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Home My WebLink AboutX2022-0704 - PermitsCity of Newport Beach - Building Division vs 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 N';nspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM WII 1111111 IIIII IIIII IINI IIII IIIIIHIIII IIIII III III II € C COMB Permit: X2022-0704 Project No : 0620-2022 Issued Date : 03/1412022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311412025 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: 2915 QUEDADA NB t� Description: MFR -INTERIOR ALTERATION OF KITCHEN 140 SF *STOP WORK* AS BUILT PERMIT Legal Desc.: N TR 7167 LOT 20 U C ! V 9 Owner: STROFFE JENNIFER TR Contractor: OWNER/BLDR Architect: Address: 2915 QUEDADA Address: JENNIFER STROFER Address: NEWPORT BEACH, CA 92660 Phone: Phone: 949-630-5138 Phone: Applicant: ZEVALLOS CARLOS Con State Lie: O/B Engineer: Address: 12936 SANDY LN Lie Expire: Address: DOWNEY CA 90242 Bus Lie: Phone: 562-659-2066 Lie Exp Date: Phone: Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / No of Units : 4 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right / Flood Zone: Use Zone: Parkino Spaces Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $416.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety-: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,340.12 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: EXPOSE ALL STRUCTURAL, ELECTRICAL, PLUMBING. AND Cn IICAL CaMPONENTS ESPINOZA M L .... 12109 WOODRUFF AAVE ° DOWNEY CA 90241 °o°•oo a'Q°v�o 562/622-6927 State Lic:C-055526 ° Designer: ZEVALLOS CARLOS Address: 12936 SANDY LN DOWNEY CA 90242 Phone: 562-659-2066 Special Conditions: 122-0234 Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $29.12 San Dist: $0.00 Mechanical %: $16.64 NMUSD Fee: $0.00 Plumbing %: $37.44 Plan Check Fee Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $413.92 Fee Due at Permit Issuance : $926.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: o . o .o . . ° cs° o ccmoo ooeeec ° o 0 o ° 000... 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) 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 requireskhe applicant for 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 CIthe 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). v I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 appllTfo 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: 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 legal[) sell a structure that I have built as an owner builder ifit 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 whe t Is a tion is fitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. / Signature oJiliWerty Owner or Authorized Agent DateX �' /`f ��• I hereby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Rd effect: license Class License No Date Contractor Signature N(6RKE49' COMPENSATION DECLARATION r Waa��FMING: FAILURE TQQ,, SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE r (•JST OF CO �i�(y%A•TfpN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. • hereby affirm under penalty of perjury one of the following declarations: �•1 have and will jrlaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance onAe work for which this permit is issued. Policy No. •,I,tyave and will gvintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol issurnce ca$rler and policy number are: Q Trier Policy Number Expiration Date I certify that, in the performance of the work forwhich 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 lat, if I should become bjectiwor s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,` f 9 ignature of Applicant Date PLS DECLARATION REG C TRUCTI DING AGENCY 1, \ 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county o nces and state laws relating to building construction. I authorize representatives of this city or cou ty o e_ r t e aJt,aor�I\dentifederty for inspection purposes. kmature of Prooertv Owner or Authorized Agent / Print Property Owners or Authorized Agent's Name ACTION DATE BY DECYARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I I I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL 21k"AS_SESTOS NOTIFICATION IS NOT CERTIFICATE OF PROPOSED IOU N/ OCCUPANCYISSUED SIGNATURE: r�