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Home My WebLink Aboutx2021-1446 - Permits (2): City of Newport Beach - Building Division IIIIIIIIIIII�I�IIIIIIIIIIIIIIIIII II COMB Permit: X2021-1445 u 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 4 4 5 Project No : 1265-2021 ',.' n; Permit Counter Phone (949)644-3288 ',. . #` Inspection Requests Phone (949)644-3255 �rkix<tx s -' Combination Type - SFP ELEC MECH PLUM Issued Date : 09/21/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/21/2024 OR PERMIT INILL 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: 263 WALNUT ST NB Description: SFR KITCHEN & BATH REMODEL; NEW BIFOLD DOOR IN KITCHEN 250 SF Legal Desc.: TR 772 LOT 14 BLK 5 ALL -INC POR ABAN ST ADJ- Owner: MERZ STEVE & ELAINE Contractor: M T R CONSTRUCTION INC Architect: - Address: 263 WALNUT ST Address: 10842 NOEL ST,STE 111 Address: NEWPORT BEACH, CA 92663 LOS ALAMITOS CA 90720 Phone: Phone: 714-315-9114 Phone: State Lic: Applicant: RCHART JASON Con State Lic: 929602 Engineer: GHAZLANI ANDY Address: 041 W 18TH ST A106 Lic Expire: 03/31/2023 Address: 4202 ATLANTIC AVE #204 COSTA MESA, CA 92627 Bus Lic: BT30050473 LONG BEACH CA 90807 Phone: 949-422-9191 Lic Exp Date: 03/31/2022 Phone: 562-253-2385 State Lic:C-060867 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $751.00 Plan Check Fee: $653.37 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,626.57 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: EVEREST Policy No: 7600020717211 Expire: 08/05/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 'arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $52.57 $30.04 $67.59 Plan Check Fee Designer: RICHARTJASON Address: 1041 W 18TH ST Al 06 COSTA MESA, CA 92627 Phone: 949-422-9191 Special Conditions Fire Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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 $699.62 Fee Due at Permit Issuance : $926.95 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: oomo oV m•o•• JJ••9♦ o m • mono 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 ,fessions 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 five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, >iness 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 )rovements 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 )roved 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 fly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 Iegall) 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED dGwrONCTOR'S DECLARATION :capi/ affirm µrider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of Division 3 of the Business and Prof's�ons Codeyn my license is in full force i effbct. LiCe�r D.Cass License No Date ff12/ 20 / Contractor Signature )itfMERS CCIMPENSATION DECLARATION 3AIAG: FAILURF.TO VPURE 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 COMPEMSATIONsDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. aiio iy affirm under penalty of perjury one of the following declarations: i %ve andyvjj1:;9intain 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 nnance of the work for which this permit is issued. Policy No. awe 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' compensatiol urartce carrlbi 9Rd Qolicy number are: Policy Number of AgenT " Date JI 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 tat, if I should become subject to the worke ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant / Date/ 1121121 )ECLARATION REGARDING CONS- RUCTION LENDING AGENCY 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 ly 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 an laws relating to building construction. I authorize representatives of this city or county to entfr the y-identifi property for inspection purposes. _ Signature of ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED --=R -=R rMPUANCE WITH 61 OF TITLE 40 A NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE vner's or Authorized Anent's Name FOR OFFICE USE ONLY Date