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Home My WebLink AboutX2022-0223 - Permitsry �, City of Newport Beach - Building Division d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 P.0 v Inspection Requests Phone (949)644-3255 r"irrwu`"�r Combination Type- SFP ELEC PLUM MECH *X2022-0223* �� ! r-6 jz�, i BA COMB Permit: X2022-0223 Project No : 0200-2022 Issued Date : 01/2512022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112512025 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: 217 E EDGEWATER AVE NB Description: SFR BATHROOM REMODEL 40 SF - - Legal Desc.: NEWPORT BAY TR SUB OF BLK C LOT 8 - Owner: KILPATRICK CHRIS Address: 9 WICKLAND IRIVINE, CA 92620 Phone: 949-616-6456 Applicant: KILPATRICK CHRIS Address: 9 WICKLAND IRIVINE, CA 92620 Phone: 949-616-6456 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 : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $392.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: OWNER/BLDR Architect: Address: Address: Phone: Phone: Con State Lic: O/B Engineer: Lic Expire: Address: Bus Lic: Lic Exp Date: Phone: Worker's Compensation Insurance Designer: Carrier: Address: Policy No: Expire: Phone: 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: I Right: I °arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.27 $6.44 $14.49 Plan Check Fee 0 MIGLIOZZI JORGELINA ELIANA 22195 EL PASEO STE 250 RANCHO SANTA MARGARITA, CA 92688 .... 949-697-7749 State Lic:C035585 •.... • • • ••.•.o Special Conditions: Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 • . • •. a State Lic: •• . • o . .. o o.o 0 a .o. 0 000 o. coo •. oo. 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 $0.00 Fee Due at Permit Issuance : $392.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 1/ a r 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 (_) 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 an 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 comple ion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, B isiness and Professions Code: The Contractors' State License Law does not ppI, as an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor prsuant to the Contractors' State License Law). 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 per residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal[) sell a structure that I have built as an owner -builder if has o b constructe s entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Coge, is available upon request when ap ica ml ed or at the following Web site:http://www.leginfolca.gov/calaw.html' � ignatute of Pro[ A'Owner or Authorized Agent Dat t"EN;ED CQMUCTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force vride act. License Class License No Date Contractor Signature WORKERS' COMMSATION DECLARATION WARNING• FAILURE TOSECTIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COSTUF COMPEN§A•TJ0N•DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. lt"6 .affirm L)jtd2gq(!nalty of perjury one of the following declarations: ••Tteve and wilF 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 (jp%rrA rice of the work for which this permit is issued. Policy No. have and wilhmaintain 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' vsurance carrier and p3licy number are: farrier •••• • Policy Number Expiration Date of Agent I certify that, in the performance he yaofk 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 agree let, if I should become subject t h 6rker ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Inf/� D ! ZS (Z Z IECLARATION REGARDING C STRUCTION LENDING 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 309 , Civil Code). .enders Name Lender's Address ly my signature below, I Certify to each of the following: I am the property owner or authorized to act on the property o ner's behalf. I have read this application and the information I have prov' ed' correct. I agree to comply with all applicable city and cou ty i n and state laws relating to building construction. I authorize representatives of this city or coun n r ve-identified property for inspection purposes. n / od.a o...,.on„ n-noPe nr A„eHnn—H An—Va Mao a 1 V ` /' LIIL/S {e lL nil%pit Cla l r/1 �tiZ ACTION DATE BY Y I RDECLARATION OF I EGULATIONS PA COMPLIANT E CE ITH AND DE OF RULE I FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED MN CERMI T FI NAL PERMFICATEL OCCUPANCY ISSUED ��/ (, SBESTD M CAT IS �PPLICA' RO SED DEM 0 SIGNATURE: i1