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Home My WebLink AboutX2021-0191 - Permits{gN•n„�, City of Newport Beach - Building Division p� T 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0191 Project No : 0204-2021 Issued Date : 0911612021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/16/2024 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: 1521 KATHLEEN LN NB Description: SFR DEMO (E) GARAGE Legal Dose.: N TR 1806 LOT 4 Owner: WEICHMAN BARRY Address: 1048 IRVINE AVE#148 NEWPORT BEACH CA 92660 Phone: Applicant: OLSON DAVID ROLF Address: 470 WALD IRVINE, CA 92618 Phone: 949-450-0093 Code Edit : 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: Building Permit Fee: $122.00 Plan Check Fee: $223.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,869.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: HAVEN DEVELOPMENT GRP INC Address: 14271 JEFFREY RD #502 IRVINE CA 92620 Phone: 949-788-9227 Con State Lie: 827901 Lie Expire: 01/31/2022 Bus Lie: BT30046360 Lie Exp Date: 02/28/2022 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks / Rear: / Lo Front: /,;�,0`k^kltPr, Left: I Ep r Right: / La r Use Zane: Parkino Soaces: 0 Architect: OLSON DAVID ROLF Address: 470 WALD IRVINE, CA 92618 Phone: 949-450-0093 State Lic:C019424 Engineer: EOSAKUL DISSAKORN Address: 15 STUDEBAKER IRVINE CA 92618 Phone: 949-752-1612 State Lic:S-005226 Designer Address: * ?;) 17�_ 71,, 7 s.:t' i fO Phone: Special Conditions: HAULER: JD DEMO COSTA MESA SANITATION Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee : $0.00 Fire Department $104.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $1,127.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,869.00 PUBLIC WORKS APPROVAL-, PLAN CHECK BY: T '' 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 five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 Iegall 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. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o ivis n 3 of the Business and Professio s-6ode, a license is in full force and effect. License Class License No Date Contractor Signatur� WORKERS' COMPENSATION DECLARATION IY WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 performance of the work for which this permit is issued. Policy No. I 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Na a of Agent Phone # ertify 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 agre a if I should become subject/to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date�al�Zi DECLARATION REGARDI ONSTRUCTION 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 owners 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 l�s-reieting to building construction. I authorize representatives of this city or co y to enter th 26� ve= led property for inspection purposes. Signature of Property Owner or Authorized A e t Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1433 PERMIT EXPIRED I SUBMITTED ASBESTOS NOT]FICATION TO PERMITCANCELLED - TIIEPA PERMIT EXTENDED QMD PERMITFINAL Ir 7r �� ASBESTOS NOTIF TI IS NOT APPLICABLE TO CERTIFICATE OF IZ' 41 PPOPOS�D UE6' OCCUPANCY ISSUED SI6 NATURE: