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Home My WebLink AboutX2021-1401 - Permitsgwr�(, City of Newport Beach - Building Divisip�,°(@'1� " 1-1 1* COMB Permit: X2021-1401 UG. 100 Civic Center Drive, Newport Beach, CA 92660 II YS� Project ND : 1229-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255Combination Type - SFP ELEC MECH PLUM Issued Date : rea : /2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210112024 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: 2415 BUNYA ST NS Description: SFR KITCHEN REMODEL, REMOVAL OF NONBEARING WALL Legal Desc.: N TR 4893 LOT 75 „ -- 2� If appll;, b Owner: MATHER KALI & RICH x $ Contractor IM Archlte t: t e, Address: 2415 BUNYA ST Lt ate: "dress. 8 PORT CARLISLE PL A 0 00% refun�i ' NEWPORT BEACH, CA 9260 NEWPORT BE�C�D /o or ❑ ' Phone: 949-701.3123 Phone: 714 803-9204 Phone: 1., State Llc. Applicant: RIZZO WAYNE .1 r - tCon State Lic. 869498 E�eW oMAW Address: 484 PROSPECT ST t tic Expire: 1213112021 ,� ` Address: 1800 E 16TH ST UNIT B NEWPORT BEACH, CA 92663 ImpragBUS Uc: - BT30042113 SANTA ANA CA 92701 P Phone: 949-285-7447 Do Ex Date. 01/31/2022 Phone: 714-835-2800 State Lic:C-0 840 Code Edit: 2019 ' Worker's Compensation InsurancesT esigner: RIZZO WAYNE Type of Construction: V-B Carrier: WIC EXEMPT �,. ddress: 484 PROSPECT ST Policy No., NO EMPLOYEES a. NEWPORT BEACH, CA 92663 Occupancy Group: R31U e.,(.. ) Added /New sq.ft. Bldg: 0 - Expire'-' Phone: 949-285-7447 , Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: Bldgof Units: 1 Fro , Discard C�A1 Bldg Height: 0 I �� n Bldg Sprinklers: N 3..�oeC}� Flood Zone: X Zo e. Pa In S aces: 0 e Construction Valuation: $25000.00 (WCiK Star w"I Building Permit Fee: $501.00 Excise Tax: $0.00 Planning Department- ��- $A52.0@�0 Fire Irysp ctioa $0.00 Plan Check Fee: $435.87 y4�j� /tional Fee: +36Vedi $0.00 0.00 Fair Share: Inn $0.00 Overtime Plan Ck: Investigation Fee: $0.00 $0.00 Grading PC Consultant : $0.00 SJH Tran 50 Jam. 00 Demolition F- Deemo'" $0.00 Record Management: $18.00 Gradin Per In -lieu Housin r s epartment - mg ept Adm General Service $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 sp. ee : PAN Plan Check : $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical W $35.07 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $20.04 NMUSD Fee: $0.00 $0.00 Plumbing W $45.09 TOTAL FEE: $1,108.07 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $482.12 Fee Due at Permit Issuance : $625.95 PUBLIC 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) ction 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 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 fessions 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 more than five hundred dollars ($500). Paz. .;----�"� --.. __..,,d—.•...�. ,:x.,,.,,,-.,.,-,,:....�.,..,,.,, ..-- - --:,. -... I, as owner of the property, or my employees with wag lusiness and Professions Code: The Contractors' State L nprovements are not intended or offered for sale. If, how nproved for the purpose of sale). I, as owner of the property, am exclusively contracting pply to an owner of property who builds or improves there I am exempt from licensure under the Contractors' Ste ly my signature below I acknowledge that, except for my I ell a structure that I have built as an owner -builder if it he 'mtesrions Code, is Pvailable upon request when this apr signature of Piooei ty Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION he,Eby affirm under penalty of perjury that I am licensed nd effect. Li-ense Class - COMPENSATION DECLARATION as their ssddalle�e compensatiopy�ill do ) el of or(_) poltians of the work, and the structure is not intended or offered for sale (Section 7044, Ts tttb`thSiFdinSnot apply to ah oviine) of. p�pperty who, th ugh employees' or persong eifo l�pl,I4i5, g{grgproves the property, provided that the f�° g eFimpreven;&af-y�a�la,�=%n'Min-one-year pletlan;.the_Owner-Builda tlR�l C4PIM6 rden of proving that it was not built or wisedNIRWactors,to construct the project (Section-7044 4 ? S§ apUl Profes ns`}j� 'j� ' DI trQQ5'Eisaf4�.'IC9diSe.'',Law does not who cor&cts for'the projects with a licensed Contractor pu suat the Contractors' State License Law). se Law the fallowing-reasop r: in which I Thust4thiii've rekdW fora leay ,e y off, r etidtfyf l tQ iements covered by this porr„it, I cannot legi -Cfifi ted in Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date lursions - ,Chapter 9 (commencing wifh Sedront � o s o f th usiness and Pr a sions e nV a se in full force ^k+g� : Data` '` a - tractor Signature XG/%.�.� _ AA1:1EIG. FAILUr.E TO E--URE WORKERS' COMPENSATION COVERA EIS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN i Y DITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3 fi OF THE LABOR.CODE, INTEREST, AND ATTORNEY'S FEES. herebv affirm under penalty of perjury one of the following led,ion & !R e _ r I hove and will mcintain a certificate of consent to s -ins o s g. la -in, tie �7irector of I R d nyi , $�r Se ®'f Qle Labo Code, for thl De,rfnrmance of the work for which this permit is issued. P cy No. ��""" //�, 9, ��}} pAre�! 11 .. ' �lrIY C a C� O �{arfdJh'ciPA9101 A Y P , ,rave and �.ailP clai, stain workers' compensation insurer e, as required by eCtfO TO `4 one bore Code, for the performance of eYSo I I Is issued. M workers' com ensatior nsurance carrier and policy number are: 'ier Pali tNrPbte: Expiration Date is of Agent Phial G #_ certify that, in the performance of the work for which thi permit is issued, I shall not employ any person in any manner so as to become subject to"rkjn Kjq1JUsat41n,4 4vs.fif` lifo,nIS, and if should becomer�supject t e�orke"mpensati n provisions o ec Ion o e a or o s Signature of Applicant_/.' ,(7l///U/�,/A/\ Dat DECLARATION REGAMING NSTRUCTI N LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the worst for which this permit is issued (Section 3097, Ci it 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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and coun ordinances and state laws relating to building construction. I authorize representatives of this city or cou enter p operty for inspection purposes. ,� ,fin M �, ,� i�nature of Property Owner or Authorized Agent -FR/iW 1 Print Property Owner's or Authorized Agent's Name % 04t't / rl /'N! "' \ Datv If 2/ l ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED /3� /,��'�` I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED ± ( `" EpA PERMIT FINAL S BESTQ CERTIFICATEOF O ED C OCCUPANCY ISSUED SIGNATURE: 7% :M- 5-1 .4 U cct U � o o _ cz O tp ca Q 3 ° U ca � w � U N Y U .ti U N b N .Q OY° z a