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Home My WebLink AboutX2021-1869 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIII�IIIlllll� II COMB Permit: X2021-1869 +% 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 8 6 9 a '+` Permit Counter Phone (949)644-3288 Project No : 1612-2021 .. Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM Issued Date : 09/07/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0910712024 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: 123 VIA ANTIBES NB Description: MFR - INTERIOR REMODEL 1417 SF Legal Desc.: P M 146-26 PAR 1 UNIT 6 OF PROJECT LOCATED ON AP 423-132-07 TOGETHER Owner: EPI LIMITED PARTNERSHIP Address: 1370 BREA BLVD #216 FULLERTON CA 92835 Phone: 714/738-9092 Applicant: BALDING JAMES Address: 385 S GLASSELL ORANGE CA 92866 Phone: 949-354-4434 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Bldg Height: Bldg Sprinklers: Construction Contractor: REGAL COMMERCIAL SERVICES Address: 1220 W ALVAREZ AVE ORANGE CA 92868 Phone: 714-225-5193 Can State Lic: 930316 Lic Expire: 06/30/2023 Bus Lic: BT30071719 Lic Exp Date: 02/28/2022 2019 Worker's Compensation Insurance Vaaelrl R2�V Carrier: CLEAR SPRINGS Policy No: CSWK0000030081 0 Expire: 06/01/2022 0 2 Building Setbacks Rear: / 6 Front: / 0 Left: / N Right: / XI I- 7....e. n_-i..-- ^---- -. - Building Permit Fee: $1,169.00 Plan Check Fee: $1,017.03 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $38.00 Energy Compliance: $66.50 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE : $2,579.08 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee : Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $81.83 $46.76 $105.21 Plan Check Fee Architect: BALDING JAMES Address: 385 S GLASSELL ORANGE CA 92866 Phone: 949-354-4434 Engineer: Address: Phone: Designer: Address: Phone: cc State Lic:CO26436 I- ROHRER PAUL DUANE ••• 1527 E. AUTUMRIDGE CT ORANGE CA 92866 ('j 714-272-9579 State LIc:S-004340 Special Conditions: Planning Department - Plan check Fee Fair Share : SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $50.75 San Dist: $0.00 NMUSD Fee: $0.00 C/) Z• •e.,� o c o • Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: •a• o• • 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,485.03 Fee Due at Permit Issuance : $1,094.05 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: �� • ° oo°oo • o 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 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CQ T.RA.CTOR'S DECLARATION I hereby affira? ylyJF4 Aenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of iv' ion 3 of the Business and Profe:s� CDd$ d my license is in full force ��c�gi�ect. Lic��se Class License No Date 9'7 i Contractor Signature�- WORKERS' .QW;ENSATION DECLARATION 09RNV' FAILURE j0 SECURE 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 COFTAF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 41herriby affirmuudc e'r penalty of perjury one of the following declarations: ... 1'have anr� will. maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by SectionatT 3700 of the Labor Code, fort ante I tIte work for which this permit is issued. Policy No. Have 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�Isra�ce carri ?r ang policy number are: Carnet Policy Number Expiration Date dfigbf Agent 3.. ..... I certify that, in theperformance 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, an ogre lat, if I should becom subject to tt}Q wore compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� r � Date/ ignature of Applicar'' IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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). ender's Name Lender's Address ly 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 ordinances and state laws relating to building construction. {f (� I authorize representatives of this city or county to nter r�tlye'abye-Id tified property for inspection purposes. ,�(.,. Date / Clnnature of Prooertv Owner or Authorized Agent �<.7✓P/'% ��1 Print Property Owner's or Authorized Agent's Name 6 r✓� ACTION DATE BY DEC ION OF COMPLIANCE WITH CO OF FEDERA FOR OFFICE USE ONLY R LATIONS PART 61 OF TITLE 40 AND AQ RULE 403 PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION T PERMITFINAL ❑ASBESTOS NOTIFICATION IS NOT CERTIFICATE OF q �1 PROPOSED DEM TIOI OCCUPANCY ISSUED `6 1 Lti IGNATURE: 2��