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Home My WebLink AboutX2022-1756 - Permit Application�wNr•r,� City of Newport Beach - Building Division T 100 Civic Center Drive, Newport Beach, CA 92660 H ` •}° 'n.. Permit Counter Phone (949)644-3288 k t Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR Construction Hours: Monday - Friday 7:00 a Job Address: 4 LINDA ISLE NB Description: SFR MASTER BATHROOM REMODEL 145 SF Legal Desc.: N TR 4003 LOT 4 Owner: BERLINGER STEVEN A Address: 4 LINDA ISLE NEWPORT BEACH, CA 92660 Phone: Applicant: BULLING STEVE Address: 3303 HARBOR COSTA ME , CA 92626 1y Phone: 949-30 Code Edit : Type of CcnslY4ctio Occupancy Group: Added /New sq.ft. Bldg. Added /New sq. ft. Gara� No of Stories: No of Units : Bldg Height: 0 Bldg Sprinklers: Flood Zone. 11 Construction Valuation: Building Permit Fee: $ Plan Check Fee: $361.92 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety Disabled Access Hazardous Mat Building Green Fee PROCESSED BY: $0.001 , F $0.00 0 $6.00 $0.00 $0.00 $0.00 $0.00 $1.00 TOTAL FEE: $920.12 ZONING APPROVAL: GRADING APPROVAL: COMB Permit: X2022-1756 Project No 1606-2022 QQIO�G Issued Date: r�Q Inspection Area : 2 P'll IN; P TfON. PROVECTS MUST to 6:30 p.m, and $ ay from 8: O lt�"d� �O O CAP INC 32660 Excise c>'�.¢• $0.00 1r,dti, o e''e'''"""""",,,,,,111111111111(� $0.00 ng Borrpgvee: $ g PC �jnsultant: 0.00 g Permit Fee: $0.0 Grading PC Fee: 0 WQ Insp. Fee, $ rye' �D leal %: $29.12 apical °/ $16.64 Plu bl /0: $37.44 Plan Check Fee Fee COMPLETED BY OR PERMIT WILL BE INVALID a.m. to 6:00 p.m. No rk on Sundays or Holidays Architect: I-� Address: V i 1�^ �iz Phone:IN St Lic: Engin `` ne al('le�• 1 11s; Lic: Q ii er: BUL G STEV " , Address: 3 HA L ' COST, S 92626 . Phone: d� •�' W, pecial 69ditio , Hazard Zone : N SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $920.12 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION � t�,,(N" I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License L or the reason(s) indicafgAv7elow by th heckmark(s) I have placed next to the applicable item(s) coon 7031.5, Business and Professions Code: Any city or county that requires a permit to ruct, alt e"'prove,r� p sh, or repair an tructure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions o Con�%tatj� Law (Chapte (corn encing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alle exempt! y viol ection 703 y any app ant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). a'p t I, as owner of the property, or my employees with wages as their sole co iness and Professions Code: The Contractors' State License Law do o rovements are not intended or offered for sale. If, however, the b " Ing or roved for the purpose of sale). I, as owner of the property, am exclusively contracting ' icensed CoOM Iy to an owner of property who builds or improves t on, and who tra I am exempt from licensure under the Contraq By my signature below I acknowledge that, e sell a structure that I have built as an own uilde Professions Code, is available upon r est when Signature of Property Owner or A rized Agent LICENSED CONTRACT DECLARWC I hereby affirm under pe of perjury thirtlyam li and effect. License ss hereby affirm 1;:ider Nnatty of penury one of the f have and will met ein a-certlhcate o,consl erformance of lad work which this permit is iss have and will maim mane carrier and Do State if it nsation, WHIM L) al I� (� portions of a work, and the struct it apply to an owner K a erty whol thr IT employees' or personal effo mprovement is within f completion, the Owner -Builder will ct�p c' struct thljt?c`t (Section 7044, Business and Professions C ts,foor the -projects withI licensed Contractor pursuant to the Contractors' e IA following reason Which I must have resided for at least one year prior to earn [a " t :d in its entirety by licensed contractors. I understand that rpithe a or at the following Web site http://www.leginTO.ca.goAcal U.h r provisions of Chapter 9 (commencing' with Section ,nse No DaU res 0 FKGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLO O CI�MIr�Y1L PEN!141 tON 3706 OF THE LABOR CODE; INTEREST, AND ATTO 'S 0 lowing dgiclarations itao self Insure fgt. Workers' compensation, issue by the Director of ed. Policy No: insurance, as required by $er 7 0 of the Labor Code, for a pe Policy Number CIVIL Business not intended or offered for sale (Section 7044, builds or improves the property, provided that the ve the burden of proving that it was not built or Contractors' State License Law does not ense Law). s covered by this permit, I cannot Section 7044 of the Business and and my license is in full force DOLLARS ($100,000), IN ADDITION TO THE for by Section 3700 of the Labor Code, for work for which this permit is issued. My workers' Date Jame of Agent Pnone it - heatIffy that, 5q the p''erformaiice Nihe 'Wow for which this-pe I sue s'♦ia11 not emplo y person an nner so as to become subject to the workers' compensation laws of California, and ogre hat, if I should become s Eject- h ers compensatloncoon 3700 of Labor C e, 1 II forthwith comply with those provisions. signature of Applican +Di Datt 2y—'ZZ DECLARATION REG R STRU TIO str3 AG Y hereby affirm under pens perjury at ere conuction lendin e By forth erfgSrlTance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name "`-- nd Address By my signature below, I certify to each of owing: I am the property owner or authorized to' -act the proo�� y ner's be f. -. I have read this application and the Wormation�.�IT ovided is rec I agree to comply with all applicable city and cou ordinance nd a laws relating to building construction. I authorize representatives of this city or cc my to -identified property for inspection purposes. Signature of Property Owner or Authorized Ag t -I Print Propert Owner's or Authorized Agent's Nam u/ 1w Date 6- �? ACTION DATE BY E ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY TIONS PART 61 OF TITLE 40 AND, RULE PERMIT EXPIRED 1;L1 IM Diii 1 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQM D PERMITFINAL T S NOTIFICATI N 15 NO LICABLE TO CERTIFICATE OF PROPOSED EM IT OCCUPANCY ISSUED SIG NATURE: