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Home My WebLink AboutX2022-0091 - Permits„r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 :4 Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM IIII'IIIIIIIIIIIIII�IIIIIIIIIIII�IIIIIUII II COMB Permit: X2022-0091 X 2 0 2 2 0 0 9 1 Project No : 0103-2022 Issued Date : 03/18/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/18/2025 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: 601 HILVANAR NB Description: MFR REMODEL 820 SF Legal Desc.: TR 5798 (L.L.84-245722) PAR 50 Owner: SWCC LLC Contractor: G N S CONSTRUCTION Address: 14311 YORBA ST Address: P O BOX 141 TUSTIN CA 92780 BALBOA ISLAND CA 92662 Phone: Phone: 949-370-7200 Applicant: SIMAT GEORGE Con State Lic: 486187 Address: PO BOX 141 Lic Expire: 01/31/2024 NEWPORT BEACH CA 92662 Bus Lic: BT30054739 Phone: 949-370.7200 Lic Exp Date: 04130/2022 Code Edit : 2019 Type of Construction: VB Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X 11 Construction Valuation: S10 Building Permit Fee: $1,209.00 Plan Check Fee: $1,051.83 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $26.00 Energy Compliance: $70.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 Worker's Compensation Insurance Carrier: EVEREST NATIONAL INS CO Policy No: 7600014956211 Expire: 0513112022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: I arking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $84.63 $48.36 $108.81 II TOTAL FEE: $2,705.38 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 0 Architect: GARCIA JOHNM Address: PO BOX 9942 NEWPORT BEACH CA 92658 Phone: 949-683-8868 State Lic:C016755 Engineer: Address: Phone: State Lic: Designer: - Address: Phone: my Special Conditions: € �' Planning Department - Plan check Fee Fair Share : SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $50.75 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 $1,121.83 Fee Due at Permit Issuance : $1,583.55 PUBLIC WORKS APPROVAL: PLAN CHECK BY: my - 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). ❑ 1, 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 legallt 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://w .leginfo.ca.gov/calaw.html. 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 7000) of Division 3 of the Business and Pr as ions Cgd�, and I censru_ a is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION 'V - -s 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 I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I:ave 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 0 m ance of the work for which this permit is issued. Policy No. I ave 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 s since carrier and policy number are: Policy Number of Agent Date 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 agre I, if I should become subject tp a workers' comp5ppMtion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) nature of Applicant 4ZL Datp� CLARATION REGAMING CONVIRUCTION LENDING AGENCY _ Ireby 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). Ider'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 enter t ve-identified pr it for inspection purposes. nature of Prooertv Owner or Authorized ADent '� /In Print Property Owners or Authorized Agent's Name ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED DATE DECLARATII rOF COMPLIANCE WITH CODE OF FEDERAL REGULATI NS PART 61 OF TITLE 40 AND AQMD RULE 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO 1LJEPA QMD LJASBESTOS NOTIFICATIO NOTAPPLICABLE PROPOSED DEMOLITI FOR OFFICE USE ONLY • n a " • eee �•