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Home My WebLink AboutX2022-0910 - PermitsCity of Newport Beach - Building Division 1111111111111111111111111111111111p1111p1111111p111COMB Permit: X2022-0910 100 Civic Center Drive, New ort Beach, CA S2660 X 2 0 2 2 0 9 1 0 p Project No: 1448-2021 (9) Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 9 A ;� � -"'Issued Date : 03/31/2022 Combination Type - MFP 1 N �r ILE T C $ Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0313112025 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: 476 MORNING CANYON RD NB 4 Description: MFR *ADDITIONAL SCOPE* R/R DRYWALL THROUGHOUT Legal Desc.: Owner: CORY CHARLES Contractor: PMR CONSTRUCTION Architect: Address: 16632 HALE AV STE 125 Address: 2061 FAIRWEATHER RD Address: IRVINE CA 92606 SANTA ANA, CA 92705 Phone: Phone: 714-231-7272 Phone: State Lic: Applicant: KELSAY DANIEL Con State Lic: 716745 Engineer: YANG HONGBO ' Address: 125 W MAIN ST Lic Expire: 12131/2023 Address: 21745 SANTA POLA , TUSTIN CA 92780 Bus Lic: BT30053615 MISSION VIEJO, CA 92692 Phone: 949-375-5495 Lic Exp Date: 01/31/2023 Phone: 949-395-8953 State Lic:C-088467 Code Edit: 2019 Worker's Compensation Insurance Designer: ` Type of Construction: V-B-SPR Carrier: STATE COMPENSATION INS FUND Address: ' Occupancy Group: R2/111 Policy No: 9266341 Added /New sq.ft. Bldg: 0 Expire: 1212112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: REV22-0560 No of Units : 3 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25,000.00 Building Permit Fee: $501.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $435.87 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 : $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: $0.00 WO 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: $993.87 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $487.87 Fee Due at Permit Issuance : $506.00 PUBLIC WORKS APPROVAL: slit PLAN CHECK BY: 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 reasons) 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 L) 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 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 -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, 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 : Jiw 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 ^rl! P ^tucture'hat I ! ave 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 Professions 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 Date '—ICCfJSED CONTRACTOR'S DECLARATION I I-erety affirm cndar penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f D" si 3 of the Business and ons e, an 1 ull force one Pffect. License Class License No Date i Contractor not WORKERS' COMPENSATION DECLARATION V ✓PNWY : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 1 DDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ ' hi"e 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, for the rnce of the won, for which this permit is issued. Policy No. ave and will mai at workers' compensation insurance, as require by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ante carrier and licy umber are: rr P licy NdQlbbt � Expiration Date I of Agent ( Phone # certify that, in the p ormance of the work for if I should becom u ct to rs' coi lature of Applicant Ireby affirm under penalty of perjury that there is a con! Ider's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the prl I have read this application and the information I have I agree to comply with all applicable city and co 01 I authorize representatives of this city or unt to/en Signature of Property Owner or Authorized Age ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED My workers' permit is issued, 1 shall not employ any person in any manner se as to become subject to the workers' compensation laws of California, and agree ovis" n o action 3700 of the Labor Code, I shall forthwith comply with those provisions. 4G NCY Icti n lea g age cy for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address owner's behalf. ad is correct. s and state laws rela ing to building construction. Inspection purposes. bove--' entifi or Print Propertv Owner's or OF COMPI' NCE wy7H CODS FEDERAL I FOR OFFICE USE ONLY PART 610E TL OANDAQMD RULE TO