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Home My WebLink AboutX2021-3364 - PermitsCOMB Permit: X2021-3364 City of Newport Beach - Building Division Project No : 2924-2021 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 01125/ 22 °''sirrau'fi Combination Type - SFP ELEC MECH PLUM Inspection Area :; ISSUANCE OR ST ON OJECTS MUST BE LETED BY /25/2025 OR PERMIT WILL BE LID 'days PERMIT EXPIRESAFTER o work on Sundays orH Construction Hours.,Monday- Friday 7:00 a.m. toALID 6:30 p.m. andd Saturday from 8:00 a.m. to 6:00 p.m. N1 Job Address: 430 POPPY AVE NB & (2) POWDER ROOMS, 3 FIREPLACE BOX REPLACEMENTS 400 SF Description: SFR REMODEL (6) BATHROOMS Legal Desc.: TR 673 LOT 44 BLK B NWLY112(AND NWLY112 LOTS 45 AND 46 BILK B i,ftt1 Owner: BRINSDEN JONATHON & CARRIE Contractor: LION BUILDER CONSTRUCTION Architect: Address: 430 POPPY AVE Address: 777 W 19TH ST #W Address: NEWPORT BEACH, CA 92625 COSTA MESA, CA 92602zg Phone: State Lic: l,o� Phone: Phone: 949-698-3148 Applicant: MIZRENI OMRI Con State Lic: 993326 Engineer:'':: ✓ Address: Expire: Lic Ex Address: 777 W 19TH ST #W P 06/30/2022 COSTA MESA, CA 92627 Bus Lic: BT30056316 State Lic: Phone: Phone: 949-698-3148 Lic Exp Date: 06/30/2022 _ °°°° Code Edit: 2019 Worker's Compensation Insurance Designer: BLACKMORE JASON Address: 600 ANTON BLVD Type of Construction: V-B Carrier: CLEAR SPRING PROP COSTA MESA, CA 92626.... Occupancy Group: R3/U Policy No: CWC00064000 07122/2022 Phone: 949-274-6585 Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 Building Setbacks Special Conditions: Rear: / p No of Stories: 2 Front: / No of Units : 1 Left: Bldg Height: 0 Right: / Bldg Sprinklers: Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N Flood Zone: uction Valuation: $75 000.00 ° ° g Permit Fee: $1,009.00 Excise Tax: $0.00 Planning Department - Fire Department ... $52.00 Fire Inspection: : °$p•�. heck Fee: $677.83 Additional Fee : $0.00 Plan check Fee: Fair Share: $0.00 Fire Plan Rev ' $ e Plan Ck: $0.00 Grading Bonds Fee: $0.00 $0.00 SJH Trans : $0.00 Demolition Fee igation Fee: $0.00 Grading PC Consultant : $0.00 In -lieu Housing Fee : $0.00 d Management: $16.00 Grading Permit Fee: $0.00 Public Works Department-GeneBuildral Serviceng $0.00$0 00 y Compliance: $0.00 Grading PC Fee: $0.00 Park Dedication : $0.00 Refund Deposit$0.00 EiFee ismic Safety : $0.00 WQ Insp. Fee : PAW Plan Check: $0.00 Grading Bond: $0.00 led Access : $0.00 $0.00 Electrical %: $70.63 San Dist: $0.00 $0.00 dous Mat g Green Fee : $3.00 Mechanical %: $40.36 NMUSD Fee: $0.00 $0.00 Plumbing %: $90.81 Plan Check Fee : $929.83 Fee Due at PermitIssuance : $1,229.80 TOTAL FEE : $2,159.63 1 PUBLIC WORKS APPROVAL: PROCESSED BY: /I PLAN CHECK BY: ZONING APPROVAL: APPROVAL TO ISSUE: GRADING APPROVAL: FOWNER-BUILDER DECLARATION _ by 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) 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 it 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 ofthe Business and ns 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 U 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). 1 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 contractorsunderstand 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.11 ginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7009) �f,It iyi 'on of the Business and Professions Cod d ense is in full force and effect. License Class License No Date/ )RKERS' COMPENSATION DECLARATION l MING: FAILURF�TCSEtyRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL iT OF COMPENSATYNI•DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. iahyaffrm under penalty of perjury one of the following declarations: 1 have and will maRltain a certificate of consent to self -insure for workers' compensation, issued by the Direc inice of the -work for which this permit is issued. Policy No. r. and wilf rneRain workers' compensation insurance, as required by Section 3700 of the Labor Code, for Rarldb carrierand p6licy, number are: Policy Number :ERisy that, i%the o2rformance of the work for which this pe it is issued, I shall not employ any person in any if I should b �co Ins subj f to the workers' c nsati provisions of Section 3700 of the Labor Code, I shall AM of AOOlican6 ., --�^• ^VYvnpunvo wrvalr<uc uVNL ING AGENCY hereby affirm under penalty of perjury that there is construction lending agency for the performance of the work for ender's Name Lender's Address y my signature below, 1 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 tate s relating to building construction. I authorize representatives of this city or county to enter the abo -id ed property for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's I DATE PERMIT uc�wMm 1IUN Ur tk?.IWLIANCE WITH CODE OF FEDERAL I FOR REGULATIONS PART 61 OF TITLE 40 AND A( RULE I SUBMITTED CERTIFICATE OF 3r-1a Dt...ti. NBB'POSEDDEM LNOTIITIONIONI TAP ABLE TO OCCUPANCY ISSUED P I Contractor Signature AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for Performance of the work for which this permit is issued. My workers' Expiration Date so as to become subject to the workers' compensation Ia of California, and agre m comply with those provisions. ! Date / 1 this permit is issued (Section 3097, Civil Code). USE ONLY Date