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Home My WebLink AboutX2021-2990 - Permits�rao�r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "+airai4.x Combination Type - SFP ELEC PLUM II1111111111111111111111111111111911 COMB Permit: X2021-2990 x 2 0 2 1 2 9 9 0 Project No : 1952-2020 Issued Date : 11/03/2021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110312024 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: 5 TIBURON BAY DR NB Description: SFR PEX REPIPE WITH DRYWALL REPAIR, 400 AMP SERVICE UPGRADE Legal Desc.: N TR 7510 LOT 47 Owner: BRUCE ENDSLEY Contractor: RJ TANNER CONSTRUCTION Architect: Address: 5 TIBURON BAY DR Address: 893 OAK STREET Address: CORONA DEL MAR, CA 92625 COSTA MESA CA 92627 Phone: Phone: 949-235-4856 Phone: State Lic: Applicant: RJ TANNER CONSTRUCTION Con State Lic: 744104 Engineer: Address: 893 OAK STREET Lic Expire: 12/31/2021 Address: COSTA MESA CA 92627 Bus Lic: BT98043220 ° Phone: 949-235-4856 Lic Exp Date: 06/30/2022 Phone: State Lic: ; °, • o • Code Edit: 2019 Type of Construction: VB Occupancy Group: R3 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: Flood Zone: X 11 Construction Valuation: $1 Building Permit Fee: $331.00 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: $384.96 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: PREFERRED PRO INS Policy No: ON0897403 Expire: 06/01/2022 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: / Front: / Left: / Right: / larking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $23.17 $0.00 $29.79 Plan Check Fee 0 Designer: Address: 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 : $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 000a 0 0000a. 0 00000e 0 00 0 0 0 0 00 o a ° $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $384.96 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: l]r' • 0000a• ° • a°®aa 0 °aa•• 0000ao 0 0 0 of 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, priorto 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 J 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). ❑ 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). ❑ 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 legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm enderlienalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7004) oflDivi io 3 of the Busine and Profess e, R Ymyyc rise is in full force ardetect. License Cuss License No Da Contra Signature WORKERS' S&APNSATION DECLARATION ftNVC�: 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 COS'j QPCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Illtereyy affirm•Mtlerpenalty of perjury one of the following declarations: LJ t }lave 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 perfvemance of tf(p vgork for which this permit is issued. Policy No. • .. •• •+ °Nave 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' compensatio IT;S14 Rce carrier and policy number are: Carriel' • • �: Policy Number Expiration Date certify thal,'in TI%;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 , if I should bepom�,subject i workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I , - Signature of AppJAnt %, �— Gh� ate !){fJ )ECLARATION REGARDING CONST T DI G 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 09 Civil Code). -ender's Name Lender's Address 3y 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. 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 my to a -id ' led property for inspection purposes. //// Signature of Property Owner or Authorize Z�_ Print Property Owners or Authorized is Name 1 ACTION DATE BY D TI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATI NS PART 6I OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCVISSUED f_as �pA-J— I SUBMITTED TO