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Home My WebLink AboutX2022-1783 - Permitsa wn City of Newport Beach -Building Divisjene >�, r-7-- W 2�1783* COMB Permit : X2022-1783 .� 100 Civic Center Drive, Newport Beach, CA 92660 J s �,,: J "� : � i . i Project No : 0569-2022 µ, Permit Counter Phone (949)644-3288 a 4 �. Inspection Requests Phone (949)644-3255 a 6 aka' rc,�rrna�`a Combination Type - SFP MECH ELEC PLUM n. Issued Date Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 105 VIA YELLA NB Description: DELTA 3 REVISION & ADD'L SCOPE: KITCHEN REMODEL 252 SF Legal Desc.: N TR 907 LOT 389 Owner: ERICSEN TIMOTHY &LIZ Contractor: OWNERIBLDR Architect: o°°°•• Address: 105 VIA YELLA Address: ERICSEN Address: 0°a• °• NEWPORT BEACH, CA 92663 ••• a Phone: 714-231-7601 Phone: 714-356-5960 Phone: State Lie: • ••• Applicant: DAN Con State Lie: OIB Engineer: ®•• • Address: 105 VIA YELLA Lie Expire: Address: ° • • ° • • a NEWPORT BEACH, CA 92663 Bus Lie: • o • • • °eae• Phone: 714-231-7601 Lie Exp Date: Phone: State Lie: ° • ' ° o ° ° ° ° Code Edit: 2019 Worker's Compensation Insurance Designer: TROUP DAN • ®® • ;°Om°s Type of Construction: Carrier: Address: 12572 CHARLOMA DR • ® • ° ° Occupancy Group: R3 Policy No: TUSTIN, CA 92780 • • • ° ..... Added /New sq.ft. Bldg: 0 Expire: Phone: 949-276-4632 ° • • o®•o • o 0 0 0 Added/New sq. ft. Garage: 0 ° No of Stories: 0 Building Setbacks Rear: / Special Conditions: HIGH DENSITY ZONE No of Units : 1 Front: / LIQUEFACTION ZONE Bldg Height: - 0 Left: I Bldg Sprinklers: Right: / Hood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6,500.00 Building Permit Fee: $195.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $169.65 Additional Fee : $0.00 Plan check Fee : $52.00 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: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 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 %: $13.65 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $7.80 NMUSD Fee: $0.00 $0.00 Plumbing %: $17.55 $0.00 TOTAL FEE : $458.65 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $458.65 PROCESSED BY: (3�3, . 1 ZONING APPROVAL: M5 W GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: EC 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) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structUre, prior'fo 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 U 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 ly to an owner q prpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempff> Q gcTensure under the Contractors' State License Law for the following reason: ,gy %ionature bgloy v.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 legallt a stricture than have built as an owner -builder if it has not been ted in i s Ent ety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and fessions Core, is available upon request when this applic is sub ed or at t e wing Web site:http://www.leginfo.ca.gov/calaw.html. f4LVS of PropeRy Owner or Authorized Agent :EYED CQRTM-r—TOR'S DECLARATI� RbY 9ffirm under penalty of perjury that I am licensed under provisions of Ctfapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force effect. License Class License No Date Contractor Signature fRKL'RS' COMPENSATION DECLARATION T06ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE A110N,pg,MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fiereby'dffirm ufiJPr'peralty of perjury one of the following declarations: and whl maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ;e of t%Abr4for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: to of Agent certify that, in the performance if I should become subjec Iature of Aoolicant i Policy Number Date forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre compensatign of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i ' Date hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordin and state laws relating to building construction. I authorize representatives of this city or county to_patFr theabovelWoKified property for inspection purposes. of ACTION DATE BY DECLARATRSN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT CANCELLED PERMIT EMENDED PERMITFINAL CERTIFICATE OF '� OCCUPANCYISSUED LJ I SUBMITTED ASBESTOS NOTIFICATION TO ASBESTOS NOTIFICATION I$A197 APPLICABLE TO