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Home My WebLink AboutX2022-0346 - Permitsraw „ City d Newport Beach - Building Division *X2022-0346* COMB Permit: X2022-0346 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1998-2021 Permit Counter Phone (949)644-3288 01 A v Inspection Requests Phone (949)644-3255(� /" "t+rotuz°* Combination Type MFP i C 1 Issued Date: //2022 Inspection Arreaea :6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/29/2025 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 W Job Address: 520 112 IRIS AVE NB Description: ADD'L SCOPE TO ADD (N) SSW & TWO (N) BEAMS (REV22-0206) Legal Desc.: Owner: MILLER THOMAS Contractor: JOHN MASTROPAOLO CONSTRUCTION Architect: 7 Z Address: 520 1/21RIS AVE Address: 16291 MAGELLAN LANE Address: CORONA DEL MAR, CA 92660 HUNTINGTON BEACH, CA 92647 • ° ° Phone: Phone: 562-200-1024 Phone: State Lic: • °°•°°° a°•.� Applicant: PETERS WILLIAM Con State Lic: 975340 Engineer: KHAEF ESMAIL ° � Address: 33662 BRIDGEHAMPTON Lic Expire: 07131/2022 Address: 4005 CALLE SONORA 92B -DC ° ° AU DANA POINT, CA 92629 Bus Lic: BT30075965 LAGUNA BEACH CA 92637 Phone: 949-412-4428 Lic Exp Date: 0713112022 Phone: 714-504-8260 State Lic:C-045870 • °•� �• �� Code Edit : 2019 Worker's Compensation Insurance Designer: ° ° Type of Construction: V-B Occupancy Group: Carrier: EXEMPT Address: R3/1.1 Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: ...... Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: HIGH DENSITY ZONE No of Units: 2 Front: I REV22-0206(DELTA I) Bldg Height: 0 Left: / ° 1p Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $15,000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $287.97 Additional Fee : $0.00 Plan check Fee : $0.00 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: $18.00 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $637.97 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $637.97 3 PROCESSED BY: PUBLIC WORKS APPROVAL: S � ZONING APPROVAL: ✓ I S PLAN CHECK BY: 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 items) (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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 Ovements 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 "oved 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 y 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 licensure under the Contractors' State License Law for the following reason: I 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, a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I �.nderstand that a copy of the applicable law, Section 7044 of the Business and Ifessions Code! es+available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of PPQW&ty owner or Authorized Agent Date jAOED CONTRACTOR'S DECLARATION ;re* affirm}Ifft6aenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of ivisi 4f the Business and Profess Cod nd license ull force I effect. License Class License No Date L Contractor Signature )RhRS' CpMeENSATION DECLARATION NIA : FAILU%Tp'SE;URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 49000MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4y affirmi naar penalty of perjury one of the following declarations: .... h Nave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire ararence of the work for which this permit is issued. Policy No. hade and d6i1WMaiytain workers' compensation insurance, as required by Section 3700 of the Labor Code, for lame carrie�andi number are: Policy Number Agent TIES AND CIVIL FINES UP TO ONE HUNDRED TI)fOUSAND 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 '1 certify that, in the perform nce of the work forwhich 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 tat, if 1 should become subj t the o ers' compensation provisions of Section 3700 of the Labor Code, I shall forthvyith comply with those provisions. signature of Applicant Date IECLARATION REGA(RDItf CCNSTR6Q1TON LENDING AGENCY hereby affirm under penalt f 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 ly 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 coun dinances and state laws relating to building construction. I authorize representatives of this city or count t arth bove-identified roperty for inspection purposes. X tianahrre of Prnnwrtv Owner or Authorized ADent Print Prooertv Owner's or Authorized Aoent's Namx 1G� w and \ t-0Q 00L Date ACTION DATE BY (L' O FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 1 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED PROPOSED NOTAPPLICABLE TO