #195 Address: ?PPPM44��,.J11111 NEWPORT BEACH, CA 92660 IRVINE CA 92620 Phone: 949-293-8458 Phone: 949.374-4546 Phone: State Lic: Applicant: BUSTAMI LUKE Con State Lic: 1066904 Engineer: ALEXANDER ANDY J E7 Address: 14271 JEFFREY RD #195 IRVINE CA 92660 Lic Expire: Bus Lic: 07/31/2022 BT30073522 Address: 1615 GRAMERCY AV TORRANCE CA 90501 Phone: 949-374-4546 Lic Exp Date: 1113012021 Phone: 424-358-1085 State Lic:C-084086 Code Edit : 2019 Worker's Compensation Insurance Designer: o*� Type of Construction: V-B Carrier: NO EMPLOYEES Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 60 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 10' Special Conditions: No of Units: 1 Front: 20' Bldg Height: 0 Left: 5' Bldg Sprinklers: N Right: 5' Flood Zone: X Use Zone: pc3 Parking Spaces 0 Fire Hazard Zone : N Construction Valuation: $60,000.00 Building Permit Fee: $1,455.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,248.53 Additional Fee : $0.00 Plan check Fee : $208.00 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: $44.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $7.80 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check : $101.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $101.85 San Dist : $0.00 Building Green Fee : $3.00 Mechanical %: $58.20 NMUSD Fee: $0.00 $0.00 Plumbing %: $130.95 $0.00 TOTAL FEE : $3,419.83 Plan Check Fee : $1,289.53 Fee Due at Permit Issuance : $2,130.30 `m` W a PUBLIC i%11DRIfiS APPROVAL: PROCESSED BY: " 4. m c ZONING APPROVAL: ` m PLAN CHECK BY: GRADING APPROVAL: AIOPROVALTC ISSUE: m � e c 6. c n• .. c +m a o muu m mm m m n maw mm m • cam me 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 ie 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). 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, 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 nprovements 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 nproved for the purpose of sale). I, 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 pply 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). I am 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 Iegall� 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 when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 D� Div ion 3 of the Business and Pr fe i s, P6 d my li nse is in full force nd effect. License Class License No Date K Contractor Signatu I VORKERS' COMPENSATION DECLARATION FARMING: 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 I$ 0,000I, 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: re of Agent certify that, in the r if I should becon lature of Applicant Policy Number Date 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 agree r compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — Kla hereby affirm under penalty bf-pWury that 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 y 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 ordinance state laws relating to building construction. I authorize representatives of this city or cou y to a ve-i entified property for inspection purposes. nature of Property Owner or Authorized A e Print Property Owner's or Authorized Agent's Na 1CTION DATE BY DEC ATION OF —COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ULATIONS PART 61 OF TITLE 40 AND, RULE PERMITEXPIRED ❑ I SUBMITTED ASBESTOS OTIFOATIOtkO PERMITCANCELLED LIEPAy �• ° • • • • •• PERMIT EXTENDED 0AQMD PERMITFINAL VL 3d ice' S SBESTO OTIFIC IS ICABLE TO CERTIFICATE OF PROPOSED[ LI N • OCCUPANCYISSUED • • SIGNATURE: ••• z Uo 06, C� Z t c AZ CO °a x O CO co ra;1 p a o w V o � Z U 0 a �� 8� U s Nis o c E'S a 2'5 'N 'A V E s f Nto @—Ev Ebb Vito a� 11 E A .m m o a p c S N vi 3