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Home My WebLink AboutX2022-0125 - Permits�wrrr : City of Newport Beach - Building Division *X2022-0125* H �*, 100 Civic Center Drive, Newport Beach, CA 92666 v`ee�ef�e COMB Permit: X2022-0125 F"+ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Project NO : 2536-2021 Combination Type - SFP G r�h'l°, 9®rl Issued Date : 04114/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS Construction Hours: Monday -Friday 7:00 a.m, Job Address: MUST BE COMPLETED BY 04/14/2025 OR PERMIT WILL BE INVALID to 6:30 Saturday 1951 GO DR NB p.m. and from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Description: DELTA 2 AD A 2 ADDL SCOPE ADD 24 SF ROOF TO 2ND FLR ROOF DECK Legal Desc.: N TR 4710 LOT 6 Owner: CNQ1951 S NTI Contractor: Address: BRYAN PACIFIC BUILDERS Architect: NE ORTIBEA H, Address: NEWPORT BEACH, CA 92660 413 CALLE DELICADA Address: Phone: SAN CLEMENTE CA 92672 Phone: 714-360-4488 Phone: Applicant: KENT ART State Lie: Address: 61416TH ST Con State Lie: Lie Expire: 585047 02129/2024 Engineer: .... WU FRANK H '+°+•+ HUNTINGTON BEACH, CA 92648 Phone: 714-272A624 Bus Lie: BT30066161 Address: 68 BLUECOAT ° Lie Exp Date: ode Edit: 11/30/2022 Phone: IRVINE CA 92620 + • e • 949-832-0250 State Lic:S-002025 •°� 2019 Worker's Compensation Typeof Construction: V-B Insurance Designe•+ + •` Carrier: Occupancy Group: R3/U PREFERRED PROFESSIONAL INS Address "•"+`+ .° +Ji Added /New sq.ft. Bldg: 0 Policy No: ON1212001 , J Added /New sq. ft. Garage: 0 Expire: 12I1612022 Phone: No of Stories: 2 Building Setbacks No of Units Rear: 6 - `• ° J... : 1 Bldg Height: Front: 20 Special Conditions: . ° • ; • < ° J o • - p Bldg Sprinklers: N Left: 6 i Flood Zone: X Right: 6 Use Zone: Parkin Spaces: 0 Construction Valuation: _ $4,320 00 Fire Hazard Zone : N ° Building Permit Fee: $161.00 Excise Tax: Plan Check Fee: $140.07 $0.00 Planning Department - Overtime Plan Ck: Additional Fee : $0.00 Grading Bonds Fee: $0.00 Plan check Fee Fire Department $0.00 Fire Inspection: Investigation Fee: $0.00 Grading PC Consultant: Record Management: $0.00 Fair Share : $0.00 SJH Trans $0.00 $0.00 Fire Plan Rev $0.00 $16.00 Energy Compliance: 16.00 Grading Permit Fee: : $0.00 In -lieu Housing Fee : $0.00 Demolition Fee $0.00 CA Seismic Safety: $0.00 Grading PC Fee: $0.00 Public Works Department - Building Dept Adm $0.00 WQ Insp. Fee: Disabled Access : $0.00 $0.00 Park Dedication : $0.00 General Service $0.00 Hazardous Mat $0.00 Electrical %: PNV Plan Check : $0.00 Refund Deposit $0.00 Grading Bond: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 San Dist: $0.00 Plumbing %: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 TOTAL FEE : $318.63 $0.00 Plan Check Fee : $0.00 - Fee Due at Permit Issuance : $318.63 Pr 4L: CNC PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affrtm under penalty of perjury that I am exempt from the Contrators' State License Law for the reason(s) indicated below by the che(s) I have placed next to the applicable items) ;Setion 7031.5, Businessstatement that he orsheA'Is reused pursuant to the �prov s ons oftthe Contracto lrs' StaterLice se Lalish, or repir any w (Chapterstructure 9 (commencing withrto its issuance, also Se Section 7000) of requires the of the Business end :he permit to file a signed 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). ill do (_) all of or (, portions oft a work, and the structure is not intended or offered for sal (Sec It v tl d that the ❑ I, as owner of the property, or my employees with wages as their sole compensation, w Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cum improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractc ❑ 1 am exempt from licensure under the Contractors' StatLicense residence in r the following reason: hich I must have resided for at least one By my signature below I acknowledge that, except for my personal sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I u Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.legi Signature of f tdpeRty Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION T 16r�by affm yAder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDate7000 and effet. L, . ZP. Class License No AAjd e' eC S-WMPENSATION DECLARATION EMPLOYER TO . wOS'j OF CO it RSATRON, DAMAGES AS PRONDEO FOS UNLAWFUL AND SHALL SUBJECT AN R INS COTION 3706GE 1OF THE LABOR CODE, NT REST, AND ATTORNEY'S F ESRIMINAL PEN/ I Siereby aff�; 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 perfo ce of the work for which this permit is issued. Policy No. 'have apt wiR maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the �. �np.urance carrier apd policy number are: �nfTier Policy Number �• .�. Name of Agent I certify that, in the performance o work for which this permit is issued, I shall not employ any person in any mann that, if I should become subject to �o>r compensation provisions of Section 3700 of the Labor Code, I shall forthv nature of Applicant \ " CLARATION REGARD CONSTRUCTION LENDING AGENCY weby affirm under penalty of perjury that there is a construction lending agency forthe per Address of the work for wt Lenider's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owne behalf. I have read this application and the information I have provided ' corre laws relating to building construction. I agree to comply with all applicable city and county ordinan d 9 Ified property for inspection purposes. I authorize representatives of this city or county to entn�f%t / print Prooertv Owners or Signature of Property owner or FAwinorizcu r,y= ACTION DATE BY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL f� 1� CERTIFICATE OF Y� I V OCCUPANCYISSUED CLARATION F COMPLIANCE WITH CODE OF FEDERAL FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO TO mployees' or personal effort, builds or improves the prope y, pro etion. the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). ear prior to completion of the improvements covered by this permit, I cannot legally derstand that a copy of the applicable law, Section 7044 of the Business and f �vi Business and Professi license is in full force ontrator Signature TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and ogre 1 comply with those provisions. e� Dat this permit is issued (Section 3097, Civil Code). USE ONLY D t �/