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Home My WebLink AboutX2021-2448 - Permitsa City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 PEf2Ml EXP 4 Co str 'on Job Address: 21 HARCO RT Description. SFR REM E P T Legal Desc : '. Owner: SUCHARD NA Address: 21 HARCO T NEWPORT EA ,CA Phone: Applicant: AHUEJOT RAFAEL Address: 32303 CA BAN DR DANA POI C 92624 Phone: 9491456-3 3 Code Edit: 20 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Gara�t�. No of Stories: 6 _ No of Units : 1 Bldg Height: e_ Bldg Sprinklers: Flood Zone: Building Permit Fee: $873.00 Plan Check Fee: $759.51 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 : $3.00 PROCESSED BY: ��I��III COMB Project oermo zo2021-2448 C, SFP ELEC -- "`-' Issued Date : 09/20/2021 2.. 2 Z _ _ _.trip ction Area: 6 0 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECT ip (" )aETED BYO 012024 OR IVERMIT WILL BE INVALID - s: M - Fr 7:a CDITIJO;� m and Saturday fro 8:00 a.m. to 6:00 p.m. No workid ndays or Holidays G C Y�; ht N SFaAND PATI CCVER 1dO SF' QG% reft!n . to whom: Contractor: M & R COASTAL CONSTRUCTION Arc E XP OIN Address: -2 .., 6 Phone: tate Lice c: 1 Engineer: LACHER TODD Lic Expire: 06/30/2023 Address: 1201 N TUSTINBus Lic: BT30076399 ANAHEIM CA E 08/31/2022 Phone: 714-630-6100tate LicC-067656 We ation Insura ce Desi ner: ii-rC�arner. NO EM - ES g r d ss:(1ti/i.7r:t Jlartedlolicy No:�Expire: (no work staftna) � �rN FRI Building Setbacks Rear: 10 Special Conditions: Left: 5 Right: 5 Parkin pace . InS , ijF� ' rd Zone : N )0 Excise Tax: $0.00 Planning Department - Fire epartment Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $61.11 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $1,696.62 ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $759.51 Fee Due at Permit Issuance : $937.11 PUBLIC WOF�KS �PROVAL; • °•° PLAN CHECK BY:' APPROVAL TO ISSUE: 0 0 0 o ° o� Sao e 0 o oo� �co ono OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reas ' (Section 7031.5, Business and Pdifes I III a requres a perm) o construct, alter, improve, demolish, or repair any structure, prior to its is the permit to file a signed statem(3'pt that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section Professions Code) or that he or:S` is exam censure and ba forlhe2lleged exemption. Any violation of Sectilnfl for a permit sI not more than five hundred Jolla ije 0). Mom' �� - ❑ I, as owner of the property, or my mployees with wages as their sole compensation, will do_(_l all of or (portions of 11"Afljillq� tAer tmptu��iniri Business and Professions Code.`The 0ntr improvements are not intended br 'Off d fo e improved for the purpose of sale). ❑ I, as owner of the property, am ex usiv apply to an owner of property who buil s orles ❑ I am exempt from Iicensure under e C By my signature below I acknowledge at, cep of sell a structure that I have built as an ner- wilder if Professions Code, is available upon re west hen tb Signature of Property Owner or Author ad, LICENSED CONTRACTOR'S DE LARATION and who contracts for the projects I hereby affirm under penalaWORKERS'C I am licensed under provisio and effect. License Class License No ORKERS' COMPENSA N WARNING: FAILURE TO SECURE N OV :DST OF COMPENSATION, DAMAGES AS PRO' hereby affirm under penalty of perjury have and will maintain a certific fo ante of the work for which this 1I ve and will maintain workers' c is ante carrier and policy number ar Ih e f compllertiion`,, the Owner -Builder will have the burden �r t 4, BDsirtEp9rill Pr a licensed Contractor pursuant to the Contractors' State License Lz id" or at I s - year prior to completion of the improvements c is ra is. nderstand that a copy of the applicable law, Se 1 // 1nfo.ca.gov/calaw.html. with Section 7000)y.tgivisjon 3 of the Business and Professiegfyf N EMPLOYER i rvrarv�a:uvry aloe Sri vn� ,.w,, ... ATTORNEY'S. of the followin( ikiostarted)'c (no work started) of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Sectie ;n t;;ist�(ipsssued. Policy No. iSaYIYTd o e a or o e, or a pe ormance of the work for which this permit is I to the applicable item(s) also requires the applicant for Division 3 of the Business and e applicant to a civil penalty of for sale (Section 7044, property, provided that the vinq that it was not built or State License Law does not id by this permit, I cannot 7044 of the Business and in ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for My workers' ne of Agent a - - r""""" 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 t, if I should become subject t99 I corkers' com t`o rovisioas of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant'" CLARATION REGARDING TRUCTION LE DINGIAGEr )reby 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 owner's behalf. I have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and county ordinances and state aws relating to building construction. I authorize representatives of this city or county to ent t 'abo jiden ed o y for inspection purposes. b� ) �.{ (nature of Prooertv Owner or Authorized Agent 1 1 t-E��int Property Owner's or Authorized Agent's Narrl��N-[i GG7Gr e Z/ [ / �y 6�ii� Date ?L2 ACTION _ DATE BY ]NKLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I&IIJAIT-TED ASITSTOS NOTIFICATION TO PER �../L.L'L • • PA PERMIT EXTENDED • ° • • QMD PERMITFINAL • • ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: •., ee• ••• • °° •ee e e oe• °Oe sea me