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Home My WebLink AboutX2021-0619 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 & =; Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 aq�v. Combination Type - MFP MECH ELEC PLUM *X2021-0619* COMB Permit: X2021-0619 Project No: 0132-2018 Issued Date : 03116/2021 Inspection Area: 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311512024 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: 715 BAY HILL DR NB Description: MFR *CHANGE OF CONTRACTOR' REMODEL 330 SF (KITCHEN,WET BAR, CLOSET) Legal Desc.: TRACT 12105 LOT 1 OF PROJECT 931-79 LOCATED ON AP 442-033-04 Owner: PALMER KEITH STANTON/PALMER MIDRED WILSON Architect: PALMER KEITH STANTON Address: 715 BAY HILL DR Address: NEWPORT BEACH CA 92660 Phone: Applicant: PALMER KEITH Address: 715 BAY HILL DR NEWPORT BEACH CA 92660 Phone: Code Edit: 2016 Type of Construction: VB Occupancy Group: R21U 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 Flood Zone: X Valuation: Building Permit Fee: $0.00 Plan Check Fee: $0.00 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: $0.00 TOTAL FEE: $37.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Phone: Con State Lie: Lie Expire: Bus Lic: Lie Exp Date: Contractor: RJ TANNER CONSTRUCTION 893 OAK STREET Address: 715 BAY HILL DR 0 COSTA MESA CA 92627 NEWPORT BEACH CA 92660 ° .... 949-235-4856 Phone: 310-326-9111 State Lic:C-011096 • ° 00 00 744104 Engineer: GARCIA LIONEL 12/31/2021 Address: 24702 NARBONNE AVE BT98043220 LOMITA CA 90717 ooaoma 0613012021 Phone: 310-294-8111 State Lic:S-004653 ' Worker's Compensation Insurance Cartier: PREFERRED PRO INS Policy No: ON0897402 Expire: 06/01/2021 Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: / 'arkino SDaces $0.00 $37.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 • mo• Designer: Address: ° °• Phone: Special Conditions: REPLACE X2018-0158 o m o o LETTER ATTACHED N Planning Department - Fire Department Plan check Fee : $0.00 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans: $0.00 Demolition Fee In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department- General Service $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $37.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: r o • mmommo • o OJ°00 OJJJOO mo°••m 0 0 0 0 0 �o•ooe 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) action 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 requiress the app)kant for 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 6essions Code) or that he or she is exempt from Iicensure 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 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, 0ness 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 irovements 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 Proved 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 Ply 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 from Iicensure under the Contractors' State License Law for the following reason: 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 legally a structure 1hatJhave 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 Ifessions C8(" "Rvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. p4tore of Pjopeq Owner or Authorized Agent Date ;ERSED G NTRACTOR'S DECLARATION reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se io 0 fDiv s�1 3 o e smess and Profes ' d m ense is in full force J, ct. License Class License No ate ! C tractor Signature )R� ERS'-dQMFV1ENSATION DECLARATION WING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DO LARS ($100,000), IN ADDITION TO THE JT.OF COMPPyNSRITIDNj DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Upl5y affimt under penalty of perjury one of the following declarations: and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for :e af'thg qrk for which this permit is issued. Policy No. nd will ma aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa m6Vs6aa&oolicv number are: Policy Number Date is of Agent rnone + certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and if I should become subjegt-jD t1}e�ayorkers' competWtion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )ECLARkTtONI%GARDING COSy$(t1C ON LLNDING AGENCY @Y hereby affirm under penalty of perjury ha here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .enders 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 ow behalf. 1 have read this application and the information I have pro ' i correct. I agree to comply with all applicable city and-coun e - .state laws relating to building construction. I authorize representative of is city or county to a ove-)dentified property for inspection purposes. �F Signature of Prope Owner o % Print Property Owner's or Authorize me J ACTION DATE BY DE ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE TIC PART61 OFTITLE 40AND AQMD RULE ASBESTOS NOTIFICATION TO PERMITC,4NCELLEO PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED