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Home My WebLink AboutS2022-0018 - Permitsxw(rs,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II zi '{a 100 Civic Center Drive, Newport Beach, CA 92660 P Permit Counter Phone (949)644-3288 r'�cixirt4w�b Job Address: 223 JASMINE AVE Floor: Suite: Bldg: 1 Description of Work:SFR SPA 45 SF W1 YARD DRAINAGE Inspector Area: Plan Check No: 0132-2022 Code Edit: 2019 Legal Description: RESUB OF CORONA DEL MAR LOT 23 BILK 136(AND NELY 10FT LOT 21 BILK 1 36 Owner: BRINTON STEPHANIE Contractor: MITCHELL PARKS Address: 223 JASMINE AV Address: 1400 S SUNKIST ST #190 CON! CA 92625 ANAHEIM CA 92806 Phone: Phone: 949-279-7193 Applicant: ELLISON PAUL Con State Lic: 838091 Address: 24642 VIA RAZA Lic Expire: 0513112024 LAKE FOREST CA 92630 Bus Lic: BT30078593 Phone: 949-683-9861 Lic Exp Date: 04130/2023 Building Rear: Worker's Compensation Insurance Setbacks: Front: Carrier: NO EMPLOYEES Left: Policy No: Right: Expiration: Construction Type : Construction Valuation: $30,000.00 Building Permit Fee : $440.00 Permit Issuing Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Plan Dept Plan Check: $0.00 Building Delp Plan Check: $396.00 Building PC Investigation : $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE : $1,430.00 PROCESSED BY: ZONING APPRO� Record Management Drainage Permit Fee : Drainage Plan Check: Grading Consultant Fee Additional Fee : FEES $4.00 $237.00 $199.00 $0.00 $0.00 Plan Check Fee : Architect Address: POOL -Permit: S2O22-0018 Project No: 0132-2022 Inspection Requests Phone (949)644-3255 Phone: State Lic Engineer: BIEDENBACH CHRISTOPHER Address: 1201 N TUSTIN ANAHEIM CA 92807 Phone: 714-630-6100 State Lic:C-074003 Special Conditions Issued Date: 04127/2022 Water Quality- — Building Dept Inspection Fee: $0.00 Water Quality Dept Insp Fee: $152.00 Building Dept WQ Plan Check: $0.00 Others: $0.00 $0.00 PLAN CHHCKEIfr BY:: APPROVAL TO ISSUE PERMIT EXPIRES 180 DAYS AFTER 13SUA,4Cc C1R'LAST"\VALID INSPECTION Fee Due at Permit Issuance : Co �J r-11 0 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 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). 1201 N TUSTIN 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). 111, 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 legally sell 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 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 Da LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ivi - n 3 of the Business and Prof ssionS o nd I' nse is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 Tm3nce of the work for which this permit is issued. Policy No. and will a tain workers' carrier a d D licv numbe'f ie of Agent _(.J certify that, in the pi , if I should become lature of Applicant insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date issued, I shall not employ any person in any manner so as to become subject to the workers' compe ation yews of California, and agre ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. L CLARATION REGARDIN(ItO JS R CZ QDYCENDING AGENCY � y� areby 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 Cade). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on t perty owner' ehal 'j'�,//!!//A//, q I have read this application and the information have pro-' d' corec t� "� I agree to comply with all applicable city and co my o 'arc and a laws relating to building construction. �Z/ y q I authorize representatives of this city or coun o e er the boy fled property for inspection purposes. , / / !�G mature of Prnnerty Owner or Authorized ADen Print Prooertv Owner's or Authorized Agent's Na,1 I Date ACTION DATE BY ID�eCARATION OF COMPLIANCE WITH CODEOF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERMIT EXPIRED _ ISUBMI D-AS3ESTOS NOTIHrATIUN TO - PERMIT CANCELLED PERMIT EXTENDED QMD POOL ALARMS INSTALLED ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOUMCAN - SIGNATURE: - _ - PERMIT FINAL