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HomeMy WebLinkAboutX2021-2718 - Permitsw�3� City of Newport Beach - Building Division IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII z 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 ti - �"' Permit Counter Phone (949)644-3288 s: p xr Inspection Requests Phone (949)644-3255 �'�«ve,a�`',� Combination Type -BLDG ELEC 2 7 1 a II COMB Permit: X2021-2718 Project No : 2362-2021 Issued Date : 11/2312021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/23/2024 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: 2036 GALAXY DR NB Description: SFR BACKUP BATTERY (2) Legal Desc.: N TR 4224 LOT 9 Owner: SALENE DAVID TR Contractor: ORANGE COUNTY CONTRACTING Architect: Address: 2036 GALAXY DR Address: 358 S WHEELER PL Address: NEWPORT BEACH, CA 92660 ORANGE CA 92869 Phone: 9491734.4683 Phone: 714-401-7242 Phone: State Lic: Applicant: YEAGER SARAH Con State Lic: 1023627 Engineer: MUNYANZIZA, EUGENE Address: 24 EXECUTIVE PARK #230 Lic Expire: 02/28/2023 Address: 250 WILKERSON AVE APT 160 IRVINE CA 92614 Bus Lic: BT30061766 PERRIS CA 92570 Phone: 6621315-3497 Lic Exp Date: 01/31/2022 Phone: 951-355-3348 State Lic:C-088783 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STARNET INS Address: Occupancy Group: U Policy No: BNUWC0153760 - Added /New sq.ft. Bldg: 0 Expire: 04/08/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks No of Units : 0 Rear: / Front: / Special Conditions: Bldg Height: 0 Left: / I N 5 1 Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $17.22 San Dist : $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $478.24 Plan Check Fee : $214.02 Fee Due at Permit Issuance : $264.22 ss PROCESSED BY: o a c 9 c o c o ` cc cc ZONING APPROVAL: YVtlY1/ �°e n GRADING APPROVAL: 6 0 � c co c° cu" coo ooc c<c o 0 oc PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 to the applicable-,w(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 applidarSfor 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 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-Builderwili 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 Iicensure 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 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Profession a and my license is in full force and effect. License Class License No �z-3 /at Contractor Signature\ WORKERS' COMPENSATION DECLARATION NARNING: 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$100,000I, 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: ❑.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 thl oe rmance of the work forwhich this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date certify that, in 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 09< 1 /Z 3 A2 / hereby affirm under penalty 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) 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. Innahire of Prnnedv owner or Authorized AaenN/ Print Prooertv Owner's or Authorized Aqent's Name 'T S S._ PleA r .� Date ACTION DATE BY 13ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO :�• �•� Bee .e. +! •� + • �. • •• + • • • n ° s e PERMIT CANCELLED LIEPA PERMIT EXTENDED ❑AQMD PERMIT FINAL ^ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF G'I� PROPOSED DEMOLITION •.. OCCUPANCYISSUED !l�/ vG SIGNATURE: : •�• ••. ' •••