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Home My WebLink AboutX2021-0937 - PermitsCity of Newport Beach - Building Division G� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 +iawzwr -'' Combination Type - MFP *X2021-0937* COMB Permit: X2021-0937 g EC`I Project No: Issued Date : 04121/2021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412112024 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: 221 CARNATION AVE NB Description: MFR REROOF TIO TILE & REPLACE WI STANDING SEAM 35 SQS, R/R (3) WINDOWS *NO HEADER CHANGE* & PLACE SMOOTH STUCCO OVER EXISTING TEXTURED STUCCO ON Legal Desc.: CORONA DEL MARPORTION OF BLOCK D LOCATED ON AP 052-013-39 TOGETHER Z Owner: BERK DEVELOPMENT LLC Contractor: BERK CUSTOM HOMES INC Architect: Address: 221 CARNATION AVE Address: 428 OLD NEWPORT BLVD Address: CORONA DEL MAR, CA NEWPORT BEACH CA 92663 0 Phone: Phone: 949-300-5152 Phone: State Lic: Z Z Applicant: SCOTT BRAD Con State Lic: 1017631 Engineer: W Address: 428 OLD NEWPORT BLVD Lic Expire: 0813112022 Address: NEWPORT BEACH, CA 92663 Bus Lic: BT30057033 ^. Phone: 949.300-5152 Lic Exp Date: 10131/2021 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: 0 Type of Construction: V-B Occupancy Group: Carrier: STATE COMP Address: > 0 R3IU Policy No: 9212219 Added /New sq.ft. Bldg: 0 Expire: 06/08/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: LIQUEFACTION No of Units : 2 Front: I LANDSLIDE AREA 0 Bldg Height: 0 - Left: / Bldg Sprinklers: Right: I i) Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N Construction Valuation: $35,000.00 Building Permit Fee: $902.00 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 WQ 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 : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $904.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $904.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: S GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER 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) 1 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 Bt sinAs 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 penglty 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 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). ❑ 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 legall7 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 Sectio 70 0) of Division 3 of the Business and Prof i ode, and my license is in full force and effect. License Class License No Date �/�-z //G Contractor ure ° WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENA IES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND 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. Miave 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' compensatioi urance carrier and policy number are: :arrier Policy Number Expiration Date 4ame of Agent Phone # 4ILcertify that, in the p, rf �rkers' 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 hat, if I should become bcompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applica _ Dat G )ECLARATION REGA DI CONSTRUCTION LENDING AGENCY 'y/ hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,IC I Code). -ender's Name Lender's Address 3y 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 finances and state laws relating to building construction. I authorize representatives of this city or county t nter the above -identified property for inspection purposes. Signature of Property Owner or Authorized A Print Property Owner's or Authorized Agent's Name ACTION DATE BY I DE RATION OF COM CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED D P PERMITFINAL BESTOS TIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF QL PROP EDDE' IT OCCUPANCY ISSUED _ y SIGNA