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Home My WebLink AboutX2022-1269 - Permitsa1sr„4, City of Newport Beach - Building Division "X2022-1269* COMB Permit: X2022-1269 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1171-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM i � �i"6'^'`-r`t'% Issued Date : 06/14/2022 � - x' ::-h.__r S %_.f' Inspection Area : 4 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: 17 BOARDWALK NB Description: SFR REMOVE 172 SF OF GARAGE, NEW DECK 474 SF & NEW GLASS DOORS AT PATIO AND DECK LEVEL. NEW SITE IMPROVEMENTS Legal Desc.: N TR 15478 LOT 13 Owner: SACKS TERRI Contractor: Address: 17 BOARDWALK Address: NEWPORT BEACH, CA 92660 Phone: Phone: Applicant: WHEELER MARK Con State Lic: Address: 4918 E ATHERTON ST Lic Expire: LONG BEACH, CA 90815 Bus Lic: Phone: 562-619-3990 Lic Exp Date: Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Building Permit Fee: $1,537.00 Plan Check Fee: $1,337.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $44.00 Energy Compliance: $105.00 CA Seismic Safety: $19.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE : $4,750.B4 PROCESSED BY: ZONING APPROVAL: HASKETT JIM CONSTRUCTION INC Architect PO BOX 379 Address: SURFSIDE CA 90743 714-894-4800 Phone: State Lic: 738498 Engineer: ARMSTRONG SCOTT DANIEL 08/31/2023 Address: 41870 KALMIA ST #165 BT30060773 MURRIETA CA 92562 10/31/2022 Phone: 714-225-7056 State Lic:C-074715 Worker's Compensation Insurance Carrier: STATE COMPENSATION INS FUND Policy No: 9166656 Expire: 10/01/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5 Front: 15 Left: 5 Right: 5 'arking Space $0.00 $0.00 $0.00 $0.00 $237.00 $199.00 $0.00 $107.59 $61.48 $138.33 Designer: WHEELER MARK Address: 4918 E ATHERTON ST LONG BEACH, CA 90815 Phone: 562-619-3990 Special Conditions: HAULER: JD Fire Hazard Zone : Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,439.94 Fee Due at Permit Issuance : $3,310.90 PUBLIC WORKS 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) indic coon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Secti more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of tl liness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through c rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, IIy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor d below by the checkmark(s) I have placed next to the applicable item(s) ,h, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, oloyees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law), LJ I am exempt from licensure under the Contractors' State License Law for the following reason: I 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 PE sell a struciu.t Inat 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 ProfessionF C ,Ce, is available upon request when this application is submitted or at the following Web site:http://www.leginf".ca.gov/calaw.html. Sirnature or Property Owner or Authorized Agent Date LICE145ED 0^14TRACTOR'5 DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000yof ill 3 of the Business and Profess! Code, and se is in fu rce and effect. License Class License No Date b �G Contractor Signature WORKERS COMPENSATION DECLARATION NARAING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMYENSf TION, 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: �LJ I have and will. maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of p�rcfor. nance �f thU work for which this permit is issued. Policy No. ,have and will rretntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the ps ,insurance carrzr aUd policy number are: ,insurance Policy Number of Agent cannot Iss and Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date certify that, in the performance of the wor for which ermit is issued, I shall not employ any person in any manners as to become subject to the workers' compensation laws of California, and agree ;, if I should become sub co nsation provisions of Section 3700 of the Labor Code, I shall forthwith omply with those provisions. nature of Applicant Date J=CLARATION REGAIRRIRwCOMTRUCTION LENDING AGENCY hereby affirm under penaffy of perjury that there is a construction lending agency for the performance of the work for which his 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 t7n�,enter the above -identified property for inspection purposes. 31gnature of Property Owner or Authorized Agent / rv[ $IN05- 5 Print Property Owner's or Aut orized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE SE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LJAQM D PERMITFINAL '! f2_1 ASBESTOS NOTIFICATION�I/LJTI)APPLICABLE TO CERTIFICATE OF r PROPOSED DEMOLITION/ OCCUPANCY ISSUED I SIGNATURE: