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HomeMy WebLinkAboutX2021-0925 - Permits�urrl� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-092 Yf o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 X 2 0 2 1 0 9 2 5 Project No : 0428-2021 Inspection Requests Phone (949)644-3255 Issued Date : 0412012021 Combination Type - SFP PLUM Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/20/2024 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: 1325 MARINERS DR NB Description: SFR PEX REPIPE Legal Desc.: N TR 4981 LOT 15 Owner: NORTON M DARRIN Contractor: TRUE HOME BUILDERS INC Architect: PPP��� 1 II�^a Address: Address: 67 Address: � „ a9 O E NEWPORT BEACHRCA 92660 RVINE, CA 9Y618 1 VState Phone: Phone: 310-465-4586 Phone: Lie: Applicant: TRUE HOME BUILDERS Con State Lie: 1073280 Engineer: "' , Address: 67 EDGEWOOD Lie Expire: 02/28/2023 Address: > > > > IRVINE, CA 92618 Bus Lie: BT30074726 , Phone: Lie Exp Date: 03/3012022 Phone: State Lie: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: ACCREDITED SURETY Address: Occupancy Group: R31U Policy No: IATCA16004567 Added /New sq.ft. Bldg: 0 Expire: 03/01/2022 Phone: Added /New sq. ft. Garage: 0 , No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I , Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15,000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 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 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: $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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $29.79 $0.00 TOTAL FEE : $3 .79 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $361.79 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: All 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 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 licensure 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 rive hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (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 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' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legall) sell 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 Professions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Pignatur,= of Propoi 6 Owner or Authorized Agent Date I ICERSED CONTRACTOR'S DECLARATION I hereby affirm und3- penalty of perju that I am licensed under provision of Chapter 9 oCnmencing with Sectio 00 of Divi ion 3 of the Business an rofessions Code, and'my license is in full force &nd effe,t. License Class License No I I) �`�` ✓✓ D� Contractor lure .. WORKERS' COMPENSATION 6ECLAPATION WARNING. FAILURE -(' SEC'JRE 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i hereby affirm under penalty of perjury one of the following declarations: LJ 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, Wilillaance of the work for which this perrnit is issued. Policy No. and wi;l 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' carrie- and policy number are: Policy Number Expiration Date of Agent Phone #_ 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 workery compensation laws of California, and , if I shouldlkeeome �ect to the I 10,provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' , , j OaLArRATIOof ApDlbff- NREGARDING CONSTRU N LENDING AQENCY =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 Code). 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 coynty toe -I entified property for inspection purposes. ACTION DATE BY I REGULATIONS PDECLARATIONART061 OF TITLE 40 AND AQMD RUDLECMPLIANCE WITH CODE OF FEERAL FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED UAQMD PERMITFINAL CERTIFIC4TEOOCCUPANCYISF OCCUPANCY ISSUED /� /` 2� C/ 7 L-DWSBESTOS NOTIFICATION IS NOTAPPLICA13LE TO PR POS SIGN ly