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Home My WebLink AboutX2021-2061 - PermitsID City of Newport Beach - Building Division "X2021-2061' COMB Permit: X2021-2061 100 Civic Center Drive, Newport Beach, CA 92660. Profect NO : 1787-2021 Permit Counter Phone (949)644-3288Inspection Requests Phone (949)644-3255 Issued Date : 03/25/2022 Combination Type - SFP ELEC MECH PLUM Inspection Area ,3 - PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312512025 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 H9lidays Job Address: 1406 LINCOLN LN NB .fe' _ Description: SFR NEW DETACHED CALIFORNIA ROOM (CONDITIONED SPACE) 558 SF W/ ATTACHED PATIO COVER 158 SF e Legal Desc.: N TR 3851 LOT 7 �'i,.re Owner: LARSON MATT & ELIZABETH Contractor: C JONES & CO Architect: METODIEV TRIFON Address: 1406 LINCOLN LN Address: PO BOX 2946 Address: 155 ROCHESTER ORT BEACH, CA 92fi60 COSTA MESA CA 92628 COSTA MESA CA 92627 NEWP Phone: NEWP8RTPhone: 714-668-1190 Phone: 949-293-2176 State Lic:C037844 En ineer BURKE THOMAS Applicant: GARCIA RON Can State Lic: Lic Expire: 1064530 03/31/2022 9 Address: 151 KALMUS DR 40 Address: 155 ROCHESTER STREET Bus Lic: BT30073234 COSTA MESA 2626 CA 92fi COSTA MESA, CA 92627 Lic Exp Date: 10/31/2022 Phone: 949-494-0776 State Lic:S-005088 + Phone: 626-224-3300 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE FUND Address: .. Occupancy Group: R3 Policy No: 9306288 Phone: . - - Added /New sq.ft. Bldg: 558 Expire: 0912912022 , Added /New sq. ft. Garage: 0 Building Setbacks Rear: 6 Special Conditions: P - No of Stories: 2 Front: 20 , No of Units : 1 Left: 6 Bldg Height: 0 Right: 6 Bldg Sprinklers: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Flood Zone: Construction Valuation: $100 000.00 Building Permit Fee: $2,434.00 Excise Tax: $0.00 Planning Department - Plan Fee : $260.00 Fire Department Fire Inspection: $0.00 Plan Check Fee: $1,497.00 Additional Fee : $0.00 $0.00 check Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Investigation Fee: $0.00 $62.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Record Management: $70.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 Energy Compliance: CA Seismic Safety : $13.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Check $203.00 Refund Deposit Grading Bond: $0.00 Disabled Access : $0.00 PAN Plan : $0.00 Hazardous Mat $0.00 Electrical %: $170.38 $97.36 San Dist : NMUSD Fee: $1,026.72 $0.00 Building Green Fee : $4.00 Mechanical %: $0.00 Plumbing %: $219.06 Plan Check Fee : $1,759.00 Fee Due at Permit Issuance : $4,297.52 TOTAL FEE : $6,056.52 PUBLIC WORKS APPROVAL: PROCESSED BY: PLAN CHECK BY: ZONING APPROVAL: APPROVAL TO ISSUE: GRADING APPROVAL: DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forth a reasons) indicated below oy the checkmark(s) I have placed next to the applicable item (a) (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,Susiness 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 penally 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). ❑ I 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. [ 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.htm]. Signature of Pmperty Owner or Authorized Agent Date LICENSED CONI kACTOR'S DECLARATION I hereby affirm ender penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Profess' s ?de, an y license is in full force and effect. Licd, sa Class License No Date ZS 2i Contractor Signature OVORK2RS' COMPENSATION DECLARATION ' NARNING: FAILURE i 0 SLCJRE 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 rOFT OF :OMPENSPT'ON, nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm L-rd=r penalty of perjury one of the following declarations: J I have and -will ,r,aintain 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 3mance of the work for which this permit is issued. Policy No. and will malncain 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' carrier aad policy number are: Policy Number of Agent Date certify that, in the performance of the work fcrwhich 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 if I should become subject to the vrterkers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant, ,/ ttDate �PjIti •I AOATT/ kl e=.- .,, ,,.r,..., , .-............�..,... areby 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 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 county to eylter � abyv�identified property for inspection purposes. nature of Property Owner or Authorized Agent � /�f� Print Property Owner's or Authorized ADent's Name 11�1 a, DATE BY DECLARATION OF II REGULATIONS PPA T0MPLIACE WITH CODE OF 61 OF TNT E40AND AQMD RULE FOR OFFICE USE ONLY PERMITEXPIRED V I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMIT EXTENDED QM D PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED l6 ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Civil Code). J~'J