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Home My WebLink AboutX2021-0917 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u ±c Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC COMB Permit: X2021-0917 IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIII II Project No : 0847-2021 Issued Date, 04/20/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412012024 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: 1 ENCORE CT NB Description: MFR - RIR DECK 203 SF Legal Desc.: TR 7817 LOT 4 UNIT 249 OF PROJECT LOCATED ON AP 424-041.01 TOGETHER ��® Owner: JACOBY TIM Contractor: OWNER/BLDR Architect: Address: 1 ENCORE CT Address: Address: NEWPORT BEACH CA 92663 Phone: 713-703-1417 Applicant: JACOBY TIM Address: 1 ENCORE CT NEWPORT BEACH CA 92663 Phone: 713-703-1417 Code Edit: 2019 Type of Construction: VB Occupancy Group: R2IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 5 Bldg Height: 0 Bldg Sprinklers: Valuation: Building Permit Fee: $381.00 Plan Check Fee: $266.75 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: Phone Con State Lic: O/B Lic Expire: Bus Lic: Lic Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: I Front: I Left: / Right: / Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $26.67 Mechanical %: $0.00 Plumbing %: $0.00 Plan Check Fee Phone: State Lic Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA CA 92705 Phone: 714.662.0510 State Lic:S-005289 Designer: $46.25 Address: Fair Share : Phone Special Conditions: 0 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee: $46.25 Fire Inspection: Fair Share : $0.00 Fire Plan Rev SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm Public Works Department - General Service Park Dedication : $0.00 Refund Deposit PM Plan Check : $0.00 Grading Bond: San Dist: $0.00 NMUSD Fee: $0.00 $701.00 PUBLIC WORKS I PLAN CHECK BY: m mmmmo� 0000a momomc ooemmr 0 m u 0 0 oomoom omoc 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $26.67 GRADING APPROVAL: I/ I 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 ie 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 '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). I, 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, lusiness 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 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 n roved 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 pply 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: ly my signature below I acknowledge that, except for m ersonal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder if as not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the JBusiness and 'rofessions Code, is available upon request when i c on Is u ml oF- t foil9 _ng.Website:http://www.leginfo.ca.gov/calaw.htmi. Date signature of Property Owner or Authorized Agent /�" // �7i w/4. .ICENSED CONTRACTOR'S DECLARATIM t,_/ Q./ P hereby affirm urlidg6penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature VARI0RS' (;QrA1)ENSATION DECLARATION IARNIN0FAILURE TORE 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 DIET OF COMPENSATfO , AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hefapy affirm undgr penalty of perjury one of the following declarations: • •• 11 hate and $vill•mai�tain 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 the 6 O"ance of the work for which this permit is issued. Policy No. Ell"Ge and v1ll:�;'Ofain 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' compensatiol e carrier and policy number are: lwger• Policy Number Expiration Date lame n Anent • • • _ Phone # •• I c iFy that, in -the Pertormance 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 ••.. I i should becomesubject tot worker ' com nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant e� Da7 )ECLARATION REGA G CONSTRU ON LE G AG hereby affirm under pe alty of perjury that there is a constructs ending 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 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 laws relating to building construction. I authorize representatives of this city, or county t ab a -i tified ro `for inspection purposes. I Z' 3i nature of Property Owner or Authorized Age i Jul Print Property Owners or Authorized Agent's N l:�4�.Il� —� Da ACTION DATE BY DECLARA14ON OF COWLIAITCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITCANCELLED PERMIT EXTENDED PERMITFINAL S - "+-JILL CERTIFIC4TE OF OCCUPANCY ISSUED 1403 El I SUBMITTED ASBESTOS NOTIFICATION TO LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION