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Home My WebLink AboutX2022-0305 - Permitsw1a� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 - s Permit Counter Phone (949)644-3288 . Inspection Requests Phone (949)644-3255 F'aasrasu*'i* Combination Type - SFP ELEC PLUM X 2 0 2 2 0 3 0 5�� I R Jl1 if$ws k4-f- COMB Permit: X2022-0305 Project No: 0220-2021 Issued Date : 03/02/2022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/02/2025 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: 1600 E BALBOA BLVD NB Description: SFR *ADDITIONAL SCOPE* INTERIOR FIREPLACE, GASLINE TO BBQ, ELEC PANEL AND OUTDOOR SHOWER Legal Desc.: BALBOA TR EAST SIDE ADD BLK 25 LOT 12 Owner: GALVEZ KRISTINA & OSCAR Address: 1600 BALBOA BLVD E NEWPORT BEACH, CA 92661 Phone: 562/686-1188 Applicant: MOSSMAN ERIC Address: 2025 W BALBOA BLVD STE B NEWPORT BEACH CA 92663 Phone: 949-675-1252 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Construction Contractor: CARHARTT DEVELOPMENT INC Address: 11511 GARFIELDAVE SOUTH GATE CA 90280 Phone: 323-997-3282 Con State Lic: 1038854 Lic Expire: 05/31/2022 Bus Lic: BT30075117 Lic Exp Date: 0413012022 2019 Worker's Compensation Insurance V-B Carrier: NO EMPLOYEES R3/U Policy No: 0 Expire: 0 Building Setbacks Rear: I Front: / Left: I Right: / Building Permit Fee: $382.00 Plan Check Fee: $332.34 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $16.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $844.46 PROCESSED BY: ZONING APPROVAL: Architect: MOSSMAN ERIC Address: 2025 W BALBOA BLVD STE B NEWPORT BEACH CA 92663 Phone: 949/500-7212 State Lic:C019718 Engineer: GOUVIS GEORGE A Address: 3831 BIRCH ST NEWPORT BEACH CA 92660 Phone: 949-766-1525 State Lic:C-029211 Designer: Address: Phone: Special Conditions: REV22-0190 Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical W $26.74 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $34.38 KQ Plan Check Fee c m c c mm Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $384.34 Fee Due at Permit Issuance: $460.12 0 0 o 0 o E m Z ILBLiC*OORPdS:APPROVAL: m m moo ® u PLAN CHECK BY: GRADING APPROVAL: eon cm� coe o mAAP46VALTO ISSUE: c c c c o c m m em a m m c o c c c m e mo cmm o c o0 oom oom 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 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 L) all of or L) 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-Builderwill 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). EJ I 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 legall, 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D'vi ion 3 of the Business and Professions Code nd my license is in full force and effect. License Class License No Dat J Z Contractor Signal WORKERS' COMPENSATION DECLARATION ZZ^l - 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 ATTORNEY'S FEES. 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 7erformance 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 carrier and policy number are: Policy Number Agent Date 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 ould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of 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 Iy 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. 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 enter the above -identified property for inspection purposes. :innahlre of Pmnerty Owner or Authorized Anent V 6//" � Print Property Owner(� Js or Authorized Apent's Name 1 Y t/CIA ACTION DATE BY DECLARATION O'F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ` REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • • • ••• ••• ••• PERMITEXPIRED ISUBMITTEDASBESTgS:4OTIFICA 10 T PERMIT CANCELLED EPA ••• •... ••• ••• •• ••• PERMIT EXTENDED L 1AQMD PERMITFINAL Z, QZ J rc LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF v PROPOSED DEMOLITION •�• ••• ••• ••• �• i•• OCCUPANCY ISSUED SIGNATURE: : • •• • •• ••• •• •• • • ••• % Date