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Home My WebLink AboutX2022-0673 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u:. Inspection Requests Phone (949)644-3255 newt-' Combination Type - SFP ELEC MECH PLUM *X2022-0673" COMB Permit: X2022-0673 Project No : 0817-2021 Issued Date : 03/1012022 Inspection Area : 2 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 orf2vs Job Address: 1107 DOLPHIN TER NB �T Description: SFR DELTA 2 ADDL SCOPE REMODEL (3) BATHROOMS 200 SF$� Legal Desc.: N TR 5130 LOT 9 Owner: ISTWAN ROBERT Contractor: VIEW LINE DEVELOPMENT INC Architect: ROME JEFF Address: 1107 DOLPHIN TER Address: 30711 ROMERO CYN Address: 1716 PORT CHARLES PLACE CORONA DEL MAR, CA 92625 CASTAIC CA 91384 NEWPORT BEACH CA 92660 Phone: Phone: 661-702-0995 Phone: 949-463.7451 State Lic:CO20876 Applicant: ROME JEFF Con State Lic: 549878 Engineer: RICHARDS GEORGE LEWIS Address: 131 INNOVATION DR #100 Lic Expire: 12/31/2022 Address: 2211 MICHELSON DRIVE SUITE 450 IRVINE CA 92617 Bus Lic: BT30060478 IRIVNE CA 92612 Phone: 949-760-3929 Lic Exp Date: 09/30/2022 Phone: 949-752-0601 State Lic:C-037096 .... Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: STATE COMP Address: Occupancy Group: R3/U Policy No: 1453370 Added /New sq.ft. Bldg: 0 Expire: 0410112022 Phone: Added /New sq. ft. Garage: 0 -. o No of Stories: 1 Building Setbacks Rear: / Special Conditions: °+�• a ° No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15,000.00 ;'° •Q Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Fire Department a• . • , Plan Check Fee: $287.97 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: ; $8,00 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: $10.00 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 %: $23.17 San Dist: $0.00 Building Green Fee : $1.00- Mechanical %: $13.24 NMUSD Fee: $0.00 $0.00 Plumbing %: $29.79 $0.00 TOTAL FEE : $748.17 CA Plan Check Fee: $339.97 Fee Due at Permit Issuance : $408.20 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 items) 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 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 ly 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: 'y my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of tl 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent law. Section 7044 of Date and .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ision of the Business and Professio oW yli d mcense is in full force nd effect. License Class License No Date c� 22Contractor Signature CORKERS' QQJ4PENSATION DECLARATION 'ARNING: FAILl1R€ .9. CCURE 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 DST (IF COMPE TION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. ME21V affirm uader penalty of perjury one of the following declarations: I have and wjll 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 € ziliance of the work for which this permit is issued. Policy No. Lhap and Wllf fl a�itain 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 Isurance carrier agq policy number are: larwer • _ _' Policy Number Expiration Date Agent if t: of Ice of the work 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 to the r ers)ccJ0pensa)ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 0 IECLARATION MGARDING CONSTRQI ,, ON 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 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 isenrectI agree to comply with all applicable city and county ordina asate laws relating to building construction. authorize representatives of this city or county to ent a aov�entif d ro inspection purposes. lianature of Prooertv Owner or Authorized Aoent� Y� Print Property Owner's or Authorized Aqent's Name ACTION PERMIT EXPIRED PERMITC4NCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED DATE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 LJ 1 SUBMITTED ASBESTOS NOTIFICATION TO i 1 I ^ 6�f.�Yl7�/ SIGNATURE: TO 1,111.01991111136199mlM Civil Code).