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Home My WebLink AboutX2022-1197 - PermitsCity of Newport Beach - Building Division ` G,m 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 rsizfr�suv'` Combination Type - SFP ELEC *X2022-1197* COMB Permit: X2022-1197 Project No: 0569-2022 Issued Date : 0612812022 Inspection Area : 2 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: 105 VIA YELLA NB Description: DELTA 2 REVISION & ADD'L SCOPE TO ADD HEATED FLOORS TO MASTER BATHROOM. "WARM-UP #DWM120-1540" Legal Desc.: N TR 907 LOT 389 Owner: ERICSEN TIMOTHY Address: 105 VIA YELLA NEWPORT BEACH, CA 92663 Phone: 714-231-7601 Applicant: TROUP DAN Address: Phone Code Edit : 2019 Type of Construction: V-B 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: Contractor Address: Phone: Can State Lie: Lie Expire: Bus Lie, Lie Exp Date: OWNER/BLDR ERICSEN 714-356-5960 O/B Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: / Front: / Left: / Right: / Architect: Qeaa • Address: • • 9J00 Y°°.3p• Phone: State Lic: 9 Q • •• Q a ° a Engineer: Q• Address: ®• • a '• • PQ a • Q • • Phone: State Lie: as • • , a o a a • Designer: TROUP DAN • °°6°• Address: 12572 CHARLOMA DR ea • Q a Q TUSTIN, CA 92780 a ¢Q Phone: 949-276-4632 9a a • ° � - ° i a Special Conditions: HIGH DENSITY ZONE a°°° y �• LIQUEFACTION ri000 cone: A Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2,073.00 Building Permit Fee: $127.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $110.49 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: $2.00 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 %: $8.89 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 : $249.38 Plan Check Fee: $110.49 Fee Due at Permit Issuance : $138.89 PROCESSED BY: is J PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING APPROVAL: /✓l.Svt/ PLAN CHECK BY: APPROVAL TO ISSUE: SEC- 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 structhre, 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 Orofessions 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 lot more than five hundred dollars ($500). I, aS owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Lnproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt kamOicensure under the Contractors' State License Law for the following reason: 3y my signatures 4EJQvi?acknowledge that, except for my personal nce in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally 5,} �11�I�cture th�Ll�Fjave built as an owner -builder if it has n -an c strutted in its tirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and irofessions Code,4 available upon request when this a Ica on is ubmitted a at t wing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Swner or Authorized Agent Date ;ICMSED CONTRACTOR'S DECLARATI tlyreby affirm Vdegl!!Jnalty of perjury that I am licensed under provisions o apter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Ind-qff�eEt. Licerm Class License No Date Contractor Signature 5FDA$ERS' WUPITNSATION DECLARATION MJVR.*FA1LURE f0 &tURE 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ss «�ese yaffirm under penalty of perjury one of the following declarations: ;LLwYe and w4114a;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 mrfor make of the art -for which this permit is issued. Policy No. Jhave and wi11'mainiain 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 Tsurance carrier and policy number are: )arrier Policy Number Expiration Date y�a7me of Agent Phone # JI certify that, in the performanc�theg'ke ork for which th�iS.Rf�emit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre hat, if I should become subje ors'compen ats t, " ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J signature of Applicant ./ Date )ECLARATION REG RDI RUCTION LE G AGENCY hereby affirm under per6j1yzrperjury that there is onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 1 have provided is correct. I agree to comply with all applicable city and county anc sand stags relating to building construction. I authorize representatives of this city or county toenter the bove-ident' p for inspection purposes. X ,� .I Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name is Date ' ACTION DATE BY ECLARATION OF OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED QM D PERMITFINAL ASBESTOS NOTIFI ON NOT APPL BLE TO CERTIFICATE OF I/ PROPOSED DEMO ION OCCUPANCY ISSUED y LZ SIGNATURE: