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HomeMy WebLinkAboutX2022-0327 - PermitsCity of Newport Beach - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ,. Inspection Requests Phone (949)644-3255 Combination Type - MFP *X2022-0327* COMB Permit: X2022-0327 Project No : Issued Date : 0210412022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210412025 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: 303 112 33RD ST NB Description: MFR (1) WINDOW C/O *NO HEADER CHANGE* Legal Desc.: PM 273-41 PAR. 1 OF PROJECT 935-88 LOCATED ON AP 423-384-18 TOGETHER,°""'' Owner: MOCKANDREA Address: 303 112 33RD NEWPORT BEACH, CA 92647 Phone: Applicant: EARLY MAN DESIGN BUILD Address: 17712 LEWIS LN HUNTINGTON BEACH CA 92647 Phone: 714-642-2704 - Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $110.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $111.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: EARLY MAN DESIGN BUILD Address: 17712 LEWIS LN HUNTINGTON BEACH CA 92647 Phone: 714-642-2704 Con State Lie: 547473 Lie Expire: 03/31/2023 Bus Lie: BT30076949 Lie Exp Date: 08/31/2022 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: 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 W Plumbing %: Rear: / Front: / Left: / Right: / larkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee .� Architect: F4 ...... Address: • a' °°.° o 000aoo Phone: State Lie, • ° o • Engineer: • o °,•° o Address: °°•° • • o Phone: State Lie:.... °• °ec• o0000 Designer: • °°°©o Address: • ° o Phone: Special Conditions: ® °• •. °° 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 $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: s__ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $111.00 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 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). 1, 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 forsale (Section 7044, iusiness 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 nprovements 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 reproved 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 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). I am exeW Vom licensure under the Contractors' State License Law for the following reason: By my signatwo 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,, sefl a stmctyre 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 rafessiorfs Qdde; is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. S{gnature ot'Property Owner or Authorized Agent Date a �.jCENSED bONTRACTOR'S DECLARATION I hereby afj"u rider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of (vision of the Business and Prof e ns od a d� �fome and,effect. 1,11Mse Class License No Date ontractor Signature �• ORKERVUOMPENSATION DECLARATION AIMING: FAILUii9T0SECURE 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 • • COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. a• %0�by affirm under penalty of perjury one of the following declarations: • I have arlb•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 eriormance of tb6 jyork for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date (f c ify that, in the performance th work for which th ermit 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 I f should become subject t he rkers' compe anon provis ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of Applicant �'� Date IECLARATION REGA I STRI 1CMIN 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 '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. 7� WAMdq I agree to comply with all applicable city and county Grdina and st laws relatin ullding construction. rr�� {��(, 'F//- I authorize representatives of this city or county to(ggfer tj>�ve- ntified pr for' Ion pu ,� q /� �N ✓' ,9l ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT FINAL l��&.y J(Z_ ASBESTO N TIFICAT N 15 NOT APPLICABLE TO CERTIFICATE OF PR SED )E OLITIO f OCCUPANCY ISSUED SIGNATURE: iCA