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Home My WebLink AboutX2021-2195 - Permitss++'txv City of Newport Beach - Building Division'IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II COMB Permit: X2021-2195 a v100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 1 9 5 Project No : 1897-2021 Permit Counter Phone (949)644-3288 :i.. Y.. Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM Issued Date : 09/01/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/01/2024 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 work on Sundays or Holidays�a,,C" Job Address: LIDO PARK NB St: 1 FI: 2 Unit: 2-C MF Description: MFR INTERIOR ALTERATION 2000 SF Legal Desc.: TR 7695 LOT 1 UNIT 7E G-1-28 OF PROJ LOCTD ON AP 47-021-29 Owner: RINALDI ELIZABETH Contractor: CARROLL BRIAN Address: 601 LIDO PARK DR 92C Address: 364 VISTA BAYA NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92660 Phone: Phone: 714-404-4999 Applicant: SMITH BRADFORD Con State Lie: 348696 Address: 425 30TH ST #22 Lie Expire: 12/31/2021 NEWPORT BEACH CA 92663 Bus Lie: BT98042804 Phone: 949-631-3682 Lie Exp Date: 08/31/2022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: WC EXEMPT Occupancy Group: R2 Policy No: (NO EMPLOYEES) Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories: 10 Building Setbacks Rear: / No of Units : 43 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Construction Valuation: $75,000.00 Building Permit Fee: $1,009.00 Plan Check Fee: $877.83 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 : $3.00 TOTAL FEE: $2,294.89 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: SMITH BRADFORD Address: 425 30TH ST 922 G aA NEWPORT EA 92663 Phone: 949 6311-3682` - Sta e L c:C01414466�� Engineer: ®w\ Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: HIGH DENSITY LIQUEFACTION ti +sd L O.J Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department: Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection:- $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 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 $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 - Refund Deposit $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $141.26 San Dist: $0.00 Mechanical %: $110.99 NMUSD Fee: $0.00 $0.00 Plumbing %: $90.81 $0.00 Plan Check Fee : $929.83 Fee Due at Permit Issuance : $tl1636ry,06 00• VVY VV V 0 9 p + V PUBLIC WORKS APPROVAL: PLAN CHECK BY: • v a�+ APPROVAL TO ISSUE: 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(sj, 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 far 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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). I am 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, 1 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. ;ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION herebyaffirm under penalty of�.�gr u th t I am licensed under provisions of h e 9 comm tin with Section 7000 Division 3 of the Business and Professions e, and I IT8 se i In full f rce P Y y,1 ny P P s( 9 n, �j nd effect. License Class If s License No _X�L �` Date 0'Y Contractor Signature � - / y-^ 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 thi erformance of the work for which this permit is issued. Policy No. ]I 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' compensatior surance carrier and policy number are: arrier Policy Number Expiration Date a e Agent Phone # rtify that, in the performance of Work for which IN er It 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, 'at, should become subject tot rnke'rs' c�orA—pens on ov,s,ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q% ignature of Applicant ! V`� — Dat 4 y� ECLARATION REGARDIIA CONSTRUCTION LENDING AGENCY 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 y 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. agree to comply with all applicable city and county o antes a sta laws relatin to building construction. I authorize representatives of this city or coun o e he ab a-i ntifi d roperty or inspection purposes. p ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name / rlet h ► ro rl Date 1CTION DATE BY V If DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED Y ..• J%OPOSED • • SIGNATUR ASBESTOS IS NOTAPPLICABA TO se ea •e • . o•• Qe