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Home My WebLink AboutX2021-0575 - PermitswalJ� City of Newport Beach - Building Division *X2021-0575* COMB Permit: X2021-0575 100 Civic Center Drive, Newport Beach, CA 92660 p Project No : 0617-2021 ` v Permit Counter Phone (949)644-3288 ss a+zaa�ur"a - Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM � `�� F T Issued Ar7/09I2021 Inspection Area : 4 ctLion PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/09/2024 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: 2621 ALTA VISTA DR NB Description: SFR FIRST FLOOR ADDITION 130 SF & ADD SECOND FLOOR TO EXISTING ONE STORY 2937 SF, ADD 148 SF TO GARAGE Legal Desc.: N TR 4893 LOT Il l Owner: CNQST LLC Contractor: BRYAN PACIFIC BUILDERS Architect: Address: PO BOX 11176 Address: 413 CALLE DELICADA Address: NEWPORT BEACH, CA 92658 SAN CLEMENTE CA 92672 Phone: Phone: 714-360-4488 Phone: State Lic: Applicant: KENT ART Con State Lic: 585047 Engineer: AZARIAN BEHROOZ Address: 619 16TH ST Lic Expire: 02128/2022 Address: 24182 LA HERMOSA HUNTINGTON BEACH, CA 92648 Bus Lic: BT30066161 LAGUNA NIGUEL CA 92677 Phone: 714-272-1624 Lic Exp Date: 11/30/2021 Phone: 949.495-8822 State Lic:C-041732 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 3067 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Building Permit Fee: $5,540.00 Plan Check Fee: $4,310.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $34.00 Energy Compliance: $303.00 CA Seismic Safety: $76.05 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $24.00 TOTAL FEE: $21,794.28 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: SIRIUS AMERICAN INS CO Policy No: WC61613 Expire: 12/18/2021 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: 6 Front: 20 Left: 6 Right: 6 'arkino Spaces $0.00 $284.00 $0.00 $0.00 $0.00 $0.00 $0.00 $387.80 $221.60 $498.60 Plan Check Fee Designer: KENT ART Address: 619 16TH ST HUNTINGTON BEACH, CA 92648 Phone: Special Conditions Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $253.75 San Dist: $3,099.00 NMUSD Fee: '$5,698.48 Fire Department $208.00 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 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 $5,008.00 Fee Due at Permit Issuance : $16,786.28 PUBLIC WORKS APPROVAL: C%� PLAN CHECK BY: 7Y_ APPROVAL TO ISSUE: C �1 • oococ� • • ° o °• • • • • o o• 000•c 0 oo••o 3 °°°°° OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 'rofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from icensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll ;ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 3rofessiong,Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of PIbQ6rty Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION he$by affi;R under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Di 's' n e Business and Prof j y license is in full force 3ndgffect. License Class License No Date Contractor Signature MORKERS'()OMFENSATION DECLARATION ' AFMWG: FAILUiBYOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL su&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS ($100,000), IN ADDITION TO THE ,Q®i OF COMP%SATIO$1, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm pgW*penalty of perjury one of the following declarations: • •1•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 th, er4orrnance ofJhe work for which this permit is issued. Policy No. ave and wilf 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 nsl In a carrier and Tolicy number are: i2di�r • • • •• • Policy Number Expiration Date of Agent Phone # I certify that, in the perf mance of th rk for hich 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, sat, if I should become ject tot mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7/1 signature of Applicant Date IECLARATION REGA DI CONSTRUCTI ENDING AGENCY hereby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil de). 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 rrect. I agree to complywith all applicable cityand unt ordinances nd sta film s relaf to by onstruction. 7 /// II jJJ ']�� I authorize representatives of this city or cou I y enter the I f d p r Inspection purposes. ," pY/ lionature of Property Owner or Authorized Agent! Print Property Owner's or Authorized Agent's Nam P/g l4 h. �`" r>� e BY V I DE U11ATIOfQSRAT[ W OFFTTIIT E 40 AND QMD RULE NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED AQMD PERMITFINAL / 22 ; SBESTOyy}}Nrr//yyTT''IFICATIO PPLICABLE TO CERTIFICATEOF RO EDD�M/OLITI OCCUPANCYISSUED SIGNATURE: VV