The URL can be used to link to this page

Home My WebLink AboutX2022-0805 - Permitss City of Newport Beach - Building Division AA 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v. Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM `X2022-0805* COMB Permit: X2022-0805 Project No : 1317-2021 Issued Date: Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 9 CAPE WOODBURY NB Description: DELTA 2 REVISION & ADD'L SCOPE: FOR ELEC REPLACEMENT, (N) BEAM, & REMODEL BATHROOMS. Legal Desc.: N TR 15012 LOT 71 Owner: BETETA CINDY Contractor: OLSON CONSTRUCTION Architect: Address: 9 CAPE WOODBURY Address: 6818 EL PROGRESO Address: NEWPORT BEACH, CA 92660 LONG BEACH CA 90815 Phone: 562-434-6993 Phone: 562-619-9109 Phone: State Lic: Applicant: GULIAN EDWARD Con State Lic: 386853 Engineer: SALEH ZOUHEIR Address: 5855 E NAPLES PLZ Lic Expire: 04/30/2023 Address: 1304 CORTE MALTERA LONG BEACH CA 90803 Bus Lic: BT30071170 COSTA MESA CA 92626 Phone: 562-434-6993 Lic Exp Date: 03/31/2023 Phone: 562.235-4572 State Lic:C-042881 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: EXEMPT Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $10.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $17.22 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $9.84 NMUSD Fee: $0.00 $0.00 Plumbing %: $22.14 $0.00 TOTAL FEE: $572.22 PROCESSED BY: ZONING APPROVAL: Plan Check Fee $266.02 Fee Due at Permit Issuance : $306.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: SEc GRADING APPROVAL: APPROVAL TO ISSUE: 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) ction 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 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 �fessions 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 c`tVilneQalty of 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 he 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, throughlemployees' 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'I 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: I 'y 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 tl ell 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 '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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Divi,siga 3 of the Business and Professiot. , n l my license is in full force nd effect. License Class License No Date l Z Contractor Signature PORKERS' 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 ($10(3,000(, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DG OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director erformance of the work forwhich this permit is issued. Policy No. 71 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the Isurance carrier and policy number are: ;arrier Policy Number lame of Agent ertify that, in the performance of the work for which this permit is issued, I shall not employ any person in any if I should become subject tS.L4 wweiakere=compensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant 1 CLARATION REGARDING CONSTRUCTION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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. 1 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 P.rM r de-e e-Identified property for inspection purposes. nature of ProDertV Owner or Authorized Agent 1 Print Property Owner's ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL ZO"2 SBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEM TI OCCUPANCYISSUED SIGNATURE: vents covered Dy this permit, I cannot law, Section 7044 of the Business and Date 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 agre h comply with those provisions. Date 5 / /1 `7 4 / z Z —C this permit is issued (Section 3097, Civil Code). FOR OFFICE USE ONLY c1lSL-71 Date 1,