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Home My WebLink AboutX2021-3235 - PermitsCity of Newport Beach - Building Division 'X2021-3235` COMB Permit: X2021-3235 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0559-2021 Permit Counter Phone (949)644-3288 � OJT® Inspection Requests Phone (949)644-3255 > .. Type Combination - SFP ELEC f Issued Date Inspection Area : 6 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: 9 VALORE DR NB Description: DELTA 4 REVISION: ADD'L SCOPE OF WORK FOR (2) DOORS AT DECK AND ADD RECESSED LIGHTING. (REV21-1875) Legal Desc.: TRACT 14773 LOT 3 OF PROJECT 935-34 LOCATED ON AP 478-071-16 Owner: STIEN ALLEN Contractor: MC MILLEN BUILDERS INC Architect: SMITH BRADFORD Address: 9 VALORE DR Address: 22392 CANAVAERAS Address: 425 30TH ST #22 NEWPORT COAST, CA 92657 MISSION VIEJO CA 92691 NEWPORT BEACH CA 92663 Phone: Phone: 949-586-5055 Phone: 949-631-3682 State Lic:C014146 Applicant: SMITH BRADFORD Con State Lic: 498908 Engineer: Address: 425 30TH ST #22 Lic Expire: 0913012022 Address: NEWPORT BEACH CA 92663 Bus Lic: BT30056640 Phone: 949-631.3682 Lic Exp Date: 0913012022 Phone: State Lic: Code Edit : 2019 Workers Compensation Insurance Designer: Type of Construction: V-B Carrier: PREFERRED PROF Address: Occupancy Group: R2/U Policy No: ON1015201 Added /New sq.ft. Bldg: 0 Expire: 0810112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: FIRE HAZARD ZONE No of Units : 5 Front: / Bldg Height: 0 Left: / Bldo Sprinklers: Right: / Flood Zone: X Use Zone: Parkinq Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30,000.00 Building Permit Fee: •$559.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $486.33 Additional Fee : $0.00 Plan check Fee : $52.00 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 : $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 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 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $39.13 San Dist: $0.00 Building Green Fee : $2.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,144.46 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,144.46 PROCESSED BY: 135 PUBLIC WORKS APPROVAL: ZONING APPROVAL: MS W 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) 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 is 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 'rofessions 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1, 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 pply 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). I am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of, ��aChapter 9 (commencing with Section 7 00) of Divisiop 3 of the Business and ProfProfession; Coo e, and m se is in full force nd effect. License Class J License No H f59rOS� Date 7N/'T1_ Contractor Signature l� �/ ' , CORKERS' COMPENSATION DECLARATION —� 'ARNING: 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 DST 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: 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 the erfgP(nance 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 certify 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 agree if I should become subject tot orkers' compensate n rovisions of Section 3700 of the Labor Code, I �sflall forthwith comply with those provisions. iature of Applicant � YM�^�/`I',�'.�.-(/1/�// Date l!/3e zr :LARATION REGARDING CONSTRUCTION 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 Code). 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 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 enter bove-identifie operty for inspection purposes. v �/ �✓7 Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name /X Date ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED UAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF Q-/G'ia IPA-t- PROPOSED DEMOUT//�p�/ OCCUPANCYISSUED _ SIGNATURE:///Y✓`"$�(�