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HomeMy WebLinkAboutX2022-0183 - PermitsCity of Newport Beach - Building Division v� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 c: Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM IIIIIIIII�IIIIIIII�IIIIIIIIIIIIIII II COMB Permit: X2022-0183 Project No : 0173-2022 Issued Date : 02111/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BYOV1112025 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: 8 HARBOR ISLAND NB Description: SFR INTERIOR ALT 334 SF. REPLACE (E) FRENCH DOORS WI WINDOW. Legal Desc.: TR 802 LOTS ALL -INC BET SAME & HIGH TIDE LINE - Owner: DELPONTE REG & MICHELLE Contractor: OLIVE TREE CONSTRUCTION INC Architect: Address: 8 HARBOR ISLAND Address: 1048 IRVINE AVE, STE #167 Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92660 Phone: Phone: 949-378-8456 Phone: State Lic: Applicant: RICHART JASON Con State Lic: 523488 Engineer: Address: 1041 W 18TH ST #A-106 Lic Expire: 12/3112023 Address: COSTA MESA, CA 92627 Bus Lic: BT30028903 Phone: 949-422-9191 Lic Exp Date: 01/31/2023 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: RICHART JASON Type of Construction: Carrier: INS CO OF THE WEST Address: 1041 W 18TH ST #A-106 Occupancy Group: R3IU Policy No: WSD506228800 COSTA MESA, CA 92627 Added /New sq.ft. Bldg: 0 Expire: 0912812022 Phone: 949-422-9191 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: HIGH DENSITY ZONE No of Units : 1 Front: I LIQUEFACTION ZONE Bldg Height: 0 Left: / Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $72,560.00 Building Permit Fee: $993.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $863.91 Additional Fee : $0.00 Plan check Fee : $52.00 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: $10.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $69.51 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $39.72 NMUSD Fee: $0.00 $0.00 Plumbing %: $89.37 $0.00 TOTAL FEE : $2,120.51 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,120.51 PROCESSED BY: PUBLIC WORKS APPROVAL: y d ZONING APPROVAL: i PL,ANetiHE;:';<BY: GRADING APPROVAL: 9 ` APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 legall, 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://www.leginfo.ca.gov/calaw.htmi. 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 Section 00 of Di3 of the Business and Profession ode, and my license is in full force -vision and effect. License Class License No Date a1 Contractor Signatur@� WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance of the work for which this permit is issued. Policy No. 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' carrier aAffTolicv number ara _ . I ne of Agent certify that, in the performance of the , if I should become subj ct to tthheewwo nature of Applicant Date 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. W_�� DTta %Ai , cu MIXFn Acvury 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. 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 count to ;the property for inspection purposes. 'icnature of Property Owner or Authorized Agent X i�� �r�— Print Property Owner's or Authorized Agent's Namx�fs-e, ac-, ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY OF COMPLIANCE WITH CODE OF FEDEI PART 61 OF TITLE 40 AND AOMD RULE 3L4 TO FOR OFFICE USE ONLY °° m e° •mc � ^ o° m o m ° me ° •