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Home My WebLink AboutX2020-2042 - Permits0.`"'"rr'&� City of Newport Beach - Building DivisionIlullCOMB Permit: X2020-2042 II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 0 4 2 PfOJBCt No: 1670-2020 4 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "•, , Combination Type - SFP MECH ELEC PLUM Issued Date : 05/oa/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1715 PALOMA DR NB Description: SFR ADD 168 SF, REMODEL 300 SF, COVERED PATIO 332 SF, PORCH 48 SF. INCL CITY STANDARD DRAINAGE Legal Desc.: N TR 3176 LOT 17 Owner: RUSH JENNIFER Contractor: HAUS WERKS INC Architect: Address: 1715 PALOMA DR Address: 12891 ROSALIND DR Address: NEWPORT BEACH, CA 92660 SANTA ANA CA 92705 Phone: Phone: 714-343-3990 Phone: State Lic: Applicant: MARK JOE Con State Lic: 906486 Engineer: SINGER JOANNE Address: 24451 MUELA Lic Expire: 11/30/2023 Address: 24451 MUELA MISSION VIEJO CA 92692 Bus Lic: BT30078662 MISSION VIEJO CA 92692 Phone: 949-413-9057 Lic Exp Date: 05/31/2023 Phone: 949-413-9057 State Lic:C-026900 Code Edit : 2019 Worker's Compensation Insurance Designer: MARKS JOE Type of Construction: VB Carrier: EXEMPT Address: 24451 MUELA Occupancy Group: R31U Policy No: no employees MISSION VIEJO CA 92692 Added /New sq.ft. Bldg: 168 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: COSTA MESA SANITATION No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N n Construction Valuation: $100,000.00 Building Permit Fee: $2,045.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,761.83 Additional Fee : $68.00 Plan check Fee: $208.00 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: $20.00 Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $70.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $13.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $143.15 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $81.80 NMUSO Fee: $0.00 $0.00 Plumbing %: $184.06 $0.00 TOTAL FEE : $4,835.83 Plan Check Fee : $1,953.83 Fee Due at Permit Issuance : $2,882.00 "I PROCESSED BY: f _ PUBLIC WORKS APPROVAL: C. IA MK- ZONING APPROVAL: 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 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 1e 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 'rofessions 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 at more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 poly 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: Iy 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 ell a structure that I 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectR7000) o Di ision 3 of the Business and Pr fie sions.,od ad my license is in full force nd effect. License Class Ri License No 9G(K86 Dat S 12 Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penally of perjury one of the following declarations: I have 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 erformance of the work for which this permit is issued. Policy No. ]I have 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' compensation Isurance carrier and policy number are: Policy Number of Agent Date :1I c ify that, in the performance of the work 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 agre should subject ct to the wgyaj5e�' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions 3ignatu eof ApplicantDate`�//Z �Z )ECLARATION REGAR /6 S RI ON 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 3097, Civil Code). -ender's Name Lender's Address 3y 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county t enter th ove-identified property for inspection purposes. pp signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam re )9ccW Date 2Z ACTION DATE BY ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU TIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED OCCUPANCTY SUED 5,I,23 K%��G: SO7UREOV /'ITO^IS NOT APPLICABLE TO 3 Z Q—A H x w i F v '� c4_ a J y Ul W '6 U. "-g J�s"a YPi1 ER * Ci N= E H d� M .4 6r to J \ W W cd. 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