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Home My WebLink AboutX2021-0908 - Permits�wt 4 City of Newport Beach - Building Division a� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `)+erya,yr� Combination Type - SFP ELEC PLUM MECH IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB permit: X2021-0908 Project No : 0419-2020 Issued Date : 07/20/2021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0712012024 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 orHolidavA Job Address: 46 SEA TERRACE NB Description: SFR -ADD'L SCOPE -KITCHEN REMODEL 200 SF, R/R FIREPLACE DELTA 2 Legal Desc.: N TR 14581 LOT 37. Owner: SWARTZ DAVE & KIMBERLY Address: 46 SEA TERRACE NEWPORT COAST, CA 92657 Phone: Applicant: ELLISON PAUL Address: 24642 VIA RAZA LAKE FOREST CA 92630 Phone: 949-683-9861 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $926.12 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: HOME IMPROVEMENT SPECIALTY Address: 34145 PACIFIC COAST HWY #107 DANA POINT CA 92629 Phone: 949-465.6965 Architect: Address: Phone: State Lie: Con State Lie: 774522 Engineer: FORBES DALE L Lie Expire: 02/28/2022 Address: 1800 E 16TH ST #B Bus Lie: BT30074784 SANTA ANA CA 92701 Lie Exp Date: 03/31/2022 Phone: 714-835-2800 State Lic:C-030407 Worker's Compensation Insurance Designer: Carrier: EXEMPT Address: Policy No: Expire: Phone: Building Setbacks Rear: / Special Conditions: Front: / Left: I Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm Grading PC Fee: $0.00 Public Works Department- General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit P/W Plan Check : $0.00 Grading Bond: Electrical %: $29.12 San Dist : $0.00 Mechanical %: $16.64 NMUSD Fee: $0.00 Plumbing %: $37.44 Plan Check Fee eeem e mmmo ee• m m m em m rpm �m e em mom om pepoG >m 9 k � om ,?p090m 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $408.17 Fee Due at Permit Issuance : $517.95 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: I" e m meseoe m e G m e O mo G m e p • o mm o mm•Gm 0 mmeGo mmm. oo 0 0 m o 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 applicablq 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 he 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 professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civilpenaltyof iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved for the purpose of sale). 1, 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). 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: 3y 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 legally :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 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm ucderpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000of � ivision 3 of the Business and Profesaions C e, a Ic s in full force and effect. Lift;g..�2ss License No Date 2C7^Z Contractor Signal 7YOR&RS' GONLF;ENSATION DECLARATION YARNIN(: FAILUP2.TS SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE ;OAT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm un der penalty of perjury one of the following declarations: Z.I have anewIl1'm$intain 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 )erfdRnance of tpgpork for which this permit is issued. Policy No. , 1 use 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' compensatior nsurance carrier and policy number are: Policy Number Date oftify that. pl„tbe performance of the work forwhich 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 agref if I should become subj o,tthhe/worky�rsc/4?��pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rture of Applicant �iL�//> /%(��/ '/ Date hereby 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) -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 and state laws relating to building construction. L� I authorize representatives of this city or county to ter t a I ad property for inspection purposes. ;innature of Prooertv Owner or Authoriz( Print Property Owner's or Authorized Agent's Name DATE BY DECLARATION OF COMPLIACE WITH I REGULATIONS PART 61 O TITLE 0 AN AQMD RULE CODE OF RAL FOR OFFICE USE ONLY PERMIT EXPIRED LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EIEPA PERMIT EXTENDED QM D PERMIT FINAL ��Z�LL n BE TOS IFICATIONIS NOT APPLICABLE TO CERTIFICATE OF POSED MOLITION OCCUPANCYISSUED SIGNATURE: 7`2a-2