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HomeMy WebLinkAboutx2022-0049 - PermitsCity of Newport Beach - Building Division "*X2022-0049* COMB Permit: X2022-0049 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0069-2022 a Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255[[: r°R+Combination I 'SJ P' Issued Date 03/24/2022 Type - SFP MECH ELEC PLUM e 1 i : Inspection Area : 2 ... _ G PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312412025 OR PERMIT WILL BE INVALID Construction Hours: Monday -Friday 7:00 a.m. to16:30 p.m. and • Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays• • ®eaa• Job Address: 229 AGATE AVE NB 3'`:" ®° ° Description: MFR REMODEL: KITCHEN AND (2) BATHROOMS (1935 SF). INSTALL INT WALL, (2) SUBPANELS, REPIPE, REPLACE WINDOWSIDOORS. Legal Desc.: BALBOAISLANDRESUBSECIBLK81LOT9 a°"B0" °•• Owner: LASHER MICHAEL Contractor: AVATAR GREEN BUILDERS INC Architect: • • ° ° Address: 321 N LAS CASAS AVE Address: 26895 ALSO CREEK RD #B447 Address: y°�• ° ° ` ° ° PACIFIC PALISADES, CA 90272 ALSO VIEJO CA 92656 Phone: 949-933-5817 Phone: 619-933-2409 Phone: State Lic:Z. A. Applicant: BROWN MATTHEW Con State Lic: 996897 Engineer: °G ° Address: 26895 ALISO CREEK RD #B447 Lic Expire: 09130/2022 Address: a ALISO VIEJO, CA 92656 Bus Lic: BT30074747 •))'� Phone: 619-933-2409 Lic Exp Date: 03/31/2022 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: AVATAR GREEN BUILDERS/BROWN M M {�- Type of Construction: V-B Carrier: SENTINEL INS Address: 26895 ALSO CREEK RD #13447 M Occupancy Group: R3/U Policy No: 76WEGG1439 ALSO VIEJO CA 92656 p-q Added /New sq.ft. Bldg: 0 Expire: 04/30/2022 Phone: 619-933-2409 V Added /New sq. ft. Garage: 0 M No of Stories: 2 Building Setbacks Rear: 5 Special Conditions: HIGH DENSITY ZONE No of Units : - 2 Front: 6 FLOOD ZONE AO 1 �y 0 Bldg Height: 0 Left: 3 LIQUEFACTION RISK Bldg Sprinklers: N Right: 3 Cn Flood Zone: A01 Use Zone: R-BI Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $154,000.00 Building Permit Fee: $1,561.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,358.07 Additional Fee : $0.00 Plan check Fee : $104.00 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 $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PM Plan Check : $203.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $109.27 San Dist : $0.00 Building Green Fee : $7.00 Mechanical %: $62.44 NMUSD Fee: $0.00 $0.00 Plumbing %: $140.49 $0.00 TOTAL FEE: $4,401.27 Plan Check Fee : $1,41o.07 Fee Due at Permit Issuance : $2,991.20 ri I"I C PROCESSED BY: PUBLIC WORKS APPROVAL: Y ZONING APPROVAL: _ PLAN CHECK BY: t 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 to the applicable item(s) action 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 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 rfessions 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 more than fiu hundred dollars ($500). I, as owner of £ITrproperty, 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, opens and Firofeszions 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 )rovftents §¢reVI 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 )roved for the purpose of sale). I-ts owner of the Woperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Hy b an owner o £ prs) perty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). •I-Orn exem Rt�frojrl licensure under the Contractors' State License Law for the following reason: :ryy 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 Iegalll I,a gt'rvcture 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 IJerVLons Code, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htm]. FatuP of Property -Owner or Authorized Agent Date :ENS§ED CONTRACTOR'S DECLARATION ire affirm under malt of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70000 ff isio 3 of the Business and Professions C de, and m licensp'Is fu force Y� p Y P 1 nY P P ( 9 ' Y l i BRect. LicCps.`Cl�ss License No Date ma7^ Contractor Signature X ��� )RKERS' COMPENSATION DECLARATION 2NING: 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 iT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 11 hereby affirm under penalty of perjury one of the following declarations: 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 :e 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' "ance 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 agre , if I should become `subject to the workers' co(9 per9satioonn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 % Iature of Applicant X lee G_ C �/�-'—� Date //2v/9�J ZZ .1 ARATION RFQA r11N(' (1nNSTR11(:TInN I FNOIN(: Af:FNCV I 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). 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 the above�-jeleptifiecl property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 2< IeLvl,. OiScD Date x1 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 71 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLI E TO CERTIFICATE OF /I �t ^ ROPOSED DEMOL7 OCCUPANCYISSUED 1 ! N / SIGNATURE S / /