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Home My WebLink AboutX2021-0769 - Permits"'r' City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0769 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 7 6 9 Project No : 1641-2020 " Permit Counter Phone (949)644-3288 �, �' Inspection Requests Phone (949)644-3255 Combination Type -SEP ELEC0 MECH PLUM �' Issued Date : 0410112021 �'rstrnK's`z Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/01/2024 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 worlr on Sundays or Holidays Job Address: 2402 UNIVERSITY DR NB Description: DELTA 3- *ADDITIONAL SCOPE* (2) BATHROOM REMODELS Legal Desc.: TR 4444 LOT 12 TOGETHER WITH AN UND 1133 INT IN LOT 34 .... °ono ° noonoo Owner: WILLET RANDY Contractor: ARMORA CONSTRUCTION Architect: ROTHI SCOTT S Address: 3398 GIOVANNI WAY Address: 24711 ATHENA Address: 4614 BLACK AVE o .0 DUBLIN CA 94568 MISSION VIEJO CA PLEASANTON CA 94566 „^ ° Phone: 9261330.5963 Phone: Phone: 5101305-9250 State Lo:C034243 ^ o 0 0000° o c Applicant: WILLET RANDY Con Slate Lic: 859515 Engineer: Address: 3398 GIOVANNI WAY Lic Expire: 05/3112021 Address: DUBLIN CA 94568 Bus Lic: BT30074488 Phone: 9251330-5963 Lic Exp Date: 03/31/2022 Phone: State Lic: ° ° ° ... ° ^ Code Edit: 2019 Worker's Compensation Insurance Designer: ° o u Type of Construction: V -B Carrier: BENCHMARK INS Address: ° o Occupancy Group: R31U Policy No: CST5019057 Added /New sq.ft. Bldg: 0 Expire: 04124/2021 Phone: - Added /New sq. ft. Garage: 0 No of Stories:2 Building Setbacks I Special Conditions: No of U Units FRear: ront: 1 Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25,000.00 '- Building Permit Fee: $501.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $435.87 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: $0.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $35.07 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $20.04 NMUSD Fee: $0.00 $0.00 Plumbing %: $45.09 $0.00 TOTAL FEE: $1,092.32 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: It Plan Check Fee $0.00 Fee Due at Permit Issuance : $1,092.32 PUBLIC WORKS APPROVAL: yy PLAN CHECK BY: C Y APPROVAL TO ISSUE: S 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). 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, Iiness 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 rovements 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 roved for the:: rpt se of sale). I, as ownerbj the.0operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply loan 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 ani exempt frpV 1'ypensure under the Contractors' State License Law for the following reason: mysignature belowl 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 legalh %%tfucture tha41 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and fessions Cor C,16-Rvailable upon request when this application Is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Ratune of Propefty-Owner or Authorized Agent Date 't'-ASED CONTRACTOR'S DECLARATION td�' 'rP� Y perjury P 9 ) Nd Y .affirm dotter Esnalt ofthat I am licensed under revisions of ter om with Sect] 000 of D'visi n 3 of the Business and Pr a Bions e, a m It is in full force Vf%ct. LicenV Class License No%.r u✓Lr Da Contractor Signature L ZRIK RS' COMPZNSATION DECLARATION ININGfFAILURI!V6?ECyl!RE 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 li na OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES IL:by 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 `ormance of the work for which this permit is issued. Policy No. Z11 -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' compensaliol nsurance carrier and policy number are: :arrier Policy Number Expiration Date Jame of Agent Phone # —1I certify that, in the performance of the work for which this p rmit 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 hat, if I should become bject t orkers'yompensatio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I� J 31gnatureofApplicant )ECLARATION REGA D STRUCTION L NDI G AGENCY , hereby affirm under pe ally of perjury that there is a con truction lending 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 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 Is relating to building construction. I authorize representatives of this city or cou o ente - abovq-iden ' property for inspection purposes. Signature of Pro arty Owner or Authorized A ent n Print Property Owner's or Authorized Agent's Name Dat ACTION DATE BY DECLARATION OF COM LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGUL IONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I I VU I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOT( (CATION 5 NOT CERTIFICATE OF • OSED DE O ION q^ OCCUPANCVISSUED SIGN URE: i//LGH