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HomeMy WebLinkAboutx2022-0401 - Permits�wlr� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 s. Permit Counter Phone (949)644-3288 ::. Inspection Requests Phone (949)644-3255 'r''iz=aiuKv' Combination Type - SFP ELEC r 'X2022-0401' COMB Permit: X2022-0401 Project No : 1988-2020 Issued Date : 02/1412022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/14/2025 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: 2100 BAYCREST RD NB Description: DELTA 2 REVISION: ADD'L SCOPE FOR NEW DECKING @ PORCH & CONCRETE STEPS 300 SF gtt�a Legal Desc.: N TR 3082 LOT 4 Owner: DAVIS JAD Contractor: OWNER/BLDR Architect: WISMER KEITH ..�� Address: 2100 BAYCREST RD Address: DAVIS JAD Address: 2601 E CHAPMAN AVE STE 116 �g NEWPORT BEACH, CA 92660 FULLERTON CA 92831 Phone: Phone: Phone: 714-336-5445 State Lic:C032253' d� Applicant: WISMER KEITH / ROBERT Con State Lic: O/B Engineer: SILVA CHRISTINA Address: 2601 ECHAPMAN AVE STE 116 FULLERTON CA 92831 Phone: 714-336-5445 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3IU Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $389.00 Plan Check Fee: $267.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $16.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $752.23 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Lic Expire: Address: 24482 MUELA Bus Lic: MISSION VIEJO CA 92692 Lic Exp Date: Phone: 949-795-6256 State Lic:C-037201 .... Worker's Compensation Insurance Designer: • e .... Carrier: Address: Policy No: • °,a° Expire: Phone: Building Setbacks Rear: / Special Conditions: REV22-0241 Front: I a Left: / Right: I Use Zone: Parkinq Spaces: 0 Fire Hazard Zone : N Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: • . • ao° $0.00 Planning Department - Fire Department • o $0.00 Plan check Fee, $52.00 Fire Inspection: ; $®,pg ° $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $27.23 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $319.00 Fee Due at Permit Issuance: $433.23 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: - o 00 ae©o ° e oaaa 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 violaffon,of Se;Mon 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 U all of or U 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 _ 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 ply 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: 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 thiss-aa�pppy)+cc do Is mitte l or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent s Date I CI - 2 D'V% LICENSED CONTRACTOR'S DECLARATI�Dfl ` I 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 and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION URE 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 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. e5y affirm yndes penalty of perjury one of the following declarations tta.v a and wiy 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 romance of the work for which this permit is issued. Policy No. hake and *7 rMirjtain 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' compensa Wice carrigr.an� policy number are: Policy Number Date 1Ib of Agent Phone # •.• cerl;Fy that, ilf th�rformance 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 ogre if I should beaom® subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D@41re of ApptcanI: Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY �reby 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). lder'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 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 to err�erapr ove-identified property for inspection purposes. nature of ProDertV Owner or Authorized Acent S�.IaJ"FI ;`_� Print Prooertv Owner's or Authorized Anent's Name ,-!:S�d T - —0 ACTION DATE BY - MLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED PERMITFINAL �J ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF c z zZ PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: