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Home My WebLink Aboutx2021-2935 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s. Inspection Requests Phone (949)644-3255 `icx xS�rn* Combination Type - SFP GRAD MECH ELEC PLUM COMB Permit: X2021-2935 IIXI��IIIII�III�II�II�I��III5I�II Project No : 1157-2019 NO CONSTRUCTION NOISE Issued Date : 1012812021 Inspection Area : 2 PERMITEXPIRES AFTER ISSUANCE OR LAS US E COMPLETED BY 1 onstruConstruction Hourrs.SMondays Friday 7.00 a.mr to 6 30 p.mVALID E and d SatRii - fr o/2work ono Sundays or HolidaysALlD 0 Job Address: 214 COLLINS AVE NB Description: NEW SFR *CHANGE OF CONTRACTOR* WIATT GARAGE 2,406/395 SF, BALCONY 93 SF, CABANA 173 SF Legal Desc.: BALBOA ISLAND SEC 2 BLK 11 LOT 11 pq� Owner. Address: ; ;AAv_cs.,t !-�rilrcn % Contractor: OWNERIBLDR Architect: LINSDAY BRANDON R 2tt-t /� AX 0 kll Address: AUTH AGENT: Address: 151 KALMUS DR #G-1 t,ly&zA � �� Z JOLEEN MCKAY COSTA MESA, CA 92627 Phone: 415-309-0523 Phone: 415-309.0523 Phone: 714-754-4040 State Lic:C035799 Applicant: LINSDAY BRANDON R Con State Lic: O/B Engineer: DEIHIMI DAMIR HOSSEIN LU Address: 151 KALMUS DR #G-1 Lic Expire: Address: 23172 PLAZA POINTE DR STE 145 COSTA MESA, CA 92627 Bus Lic: LAGUNA HILLS CA 92653 Phone: 714-754-4040 Lic Exp Date: Phone: 949-954-7244 State Lic:C-078194 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: Address: Occupancy Group: R3/1.1 Policy No: Added /New sq.ft. Bldg: 2406 Expire: Phone: Added /New sq. ft. Garage: 395 No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: No of Units : 1 Front: 8 HIGH DENSITY AREA Bldg Height: 0 Left: 3 LIQUEFACTION AREA Bldg Sprinklers: Y Right: 3 Flood Zone: X Use Zone: Parking Spaces: 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 : $38.00 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 : $774.08 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: $169.92 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 %: $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 : $38.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 0 APPROVAL TO ISSUE: Vwd� 0 o e o� m c co o e o c 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 (he 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 Professio's 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 U all of or U 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 improved 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 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 r which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legallysell a structure that I have built as an owner -builder if it Inno bee ]t4ce in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busi ass and Professions Code, is available upon request when pp o Jr e fo -g Web site:http://www.leginfo.ca.gov/calaw.htmi. ` 1'� 20Z Signature of Property Owner or Authorized Agent I V LICENSED CONTRACTOR'S DECLAIR N f I hereby affirm under penalty of perjury that I am licensed der 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 Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of the work for which this permit is issued. Policy No. :1I 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' compensatior isurance carrier and policy number are: 3arrier Policy Number Expiration Date da a of Agent A Phone # I certify that, in the perfomlanc of th fPh,'ch this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of alifornia, and agre, at, if I should become s j t to th or a nsation rsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .9 201�2-% 3ignature of Applicant at )ECLARATION REGA CO STRUCTION LENDING AGENCY hereby affirm under pen Ity f 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 3y my signature below, I `pert' y to each of the following: I am the property owner or authorized to act on the property owner behalf. i �� OG /2 I have read this application and the information I have provided is orrect. CA (I I agree to comply with all applicable city and count din as d tate laws relating to building construction. I authorize representatives of this city or co ty o t v -i ntified pro arty for inspection purposes. I/vim ! ,, 3ignature of Property Owner or Authorized Ageht Print Property Owner's or Authorized Agent's Name 64 `kj�,D ACTION bDATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 403 ••• •• PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO i •• a•� ••• i • • • s PERMIT CANCELLED EPA • • • • e PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO •• ees a • • ems CERTIFICATE OFPROPOSED DEMOLITION ••OCCUPANCY ISSUED SIGNATURE: s e e v e s s e e o m m a •> e mo 000 0 0 0o ee eee