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Home My WebLink AboutX2022-0259 - Permits�a.rF City of Newport Beach - Building Division 111111111111111111111111111111plllllp111111p 11 COMB Permit: X2022-0259 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 2 5 9 Project No : 2021-2021 Permit Counter Phone (949)644-3288 .. TU .; Inspection Requests Phone (949)644-3255 tt�rnti'F*' Issued Date : 01/28/2022 Combination Type - BLDG PLUM Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112812025 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: 621 MICHAEL PL NB Description: DEMO (E) SFR W/ATT GARAGE 1,919 SF (4 BEDROOMS) Leqal Desc.: N TR 4106 LOT 4 Owner: 11 MARBELLA LLC Address: 31 NEEDLE GRASS IRVINE CA 92603 Phone: Contractor: PRIME TIME COASTAL DEV INC Address: 5366 RURAL RIDGE CIR ANAHEIM CA 92807 Phone: 714-313-6309 Applicant: PRIME TIME COASTAL DEVELOPMENT INC Con State Lic: 1077067 Address: 5366 RURAL RIDGE CIR Lic Expire: 06/3012023 ANAHEIM CA 92807 Bus Lic: BT30077730 Phone: 714-313-6309 Lic Exp Date: 0113112023 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Finnd 7nne: X Construction Valuation: $11,000.00 Building Permit Fee: $122.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,117.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: / rkin S a $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.98 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: State Lic: Special Conditions: HAULER:WARE DISPOSAL Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 NO CITY TREES ON SITE 7 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $27.00 $265.00 $1,692.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,117.98 PUBLIC WORKS APPROVAL: 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 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 Iicensure 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 C-) 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 -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 Iicensure 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I n licensed under provi �f Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Pr lions d�m� 'r' is in full farce and effect. License Class a2, % O i-7 C7 (ri % License I Date /�2Y Z.z Contractor Signature_ — WORKERS' COMPENSATION DECLARATION NARNING: 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 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: 111 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 th performance of the work for which this permit is issued. Policy No. 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' rance carder and policy number are: Policy Number of Agent Date certify that, in the performance of the work for whit 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 ,�Lf I should becomvenalty to the ers' co n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican- DX at REGRIDINGCONSTRUCTION LENDING AGENCY �reby affirm under perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider'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. agree to comply with all applicable city and county ordinances nd state laws relating to building construction. authorize representatives of this city or count nter the -id " d o ert for inspection purposes. 3ignature of Property Owner or Authorized Agent Property Owner's or Authorized Ag ACTION DATE BY .DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY CATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I l / I L_I I SUBMITTED ASBESTOS NOTIFICATION TO - PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL OCCUFANCE OSUED �—Zt'C� 1 PROP ARE:IE \/ LITONIO'` NOT PCrE LE TO—