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Home My WebLink AboutX2022-1380 - PermitswaY City of Newport Beach - Building Division IIII�IIIIIIIIIII��IIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1380 �`. '�- 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 3 8 0 Permit Counter Phone (949)644-3288 PfOfOCY NO s1- Inspection Requests Phone (949)644-3255 "Lrra'�`� -' Combination Type - MFP Issued Date: 0511312022 9 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 405 EDGEWATER PL NB - Description: MFR NEW ROOF HATCH (NO CHANGE IN FRAMING) Legal Desc.: N TR 15935 LOT 69 Owner: EPIC ESTATE Contractor: ALLISON AIR CONDITIONING & HEATING Architect: ...... Address: 15RONSARD Address: 369 EAST HARRISON#B Address: • o°. a°°®•: NEWPORT BEACH CA 92657 CORONA CA 92879 ° ° • ° '. ° ° Phone: Phone: Phone: State Lic: • •° •°• Applicant: ALLISON AIR CONDITIONING & HEATING Con State Lic: 545500 Engineer: Address: 369 EAST HARRISON #B Lic Expire: 0713112023 Address: �. ..f. 8:,..':--�-• ° ° • ° CORONA CA 92879 Bus Lic: BT30071452 , Phone: 951-736-1101 Lic Exp Date: 0313112023 Phone: ® 15Aa1e" Lic: a ° e Code Edit: 2019 Worker's Compensation Insurance Designer: • ..• ° Type of Construction: V-B Carrier: INS CO OF THE WEST Address: Occupancy Group: R2 Policy No: WSD504558302 ° •° •®®®,,, Added /New sq.ft. Bldg: 0 Expire: 01/01/2023 Phone: • • • ° Added/New sq. ft. Garage: 0 0 °°o• oo.• No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 4 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2,000.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee, $0.00 Plan check Fee: $0.00 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: $0.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $111.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $111.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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(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 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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). I am exempt floor licensure under the Contractors' State License Law for the following reason: By my signature below) 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 legalq sJIJq SWlcture t4a; j hgve 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 Ptofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Propert;(5wner or Authorized Agent Date LICtN&D CON?RACTOR'S DECLARATION I hereby affirm upQer pgDalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f Division 3 of the Business and r ' � s Code, and my lio If^ Is in,full 6rce aDd tVj &. License Class License No Date.' 3 2 Contractor Sign r �ii®® VUO?4<ERS' Cp11aPEpISATION DECLARATION Vpeldfy IFAILUREYD SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREL 4DUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. M.'et; affirm under penalty, of perjury one of the following declarations: „I,IVavE and wfil'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 th oer o r mance of the wo rlofor which this permit is issued. Policy No. have and will'main;in 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 nsur a carrier and policy number are: arrier Policy Number Expiration Date ame of Agent Phone # I certify that, in the erformance 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 lat, if I should beco he workers' compen io ovision of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of ApplIca _/4 1/ �h-� Da _ 12L- iECLARATION RE(%R1I bNSTRUCTION LENDING AGENCY hereby affirm under penalty-dif perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ivil Code). _ Enders 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 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 ter e-identified prop r see bn urposes. ignature of Property Owner or Authorized Agent rty Owners or Authorized Agent's Nam es✓e_ 4417bn 1CTION DATE BY Y DE ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED - AQMD PERMITFINAL L• 22- 1 Q SBESTO FICATION IS NOTAPPLICABLE TO CERTIFICATE OCCUPANCYISF J PR OSEL� M 10 OCCUPANCYISSUED SIGNATUR A