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Home My WebLink AboutX2022-0992 - PermitsT`NnrkT City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0992 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 9 9 2 Project No : 1813-2021 -Permit Counter Phone (949)644-3288 ' .t Inspection Requests Phone (949)644-3255 a T Combination Type - SFP ELEC MECH PLUM Issued Date : 06/06/2022 Y 1 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE 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: 621 DONALD PL NS Description: SFR DELTA 3, ADD 42 SF, INSTALL SKYLIGHT, REMOVE BAY WINDOWS, REMODEL (3) (E) BATHROOMS, UPGRADE (E) SERVICE PANEL TO 200 AMP, INSTALL SUBPANEL, NEW Legal Desc.: N TR 10156 LOT 2 Owner: BRENNAN KEVIN Contractor: P R CONSTRUCTION INC Architect: Address: 621 DONALD PL Address: 1995 BATAVIA ST Address: NEWPORT BEACH, CA 92663 ORANGE CA 92865 Phone: Phone: 714-223-7848 Phone: State Lic: Applicant: BRENNAN BRIAN Con State Lic: 673267 Engineer: YAGHI SHUCRI I Address: 1995 BATAVIA Lic Expire: 0313112023 Address: 112 E. CHAPMAN #D ORANGE CA 92863 Bus Lic: BT30076183 ORANGE CA 92866 Phone: 714-412-6919 Lic Exp Date: 08/31/2022 Phone: 714-997-9120 State Lic:C-043205 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EVEREST NATL INS CO Address: Occupancy Group: R3/U Policy No: CA10002583221 Added /New sq.ft. Bldg: 42 Expire: 0110112023 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 10' Special Conditions: No of Units: 1 Front: 20' Bldg Height: 0 Left: 4' Bldg Sprinklers: N Right: 4' Flood Zone: X Use Zone Parking Spaces 0 Fire Hazard Zone : N Construction Valuation: $40 000.00 Building Permit Fee: $1,431.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,159.65 Additional Fee : $0.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $5.20 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PIW Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $100.17 San Dist : $0.00 $0.00 Building Green Fee : $2.00 Mechanical W $57.24 NMUSD Fee: $77.28 $0.00 Plumbing %: $128.79 TOTAL FEE: $3,153.05 PROCESSED BY: ZONING APPROVAL: 091, Plan Check Fee $1,095.44 Fee Due at Permit Issuance : $2,134.89 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 Bu0ess 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 U 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-Builderwill 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 legall, 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 o ivisi n 3 of the Business an rofessi n ogdke;n�se 'n full farce and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION ✓DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE LTIE 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: ❑ 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 th pdl�m of the work for which this permit is issued. Policy No. — ❑I h ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thi per it is issued. My workers' compensatiol nsur nice "crigr&nn lic mberare: q/ / '7 rler� ' V GI v- � Policy Number�� d C)6)142 Expiration Date l Ord%�� Name of Agent .� Phone # ❑I certify that, in t ande o WO whi h thi ermit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compen ation laws of California, and agre that, if I should become subject to /t/he nsation pro ' 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ', Signature of Applicant V Dat,�7 LQ DECLARATION REGAR ING CONST ION LENDING AGENCY I 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 ode). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. have read this application and the information I have pro d ct. 1 agree to comply with all applicable city and c t nc a e law relating to building construction. I authorize representatives of this city or o enter !fie party for inspection purposes. /f�M „ r �f .n,, r,� / Signature of Prooertv Owner or Authorized ADent .)i )jd Print Prooertv Owner's or Authorized AGent's Name ACTION DATE BY OECDCRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I I I LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED TO