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Home My WebLink AboutX2022-1602 - PermitsCity of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 °9r, Fe Aar newportbeachca.gov/inspections Combination Type - MFP ELEC MECH PLUM Work Class - Alteration COMB Permit : X2022-1602 Plan Check No : 1467-2022 Issued Date : 08/1512022 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS a Job Address : 124 TURQUOISE AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 15 LOT 19 Description: MFR ALT: STAIRCASE, KITCHEN, BATH, MASTER BED/BATH ROOM, LAUNDRY, CLOSET, & WINDOWS. (122-1237) Owner: CAMILLE LYNN BURKE Contractor : Architect : CHILI PATRICK Address : 124 TURQUOISE AVE NEWPORT BEACH, CA Address : - Address : 320 W CLARY AVE SAN GABRIEL, CA 92662 91776 Phone: Phone: _ Phone: Con State Lie : State Lie: Applicant: MICHAEL CHILI Lie Expire Address : 5812 TEMPLE CITY BLVD, 806 TEMPLE CITY, Bus Lie : Engineer: ZHANG JIEFU CA 91780 Phone: (626) 255-6860 Bus Lie Expire : Address : 1205 SOUTH 4TH ST ALHAMBRA, CA 91801 Workers' Compensation Insurance Phone: (626) 379-2307 Owner/Builder : CAMILLE LYNN BURKE Carrier : Address: 124 TURQUOISE AVE NEWPORT BEACH, CA Policy No : Designer: 92662 Phone: W. C. Expire : - - Address Phone: Code Edition : 2019 Fire Sprinklers:: NO Construction Valuation : $160,000.00 Type of Construction : V-B Fire Hazard Zone : No - Added/NewITI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : 1,000 Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 -. Flood Zone : X; AO 1 - Use Zone : R-BI - Two -Unit Residential, Balboa Island ". PROCESSED BY: NO CONSTRUCTION NOISE SPECIAL CONDITIONS: HIGH DENSITY ZONE; A01 FLOODZONE; LIQUEFACTION ON THE WEEKEND OWNER -BUILDER DECLARATION f 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 items) ;Sactiori 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 Ae permit to file a signed statement that he or she is licerised pursuant to Ilia provisionsor 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 licansure and the basis for the alleged exemption. Any violatlen or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do C-) all of or (_) portions orthe work, and the structure Is not intended proffered for sale (Section 7044, Business end 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 eIn oved for the purpose of sale). ,I I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coda: The Contractors' Stale 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' Stale License Law). El I am exempt from Pressure under the Contractors' Slate k se Law for the following reason , _ _ ._...... ... _._---- _... __. By my signature below I acknowledge that, oxcept for my rson 1 resid a in y+hick I must have resided for at least one year prior to completion of the Improvements coverall by this permit, cannot legal sell a structure the[ I have built as on owner -builder if It es no co c�t%d in Its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Is available upon requestwhen t appiic n Is s. i or at the following Web site:hllpaiwww.laginfo.ca.gov/calaw.himl. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATk6W // I hereby affirm under penally of perjury that I am oens under pravislC and effect. License Class License No i/VORKERS' COMPENSATION DECLARATION of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coda, and my license is In toll force Date Contractor Signature IYARNINe: FAILURE TO SECURE WORKERS' OOMPENS AT ION rOVE RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL EWES UP TO ONE HUNDRED THOUSAND COLLARS {$I V0,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAO" AS PROVIDED FOR IN SECTION 0706 OF THE I-AaOR CODE, INTEREST, AND ATTORNEYA FEES. hereby affirm under penalty of perjury one of the following declarations: ,_t 1 have and will maintain a certificate of consent to selfdnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the. Labor Code, for (hi oerfontieace 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' Fence carrier and policy number are: ,�Naan)# ofAgent _ XL 1 certify that, in the In thal, If I should become Signature of Applicant [ Policy Number Date 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 Agra I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. usby affirm under pelRalty of perjury that Were is a construction lending agencyfor the performance of the work forwhlch this permit Is Issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: I am the properly owner or authorized to, acton the propetty ner's behalf. I have road this applicallon and the Information I have Vida Is ire I agree to ca nply with all Applicable city and county dina state i ating to building construction. authodz., ep esenfalives of this city or wont enter .ova-ld 'e.. openly for inspection purposes. r.3mre of F ocaty Owner or Authorized Agent G G / — Print Proneriv Owner's or Authnr17Nd Ao.m'., Name DECLARATIONUF FLIANCE W ITH CODE OF FEDERAL RFGIJLA11ONS P TSS OF TITLE 40 AND AQMD RULE PENMf r EXPINtU U I SLAUMIn PERMIT CANSFf' ED 1_IEFA F ER^9T EXTFNOEI« qMO PERMIT FlfvAl A56EST05 LER,IFICATEOF PROPOSFO DI OCCJPAMCY,SSULO 1 V �i% / I SIGNATURE✓ FOR OFFICE USE ONLY x All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. Fee Name Transaction Date Payment Method Building Building Investigation Fee Building Permit Fee -Valuation DMO Refundable Deposit Fee Drawing Fee Electrical Permit Fee - Combo Green Building Fee Mechanical Permit Fee - Combo Plan Check - Building (Legacy) 06/07/2022 CC EPL Plumbing Permit Fee - Combo Public Works Plan Check (Legacy) 06/07/2022 CC EPL Waste Manage Fee - Building Waste Manage Fee - General Service Zoning Plan Check (Legacy) 06/07/2022 CC EPL PERMIT FEE DETAILS FOR PERMIT X2022-1602 Fee Amount Fee Paid Amount Trans. Paid Amount Paid By $1,649.00 $0.00 $1,649.00 $0.00 $564.00 $0.00 $42.00 $0.00 $115.43 $0.00 $6.40 $0.00 $65.96 $0.00 $1,389.39 $1,389.39 $1,389.39 EnerGov Solutions $148.41 $0.00 $50.75 $50.75 $50.75 EnerGov Solutions $27.00 $0.00 $271.00 $0.00 $52.00 $52.00 $52.00 EnerGov Solutions GRAND TOTAL: $6,030.34 $1,492.14