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Home My WebLink AboutX2022-0983 - Permitsk�,,vj r, City of Newport Beach - Building Division *X2022-0983* COMB Permit: X2022-0983 P- `r 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0911-2022 4 Permit Counter Phone (949)644-3288 si. Inspection Requests Phone (949)644-3255 -n �, ;- .e�rr�u'� Combination Type - BLDG ELEC ' � �^e E R Issued Date : 04/05/2022 � �, t Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/0512025 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: 5 LEESBURY CT NB Description: SFR TENNIS COURT LIGHTING Legal Desc.: TRACT NO 11605 LOTS 7 AND 8 POR OF LOT 8 Owner: ROBERTS LUKE Contractor: MICHAEL ROBERTS HOME BUILDER INC Architect: .... Address: 5 LEESBURY CT Address: 6 CALLE ALIMAR Address: (9FY NEWPORT BEACH, CA 92660 RANCHO SANTA MARG CA 92688 Phone: 949-858-7540 Phone: 949-858-7540 Phone: State Lic: .... tl Applicant: ROBERTS MICHAEL Con State Lic: 681116 Engineer: Address: 6 CALLE ALIMAR Lic Expire: 0913012023 Address: RANCHO SANTA MARGARITA, CA 92688 Bus Lic: BT30060668 Phone: 949-858-7540 Lic Exp Date: 09/3012022 Phone: State Lic: •, ° • a Code Edit : 2019 Type of Construction: V-B 3185-Cl AIRWAY AVE 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 Valuation: $5,000.00 Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 II TOTAL FEE: $365.34 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Designer: BGB DESIGN GROUP/ GUY ARTHUR D. Carder: CLEAR SPRING PROPERTY&CASUALTY Address: fO ° ..° Policy No: CWC00460700 COSTA MESA, CA 92626 . e Expire: 0112612023 Phone: 714-545.2898 tl Jp Building Setbacks Rear: 10 Special Conditions: Front: 20 Left: 5 PA2021-237 Right: 5 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 %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.27 $0.00 $0.00 Plan Check Fee : Planning Department - Plan check Fee Fair Share 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 $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $365.34 PUBLIC WORKS APPROVAL: PLAN CHECK BY: . ° °oo°otl a ° ° e.°atl GRADING APPROVAL: 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 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 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 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 framhicensure under the Contractors' State License Law for the following reason: By my signature Iaa4w 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 TJI.a as�l�cture It ga 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 Rrofessions Code, is-Elyilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date GICWED CONTRACTOR'S DECLARATION I hereby affirm Vfleropeoalty of perjury.iJ>�t I am licensed under provisions of CJr t r 9 (commencing with Section 7000 of Divi ion 3 of the Business and Professions Code, A y I' e e is In full force andefeet. Licen%S Mass #5 License No i9 ``l Date T_ Contractor SignatureK—/"/� V119RKERS' CMPEGSATION DECLARATION WARNIr :'MILUROTO S��URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CUSI�O XOMPENSATIGN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I DeTt.6117frirm under peRalty of perjury one of the following declarations: 0 I have and;l! Ynairitain 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 sr#ornaRce of thewooRc-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' compensatiol insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # DI certify that, in the 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 agree that, if 1 should become subject to the wor ers' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - SignatureofApplicant / Date r` lS�ZZZ DECLARATION REGA DING CONSTRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By 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 t nter t e a -i ifad property for inspection purposes. a Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name KUI'js X-,6 {�{fDate 2 2— ACTION DATE BY DECLARATION 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 PERMIT CANCELLED LJEPA PERMIT EXTENDED QMD PERMITFINAL /yrL BESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLIITIIO,N, OCCUPANCYISSUED SIGNATUREY