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Home My WebLink AboutX2021-2581 - Permitssmllo4. City of Newport. Beach - Building Division II III I IIII II IIII IIIII I I II I II COMB Permit: X2021-25 r x,J !� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 t 2 5 8 1 Project No : 2241-2021 Permit Counter Phone (949)644-3288 a itr Inspection Requests FMcfrp78 (1349)644-3255 .T., Issued Date : 10/04/2021 Combination Type - BLDG PLUM Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010412024 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 Holldays Job Address: 13 BEACON BAY NS Description: DEMO SFR W/ATT GARAGE 4,291 SF (4 BEDROOMS) Legal Dead.: R SK 9 PG 42 PAR 13 Owner: IRWIN NANCI Contractor: LONGMAN CONSTRUCTION CO INC Architect: BRANDON CHRISTOPHER Address: 19450 COUNTRY WOOD Address: 2782 CIRCLE DR Address: 151 KALMUS DR#G-1 9 YORBA LINDA CA 92880 Phone: 714/743-4545 Phone: NEWPORT BEACH CA 92663 949-722-7711 COSTA MESA CA 92626 i--J Phone: 714.7544040 State Lic:C031637 �9 Applicant: BRANDON CHRISTOPHER Address: 151 KALMUS DR #G-1 Con State Lie: Lie Expire: 393881 08131/2023 Engineer: Address: _I COSTA MESA CA 92626 Bus Lie: BT00001921 Phone: 714-754-4040 Lie Exp Date: 0313112022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP INS FUND Address: Occupancy Group: R3/U Policy No: 9062475 Added /New sq.ft. Bldg: 0 Expire: 0710112022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: HAULER: JD DEMO No of Units : 1 Front: / NO CITY TREES ON SITE - Bldg Height: 0 Left: / LIQUEFACTION AREA Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15,000.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $223.00 Additional Fee: $0.00 Plan check Fee: $104.00 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 : $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $152.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist; $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE : $2,600.98 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,600.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PJBL,C WORKS APPROVAL: PLAN CHECK BY: 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, prioSts its gsuance, 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). ❑ 1, 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, 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 7 i f the Business and Pro ssi s ocj�and my license is in full force and effect. License Class License No Date Contractor Signature T IL4.AIlo WORKERS' COMPENSATION DECLARATION NARNING: 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 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: ❑ 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 thi gp&rAncq.githe work for which this permit is issued. Policy No. h e and will intain workers' compensation insuran s 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 d Iicy number t tanner of 1GvA4er Expiration Date Jame of Agent i Phone # :1I certify that, in the perform e f the rk for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensati n laws o alifornia, and agre hat, if I should become su ' t e w ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/ Signature of Applicant • a ! )ECLARATION RE ARDING CONSTRUCTAN LENDING AGENCY 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). -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 correc I agree to comply with all applicable city and coun ordi and ws relating to building construction. ,00 I authorize representatives of this city or coun a ov Ifi d property for inspection purposes. / 3ignature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Nama • ACTION DATE BY DECLARATION MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONSPART 1OFTITLE40ANDAQMD RULE 1403 _ PERMIT EXPIRED I SUBMITTED ASB TOS NOTIFICATION TO PERMITCANCELLED LJEPA PERMIT EXTENDED EIAQMD PERMITFINAL ESTOS NOT ICATION IS N PLICABLE TO CERTIFICATEOF PROPOSED DEM LI OCCUPANCYISSUED SIGNATURE: