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Home My WebLink Aboutx2021-0961 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 rr I Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ea` Combination Type - SFP IIII�IIII'�IIIIIIIIIIIIIIII��llllllq II COMB Permit: X2021-0961 x 2 e 2 1 e 9 6 1 Project No: 0890-2021 Issued Date: 06115/2021 Inspection Area : 2 PERMIT EXPIRES 190 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611512024 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: 317 VIA LIDO NORD NB Description: SFR -REMOVE (E) DOOR AND REPLACE W/NEW DOOR SYSTEM @ LIVING ROOM Legal Desc.: N TR 907 LOT 994 rn Owner: MOORE KEITH Contractor: HARKINS CONSTRUCTION Architect: Address: 317 VIA LIDO NORD Address: 34167 PCH #D Address: NEWPORT BEACH, CA 92663 DANA POINT CA 92629 Phone: Phone: 949-245-9028 Phone: State Lic: Applicant: HAHN PRYN Address: 34167 - D PCH DANA POINT CA 92629 Phone: 949/226-7130 Code Edit : 2019 Type of Construction: V-B 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: N Construction Valuation: $11,000.00 Building Permit Fee: $263.00 Plan Check Fee: $228.81 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEt : $549.06 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 935372 Lic Expire: 0313112022 Bus Lic: BT30066134 Lic Exp Date: 02/28/2022 Worker's Compensation Insurance Carrier. NORGUARD INS CO Policy No: HAWC155703 Expire: 02122/2022 Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbinq %: Rear: I Front: I Left: I Right: I larking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Engineer: BURKE LEO Address: 34167 PACIFIC COAST HWY #D DANA POINT CA 92629 • a • Phone: 949-226-7130 State Lic:C-067404 ...... • s Designer: Address: °°•' o 9 8 a a Phone: , • sa•as• •a a Special Conditions: LIQUEFACTION AREA a a ®, • 9 • ° ° aaya) aa••a aaaa°• c.e u.,... w 7....e . u Planning Department - Plan check Fee Fair Sham: SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $275.06 Fee PUBLIC WORK APPROVAL: PLAN CHECK APPROVAL TO ISSU . c•asa• a a°m �aua $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 it Issuance: $274.00 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 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 Business 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 penalty 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 L) 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). ❑ 1 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 legally sell 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://Ww .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sects 70 o ivision 3 the Business and Professio J' de n y license is in full force and effect. License Class License No Date — I Z/ Contractor Signature a•• WORKERS' CU.N NSATION DECLARATION r�tUIWP:••FAILURE TO SKgCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR 0,000), IN ADDITION TO THE CPSTO C•OMPENSATI) `O` .MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm dder`plenalty of perjury one of the following declarations: • I have and will•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 e nce of kleuaosh for which this permit is issued. Policy No. h•a e and wjll,ryaiytain 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 insu, � carriesand pdicy number are: Policy Number Date :1I certify that, inthe performance 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 agre, should beDomeAubject to workers' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. s•••• Signature of Applicant Dat )ECLARATION REGA DIN ONSTR ION L DI hereby affirm under p nalty that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code). _ender's Name Lenders 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 laws relating to building construction. I authorize representatives of this city or county to a ovejdenified property for inspection purposes. /�� Dats�Cl� �2 signature of Property Owner or Authorized Agents / 1i ? Print Property Owner's or Authorized Agent's Na p -t— -tA-i 4e ACTION I DATE I BY D N OF E WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I LJISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL I J� U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ft1�117Y/LILI{ PROPOSED DEMOLITION OCCUPANCYISSUED p+r SIGNATURE: