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Home My WebLink AboutX2021-2915 - PermitsU r City of Newport Beach - Building Division I111�111111111111111111111111111111111111111111111111111111� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 9 1 5 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM COMB Permit: X2021-2915 Project No : 2541-2021 Issued Date : 10/26/2021 Lasoection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012612024 Okge 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 SdXii Job Address: 217 E EDGEWATER AVE NB Description: SFR -'STOP WORK" 121-3153. R/R WINDOWS. RMV NIS VINYL SIDING. RMV 2ND KITCHEN & ENCL BALCONY. STUCCO RPR, RMDL BATH. Legal Desc.: NEWPORT BAY TR SUB OF BLK CLOT 8 0 Owner: KILPATRICK CHRIS Address: 217 E EDGEWATER PL NEWPORT BEACH CA 92661 Phone: Applicant: MITCHELL AARON Address: 1523 W STRUCK AV 95 ORANGE CA 92867 Phone: 714-744-4333 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories. 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Address: 15231Yy STRUCK AVE #E C 2867 Da e: Phone: 1 -7' 4- Con State Lic 882964 WILL BE INVALID or Holidays Phonelf applicable, StateL'i�� Eri Lic Ekpir& "05131r2022 : nRAdd re a 80% or ❑ 100D/o refund r Bus Lic: BT30077045= s w Lic. Exp Date. 1013112022 Phone: State Lic: 2019 n rkers Compensation Insurance V-S I Carrier STATE FUND R3/U Policy No 9200046 0 '� Expire. 1211412021 0 C Euilding Setbacks Rear I -=-=--�° Front: 1 Left: / „ Right: I Building Permit Fee: $969.00 Plan Check Fee: $843.03 Overtime Plan Ck: $0.00 Investigation Fee: $969.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE : $3,035.83 PROCESSED BY: ZONING APPROVAL: KS Excise Tax: Additional F�ii ork starfeex OQ Grading Bonds Fee: $0.00 n PC Consultant : $0.00 �Grading I', Xno Permit Fee: $0.0_0 " to w[I - Signer- Address: 1523 W STRUCK AV #5 r e ORANGE CA 92867 + a t 71 ne: 714-425-1501 o-a �.. �'ecial Conditions: NOISE FORM SIGNED LIQUEFACTION AREA 121-3153 Planning Department- wok Plan check Fee : (no wok -on Fair Share: $0.00 SJH Trans : $0.00 Grading PC Fee: $0.00 Public Works Uepanment- WQlnsp.Fee: $0.00 Park Dedication: $0.00 Mechanical %: $38.76 NMUSD Fee: $0.00 Plumbing %: $87.21 ire Inspection: ire Plan Rev Demolition Fee Plan Check Fee : $3,035.83 Fee Due at Permit Issuance oUi,3UC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPR.'DVA._..?O ISSUE: SF 1/o/sF t q 7C $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 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) 3ection 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 is 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 an; 'rofessions 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section.7044, lusiness and Professions Coder 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). D 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 poly 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 I am exempt from licensure 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 impv, ements covered by this permit, I cannot legallt 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 th pIfC34e law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:h V calaw.html. 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATI _1 11QQ hereby affirm under =of penury 1 at am li e d n er r slo of Chapter 9 (commencing witf"fmx� I(r7, d1 �D141SIo 3 of/the q�IBpussiinneessss an P siorrs CG^d,�, and my license is full force nd effect. License lass DQ to /0�" _ t of ur rC.t'n t VORKERS' COM EN,,,��,�,�,�``````��pppppp ION,DECLARAT V 'ARNING: FAILURE TO S CUR <IKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SUWECT AN EMPLOYER T�RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU REO�OUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATIO DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CQ e; 11JTEREST, AND ATTORNEY'S FEES. hereby affirm under enalt f perjury one of the following declarations t0 W�orri•. I have and will m intai , .ate of consent to self -insure for workers' compensation issveJ`by the Director of Industrial Relations as provide for by Section 3700 of the Labor Code, for the erformance of the wo k for s�permit is issued. Policy No. have and will mai ain �rs'itpensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which- his permit is issued. My workers' compensatior Is nce carrier and licy number are: arrier_ - V7".•: Policy Number. Expiration Date i ne of Agent certify that, in the p if I should become iature of Arolicand hereby affirm under penalty ender's Name y my signature below, Il I amhepropertyowI haveread thisappliI agree to complywitI authorizerepresent ACTION PERMITCANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED thafTri'ere•.is ermI is issued, I shall not employ any person in any manner so as to become subject to the provisions of Section 3700 of the Labor Code I shall forthwith coA with th se onS. for the perfprmance, of'the work for whit p.3Mi j is issued (Section 3097 Lender's Address r,.,n tAftlrl< S�dt L'-' or authorized o "P `tty�ev6111lr's behalf. _ in and the infor atlon I have provided is correct. �---- - -- applicable city and county ordinanc tate laws rela 'rt-TU as ructio�f n. mrtf �?city or county to e n I led property fo spection purposes. t fze gent rint-PvapertVlUwner's or Authorized Agent's Name DATE BY OMPLIANCE DE.OF FEDERAL ` - FOR OFFICE USE ONLY TLE 40 AND AQMD RULE J I SUBMITTED ASRESTC•S_P:OTirieATION T(Z EPA A ASBESTOS NOTIFICATION IS NO f APPLICABLE TO ROPOSED D MOLITIO IGNATURE: compensation laws of California, and agre 11 Code). 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