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Home My WebLink AboutX2022-1551 - PermitsCity of Newport Beach I -I Building Division E rrp 100 Civic Center Drive, Newport Bel, CA 92660 Permit Counter Phone (949)644-3288 "rr Inspection Requests Phone (949)644-3255 Combination Type - SFP 111111111111111111111111111111111111p111111Ell 11111 COMB Permit: X2022-1551 X 2 9 2 2 1 5 5 1 Project No : 1880-2018 Issued Date : 0610112022 Inspection Area : 2 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: 1119 DOLPHIN TER NB Description: NEW SFR/BASEMENT 8, GARAGE 9476 SF 8 835 SF *CHANGE OF CONTRACTOR* Legal Desc.: N TR 1700 LOT 1 Owner: DOLPHIN TERRACE LLC Contractor: OWNER/BLDR Address: 1119 DOLPHIN TER Address: GUPTA NARENDRA CORONA DEL MAR, CA 92625 Phone: Phone: 949-698-2256 Applicant: WILSON TYLER SCOTT Con State Lic: Ole Address: 24471 CHRISANTA DRIV Lic Expire: MISSION VIEJO, CA 92691 Bus Lic: Phone: 714-754-4040 Lic Exp Date: Code Edit : 2016 Worker's Compensation Insurance Type of Construction: V-B-SPR Carrier: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: BLUFF No of Units : 1 Front: 5' Bldg Height: 24 Left: 4' Bldg Sprinklers: Y Right: 4' Architect: WILSON TYLER SCOTT Address: 24471 CHRISANTA DRIVE MISSION VIEJO, CA 92691 Phone: 714-754.4040 State Lic:C036519 Engineer: MANSHADI FARHAD Address: 1800 E 16TH ST UNIT B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-036840 Designer: Address: Phone Special Conditions: LANDSLIDE AREA CT �^ EFFECTIVE 09/2611ND Flood Zone: X Use Zone: R-1 Parking Spaces, 4 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $38.00 Plan check Fee : $0.00 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: $662.56 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: $0.00 Grading PC Fee: $145.44 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $38.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00 PROCESSED BY: ZONING APPROVAL: LO-11 PUB' -IC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO I3SUE: 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 L) all of or L_) portions of the work, and the structure is not intended or offered forsale (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 ap y 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). am exempt fromi under the Contractors' State License Law for the following reason:y m signature beloledge that, except for my personal residence in which must have resided for at least one!TINW1g9TE=N!! mpletion of the improvements covered by this permit, I cannot legallIsell structure that I as an owner -builder if it has not been constructed in its entirety by licensed contractors. I ua copy of the applicable law, Section 7044 of the Business andProfessions Code, is upon request when th application is sub i e t the following Web site:http://www.legiw.html. �/�� r,Z�LSignature of Property Authorized Agent�gLICENSED CONT'S DECLARATII hereby affirm under perjury that I am li ensed un er provisions of Chapter 9 (commencing with Section 7000) the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature 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 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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 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 carrier and policy number are: Policy Number of Agent Date c rtify 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 I should become subject to the \prkr�' c®ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant V vt` N/i A,�/1/`� Date CLARATION REG:K72D G CONSTRUCTION ENDING AGENCY reby 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). 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 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 to an r t e bb vte-identifed property for inspection purposes. ` ,,,, p nature of Prooertv Owner or Authorized Aaenb✓ //1l /L�1/l.ti� Print Prooertv Owner's or Authorized Acent's NameX % V ACTION DATE BY DECLARATION OF IA REGULATIONS PA T0610 TIITLE 0 ANDAQMD RULECEINITH CODE OF FOR OFFICE USE ONLY PERMIT EXPIRED LJ I SUBMITTED AS BEFT5S N-OTI FICATION TO PERMITCANCELLEO - DEPA PERMIT EXTENDED LJAQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUEDIs LJASBEST05 NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Date