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HomeMy WebLinkAboutX2022-0105 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIII II COMB Permit: X2022-010 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 1 0 5 Project No : 0121-2022 5 n. Permit Counter Phone (949)644-3288 S Inspection Requests Phone (949)644-3255 Issued Date : 04/27/2022 Combination Type - MFP MECH ELEC PLUM r�+ NO CONSTRUCTION NOISEInspectionArea:5 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: 309IRIS AVE NB ON Description: MFR REMODEL 1,300 SF, ADD 46 SF BALCONY THE WEEKEND Legal Desc.: CORONA DEL MAR TRACT BILK 235 OF PROJECT 930-25 LOCATED ON AP Owner: BAUER CHRISTOPHER/PATRICIA Contractor: SEA POINTE CONSTRUCTION Architect: GOERITZ MELLISSA Address: 840 CHERRY BLOSSOM LN Address: 576 WALD STREET Address: 576 WALD NAPERVILL IL 60540 IRVINE CA 92618 IRVINE CA 92618 Phone: Phone: 949-279-0421 Phone: 949-447-3385 State Lic:C039393 Applicant: GOERITZ MELLISSA Con State Lic: 665114 Engineer: WILSON KALEN Address: 576 WALD Lic Expire: 02/28/2023 Address: 23152 VERDUGO DR #102 IRVINE CA 92618 Bus Lic: BT30016203 LAGUNA HILLS CA 92653 Phone: 949-447-3385 Lic Exp Date: 07/31/2022 Phone: 714-576-6524 State Lic:C-083753 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: EVEREST NATIONAL Address: Occupancy Group: R3/U Policy No: 7600001365211 Added /New sq.ft. Bldg: 0 Expire: 03101/2023 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: HIGH DENSITY AREA No of Units : 2 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / - Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $461 458.00 Building Permit Fee: $3,409.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,965.83 Additional Fee : $0.00 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 : $0.00 SJH Trans : $0.00 Demolition Fee $27.00 Record Management: $30.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $265.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $564.00 CA Seismic Safety: $59.99 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $203.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $238.63 San Dist : $0.00 $0.00 Building Green Fee : $19.00 Mechanical %: $136.36 NMUSD Fee: $0.00 $0.00 Plumbing %: $306.81 TOTAL FEE : $8,224.62 Plan Check Fee : $2,965.83 Fee Due at Permit Issuance : $5,258.79 PROCESSED BY:lictil- PUBLIC W0RKS.AFPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: /` PPFtnVnL ro.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 ie 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). 7 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 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). 7 1 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 Chapter 9 (commencing with Section 70 ) 3 the Business and P f sio Ede, license is in full force nd effect. License Class License No Date ontractor Signat VORKERS' 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 oyslance of the work for which this permit is issued. Policy No. have and FRIVaintain 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' -;arrier \ I - I / - otelN Expiration Date Jame of Agent II Phone # :1I certify that, in the performance th work for which this permi is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws of alifornia, and agree hat, if I should become su�bjj t to the w kers' c ensation provisions offiection 3700 of the Labor Code, I shall forthwith comply with those provisions. , / Signature of Applicant /l r`i—� /. ''�--� Date Y )ECLARATION REGA I C STRU L DING AGENCY 777"' hereby affirm under penalty of perjury that there A a construction lending agency for the performance of the work for which this 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 to9nLer the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ate ACTION DATE BY CLARA N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG ULATIO PART 11 OF TITLE 40 AND AQMD RULE 1403 _ PERMIT EXPIRED ISUBMITT ASBES70SNOTIFICATIONTO __ - PERMIT CANCELLED LJEPA PERMIT EXTENDED QM D PERMITFINAL Ii/ 2 ASBEST NOTIFICATION IS NOT UCA LE TO CERTIFICATEOF L PROPOS DEMO IT J OCCUPANCY ISSUED SIGN RE: _'� i1� ] \ u ) ( 2 / //\ \k#§ ± \ ] ] )/\m ] ))§7 uE}\ / ]\/§ \ \ƒu / ± t § ; \ ;§@ \ \\}a y ] i E ƒ E t% ©0 /\\ ) 3 /)22 � � k