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Home My WebLink AboutX2022-1271 - Permitsyw ,, City of Newport Beach - Building Division *X2022-1271* 100 Civic Center Drive, Newport Beach, CA 92660 �^ Permit Counter Phone (949)644-3288 ` Inspection Requests Phone (949)644-3255 rarua y is Combination Type - MFP MECH ELEC PLUM PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUS Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from 8:00 Job Address: 2 RUE FONTAINEBLEAU NB Description: MFR INTERIOR REMODEL 513 SF. *STOP WORK 122-0335• Legal Desc.: N TR 7788 LOT 78 Owner: LUSK NANCY Contractor: OLIVE TREE CONSTRUCTION INC Address: 2 RUE FONTAINBLEAU Address: 1048 IRVINE AVE, STE #167 NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92660 Phone: Phone: 949-373.8456 Applicant: LOPEZ LORENA Con State Lic: 523488 Address: 630 S GLASSEL #201 Lic Expire: 1213112023 ORANGE, CA 92866 Bus Lic: BT30028903 Phone: 714.289.4652 Lic Exp Date: 01/31/2023 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 : 3 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Valuation: Building Permit Fee: $703.00 Plan Check Fee: $611.61 Overtime Plan Ck: $0.00 Investigation Fee: $703.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $2,230.21 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD606228800 Expire: 09/28/2022 Building Setbacks Rear: / Front: / Left: / Right: I Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $49.21 Mechanical %: $28.12 Plumbing %: $63.27 COMB Permit: X2022-1271 Project No : 1172-2022 Issued Date : 05/0412022 Inspection Area :4 SQs WILL BE INVALID Architect: Address: c��4 Address: co/�Jp '/t, Phone: Ste Engineer: AFSHAR HOOSHANG Address: 17 COROZAL FOOTHILL RANCH CA 92610 Phone: 949-413-4382 State Lic:C-061157 Designer: TRUPLANS INC Address: 630 S GLASSEL ST #201 ORANGE, CA 92866 Phone: 714-289-4652 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 $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $663.61 Fee Due at Permit Issuance : $1,566.60 4 • l 6� PLl`13 iCdNdRKS.4PPROVAL: - PLAN CHECK BY: APT -Rd AL FO ESSUE: 6 ea l5J III 0 4 Q 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 is 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 Iicensure 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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.; fj however,the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that itwas not built or nproved 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 pply 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 exempt from licensyre under the Contractors' State'l.icense Law for the following reason: ly 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 legall) ell a structure that I have -built .aian 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section aj0 Bj o�Divi ion 3 of the Business and Pr s' s ode, and my license is in full force nd effect. License Class License No Da _zZ Contractor Signaturse-` /7-^-- VORKERS' COMPENSATION DECLARATION - -- - -- - - - - - - - - - - - - IARNING: 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 I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 erjermance of the work for which this permit is issued. Policy No. and will m lain workerscompensation 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 a d po'cy number: ` �Rn ,i, !'M e b [ W,). h.r Expiration Date Tie of Agent W' rnone rF certify that, in the performance of t e 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 t, if I should becomsubj ct to he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , nature of Applicant S�YY Dated -ZL CLARATION REGAR I CONSTRUCTION LENDING AGENCY Ill/ ` areby affirm under pe Ity 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 1 have provided is correct. I agree to comply with all applicable city and countX ordinances and state laws relating to building construction. I authorize representatives of this city or count to nter t bove-identified property for inspection purposes. e % nature of Prnnertv Owner or Authorized Anent �� Print Property Owner's or Authorized Agent's Name i( 6s a ACTION PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• ••• I SUBMITTED ASBESTO NOiffICATION+r*J H FOR OFFICE USE ONLY a • • f • • a UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION ••tl ••: ••• ••• •' :• SIGNATURE: • ' �,�_ „" • •• ••• • • •• •• •••