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Home My WebLink AboutX2020-2037 - PermitsP City of Newport Beach - Building Division IIIIIIIIII�IIII�I�IIIIIIIIIIIIII IIIIIIIII�I COMB Permit: X2020-2037 4' '- 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 0 2 3 71 II Project No: 0385-2020 td '- Permit Counter Phone (949)644-3288 F1i. Inspection Requests Phone (949)644-3255 ''sfef�wk�' Combination Type - SFP MECH Issued Date : 10/0812020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/09/2023 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: 1612 HIGHLAND DR NB Description: SFR DELTA 1, CHANGE OUT (14) WINDOWS 8 CHANGE OUT (2) F.A.U'S Legal Desc.: N TR 3800 LOT 8 Owner: AMBER GREGG/REBECCA Contractor: OWNERIBLDR Architect: JONSSON JEFFREY Address: 1612 HIGHLAND DR Address: REBECCA AMBER Address: 946 CALLE AMANECER #C NEWPORT BEACH, CA 92660 SAN CLEMENTE CA 92673 Phone: 949-285.8933 Phone: 949-285-8933 Phone: 949-412-3955 State Lic:CO27314 Applicant: AMBER REBECCA Con State Lie: O/B Engineer: JONSSEN JEFFREY Address: 4 RENATA Lie Expire: Address: 946 CALLE AMANECER #C NEWPORT BEACH, CA 92657 Bus Lic: SAN CLEMENTE CA 92673 Phone: 949-285-8933 Lie Exp Date: - Phone: 949.429-1432 State Lic:C-027314 �1 Code Edit : 2019 Worker's Compensation Insurance Designer: `®JJ Type of Construction: V -B Carrier: Address: Occupancy Group: R31U Policy No: Added /New sq.ft. Bldg: 400 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 6 Special Conditions: No of Units: 1 Front: 20 Bldg Height: 0 Left: 6 Bldg Sprinklers: N Right: 6 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $79.000.00 Building Permit Fee: $195.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $169.65 Additional Fee: $0.00 Plan check Fee : $46.25 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: $8.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $7.80 NMUSD Fee: $0.00 -' $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $491.70 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $491.70 d E, PUBLIC WORKS APPROVAL: o PLAN CHECK BY: ,.,APPROVAL TO ISSUE: OWNER -BUILDER 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 applioanVor 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 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 nKd' erirlents 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 ped for the purpose of sale). wner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Lawdoes not n 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). 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 improvements covered by this permit, I cannot legall) ell a structure that I have built as an owner -builder if i es not b onstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request whe app n' ubmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent e - �� Zd .ICENSED CONTRACTOR'S DECLARATL6N hereby affirm under penalty 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 Dale Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 th erformance of the work for which this permit is issued. Policy No. have and will maintain 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' rance carrier and policy number are: Policy Number of Agent Dale ;ertify that, in the Performa a er or 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 agree if I should becomes®yh ct to th r <e or provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of Applicant Ireby 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) 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. 1 have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and county qQLpncesA5d state laws relating to building construction. I authorize representatives of this city or cou ert v -Identified property for inspection purposes.�� nature of Pronertv Owner or Authorized Aaent i 1, Print Propertv Owner's or Authorized Agent's Na DATE BY I DECLARATION OF II REGULATIONS PART0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULERAL I FOR OFFICE USE ONLY N1 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATIOWro•- • + • PERMITC4NCELLED UEPA i • • • • PERMITEXTENDED A--QMD • ° PERMIT FINAL `� A BESTOSN SNOT APPLICABLE TO CERTIFICATEOF J- P OSE OUT] • • •' • OCCUPANCYISSUED 1 SIGNA7U • + e • • • • • `• �• •. • . e «