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Home My WebLink AboutX2019-4030 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255. Combination Type - SFP ELEC MECH PLUM GRAD *X2019-4030* COMB Permit: X2019-4030 Project No : 2770-2019 Issued Date : 10127/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012812023 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: 227 ORANGE ST NB Description: SFR -ADD 63 SF TO BEDROOM 1ST FL, REMODEL KITCHENIMBATH 326 SF, NEW OPEN TRELLIS 140 SF Legal Desc.: NTR 772 BLKB LOT4 F�� Owner: MOORE MICHAEL & VICTORIA Contractor: OWNERIBLDR Architect: IF 1- Address: 227 ORANGE ST Address: MOORE MICHAEL Address: NEWPORT BEACH, CA 92663 Phone: Phone: Phone: State Lie: Applicant: STUTZEL JOHN Address: 2775 PIONEER RANCH RD TEMPLETON CA 93465 Phone: 805-459-1609 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 63 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: Valuation: $100,000.00 Building Permit Fee: $1,949.00 Plan Check Fee: $66.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $40.00 Energy Compliance: $70.00 CA Seismic Safety: $13.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $4, PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: OIB Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier. Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5 Front: 5 Left: 3 Right: 3 Parkino Soaces $0.00 $1,029.77 $0.00 $0.00 $232.00 $196.00 $0.00 $136.43 $77.96 $175.41 Plan Check Fee Engineer: WICKSTROM ERIC Address: 28581 VIA PRIMAVERA SAN JUAN CAPISTRANO CA 92675 Phone: 949-454-8045 State Lic:S-003989 Designer: STUTZEL JOHN Address: 2775 PIONEER RANCH RD TEMPLETON CA 93465 Phone: 805-459-1609 Special Conditions: OWNERIBLDR AUTH ATTACHED Fire Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $172.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $1,027.77 Fee Due at Permit Issuance : $3,132.80 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 iterh(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 applicantfor 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (-) 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 moved for the purpose of sale). I'ZV, 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 residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, sell a structure that I have built as an owner -builder If i has not been consdi Its ntirety by licensed contractors. 1 understand that a copy of the applicable law, Sectiijn 7044 of the Bu iness and Professions Code, is available upon request P,PQ is u rhi at f lowi eb site:htt ://w .le info.ca. ov/calaw.htmi. Signature of Property Owner or Authorized nt .lf/I i,� � p 9 9 D LICENSED CONTRACTOR'S DECLAIt I N I hereby affirm under 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 and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 'ARNING: 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 T DST 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 errornance 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: 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 t, If I should b came su a to the work rs' compe r Isio S,.�-iofnr3700 of the Labor Code, I shall forthwith comply with those provisions._ ,F nature of CI.ARATIREGA D G RU ION LE AGENC areby 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 3 97, Civil Code). tder's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the prope e s behalf. I have read this application and the information I rovided is correct. I agree to comply with all applicable city an my ordinanEes and state lad state la e�tin b ilding construction. ilding construction. p I authorize representatives of this city o u ab e-idenfHed ert f ection purposes. nature of Prooertv Owner or Authori enttd �� 1��rty Owners or uthorized AgeVarna ACTION DATE III DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFF E USE ONLY IF REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMITEXTENDED %QMD PERMITFINAL �, 2 '\n BESTOSNO FI TION IS NOT APPLICABLE TO CERTIFICATEOF J ` PRI5 LIT N OCCUPANCY ISSUED SIGN R