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Home My WebLink AboutX2021-0054 - Permitsw City of Newport Beach - Building Division `X2021-0054` COMB Permit: X2021-0054 G Civic Center Drive, Newport Beach, CA 92660 a p Project No : 0049-2021 µ- .� �_ Permit Counter Phone (949)644-3288 s� ID Inspection Requests Phone (949)644-3255 `:;+Srru�* -' Combination Type - SFP PLUM Issued Date : 0210312021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210412024 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: 1116 W OCEAN FRONT NB Description: SFR KITCHEN & (4) BATHROOM REMODELS 400 SF Legal Desc.: N TR 234 BILK 11 LOT 5 - ' NO C((,, INSPECTOR Owner: MCKINLEY ROB Address: 1116 W OCEAN FRONT Contractor: Address: MOELKE BRYAN & COMPANY Architect: `^'"''t 4 ��u1"'O/"1N NOISE 10 PAMPANA ST Address: NEWPORT BEACH, CA 92660 RANCHO MISSION VIEJO CA 92694 Phone: Phone: 949-324-7440 Phone: State Lic: Applicant: SANDOVAL LEOH Con State Lic: 932657 Engineer: ON S di�'i TURDAYS Address: 5252 LONG BEACH Lic Expire: 05131/2011 Address: 1 LONG BEACH, CA 90805 Bus Lic: BT30074096 Phone: 310-749-3195 Lic Exp Date: 0113112022 Phone: State Lic: - ° Code Edit: 2019 Worker's Compensation Insurance ° Designer: SANDOVAL LEOH Type of Construction: V-B Carrier: EXEMPT Address: 5252 LONG BEACH Occupancy Group: R3/U Policy No: LONG BEACH, CA 90805 Added /New sq.ft. Bldg: 0 Expire: 01131/2022 Phone: 310-749-3195 Added /New sq. ft. Garage: 0 ° ° No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units: 1 Front: I Bldg Height: 0 Left: 1 Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces 0 Fire Hazard Zone : N _ Construction Valuation: $32.000.00 Building Permit Fee: $503.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $507.21 Additional Fee : $0.00 Plan check Fee : $46.25 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: $4.00 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: $0.0d WQ Insp. Fee: $0.00 Park Dedication: $0.00 Refund Deposit $0.00 Disabled Access: $0.o0 - _. PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $52.47 $0.00 TOTAL FEE : $1,194.93 Plan Check Fee : $553.46 Fee Due at Permit Issuance : - $641.47 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: y /� /� PLAN CHECK BY: et e GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that 1 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) ;action 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 e 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 rofesslons Code) orthat he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of A 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(_) portions of the work, and the structure Is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Lew does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, Provided that the 3provements are not intended or offered far sale. If, however, the building or improvement is sold within one year of completion, the Owner-Bultder will have the burden of proving that it was not built or I roved for the purpose of sale). 1, 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 aply 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 lam exempt from Iicensure under the Contractors' State License Law for the following reason: 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 the improvements covered by this permit, I Cannot legally all a structure that 1 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 applicable law, Section 7044 of the Business and rofesslons Code, Is available upon request when this application is submitted or at the following Web site:http:liwww.leglnfo,ca.govicalaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION herebyaffirm under anal of @ u_ that I am licensed under provisions yf Chapte� Commencing with Section O) f Div ston 3 of the B as and ProfSea o Code• and-rtrtgeans full force nd effct. License penalty �ry License No T� � „� Con a Signature VORICERS' COMPEKSATION DECLARATION ARNING! rAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES U TO ONE HUNDRED THOUSAND DOLLARS (3100,000), IN ADDITION TO THE OST OF OOMPENSAI ION. LA,NAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h=rebv affirm unLf r penalty of perjury one of the following declarations: 1 1 icve and will 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, forth / ormance of the work for which this permit Is Issued. Policy No. ^ tale and will maintain 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' compensatio rarce carrier end pooicy number are: 1. Policy Number Dale s or Agent :erVy that,' n h^ pr'rtormance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject t' compensation laws of California, and agree o the rkers If I shout come subj wor er rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -7 arure of 111111 Pt; CLARATION REGARDING CONSTRUCTION LENDING AGENCY 3reby affirm under penalty of perjury that there Is a construction lending agen ider's Name-000 - my signature below, I Certify to each of the following: 1 am the property owner or authorized to lot on the pro pr! owner's behalf. I have read this application and the Information I h provided Is correct. I agree to comply with all applicable Ity and co ordinances an I authorize representatives of this or cou to enter t ove-Identifier mature of Pronertv Owner or Autho I?.Ag ACTION PERMIT PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED the work for which this permit is Issued (Section 3097, Civil Code). to building DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE / ƒ 3 $ \\ \/7%/ k m \ \ a 0 E ca ".C: q �\ \ \± r \\ \\ U 2 ° b@ =—<m!: ( \_ }� _\ §&��: W < ƒ} o � ` co C) > � /.0 w 0 /J\\} (§{ƒ 2 \: \'77 c == 2 \ /(—\ 2 � 5ƒ \!E -o > \ £=7�a * G\ §co z \ W >02/ oz gI . E=_� \/}f �$ »_ 3 D- � 2=7& QI \o «tb§®® ƒ O % e o ! o z \\ z» /\ 0�=252 \. f §o Elk=§> @ \ ® a= e=,CO o=o 2 \(D0 @ _.\7 c0$ E/ §z \~ �\\k // § \2 /\=a) \ Cl) k « \ {@ { W 5 E k § o : k k k = o \ f a ■ o oS< _32\&= a o o u G e: ,