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Home My WebLink AboutX2021-0966 - Permits��r:F.PU,Fa City 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 - BLDG PLUM COMB Permit: X2021-0966 IIIIII�III�IIIIIII�IIIIIIIIIIIIIIIIIQIIIIIIIx II Project No: 2037-2020 Issued Date: 04/26/2021 Inspection Area: 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/27/2024 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: 1221 BERKSHIRE LN NB Description: DEMO SFR & GAR. 2141 SF, 4 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: N TR 3031 LOT 18 Owner: PHAN PHUOC Contractor: CARNEY CRAIG BUILDERS Architect: Address: 3 GRASS VALLEY Address: 302 CALLE RICA Address: IRVINE CA 92602 SAN CLEMENTE CA 92672 Phone: 714-478-7334 Phone: 949-683-0220 Phone: State Lic: Applicant: CARNEY CRAIG Con State Lic: 499864 Engineer: Address: 302 CALLEY RICA Lic Expire: 12/31/2021 Address: SAN CLEMENTE CA 92672 Bus Lic: BT30041098 Phone: 949-683-0220 Lic Exp Date: 11130/2021 Phone: State Lic: 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: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $120.00 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: $2,188.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: EXEMPT Policy No: No employees 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 %: Plumbing %: Rear: / Front: / Left: / Right: / larking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $120.00 $0.00 $0.00 $10.80 Designer: Address: Phone: t, /� Special Conditions: JD DEMO 8SECry TU TO HAUL DE I 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 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $219.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $2,188.80 Fee Due at Permit Issuance : $0.00 <PI;BL°ICWORKS APPROVAL: �P'APLCYIECK BY: o APPROVAL TO ISSUE: e o a OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable Hem(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 ` the 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 Professions 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 not 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, Business 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 improvements 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 improved for the purpose of sale). ❑ 1, 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legallt sell a structure that 1 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfb.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of erjury that I am licensed under provisions of Cha�ppter (commencing with Section 70 of Div' ion 3 of the Business and PrQfessi�{Is Code,and rrIce se Is in full force and effect. License Class License No (S " �iQ (� Q�e 26 Contractor SignatureV U a t C ` WORKERS' COMPENSATION DECLARATION cr NARNING: FAILURE TO SECURE 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 ATTORNEYS FEES. I hereby affirm under 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, 3erformance of the work for 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 carder and policy number are: Policy Number of Agent Date c rtify that, in the performance of the work for which 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 t f I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _]� /.�..v�—�i �'�i"�'t � Date4 Z4 CLARATION REGARDI STRUC ON LENDING AG CY - ;reby 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). Ider's Name Lender's Address 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. 666 I agree to comply with all applicable city and county ordinances and state laws relating to building Construction.(�� I authorize representatives of this city or county to e*r the aboveAentified property for inspection purposes. // r ACTION DATE BY DECLARATION OF COMPLIAWE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 a -ae Pno PERMIT EXPIRED Ll I SUBMITTED ASBESTOS NOTIFICATION TO O •j• ! •� °e �•• �•. -- - PERMITCANCELLED LJEPA PERMITEXTENDED LJAQMD •• • • • PERMITF/NAL .S<M ( / ASBESTOS NOTIFICATION 15 NOTUPLIQABLE TO CERTIFICATE OF IN C 5 �'�D�Z-i PROPOSED DEMO ION" - '• a c o P o � o OCCUPANCY ISSUED SIGNATURE• (/'--a • • • a� � o a