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Home My WebLink AboutX2021-0953 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s}, Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM O IIIIIIIIIII�IIIVIII�IIIIIIIIIIIIIYIIIIIIII�III� II COMB Permit: X2021-0953 Project No: 0147-2021 Issued Date: 04/2312021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412312024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7.00 a.m. to 6:30 p.m. and pSaturday g from 8:A000/a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 216 Des nption: DEMO (E) SFR WIATT GARAGE 802 SF (2 BEDROOMS) O9 tl SA 9 U RDA ! S Legal Desc.: BALBOA ISLAND SEC 2 BLK 8 LOT 10 Owner: PERRY DANIEL Address: 26073 SHADOW ROCK LN VALENCIA CA 91381 Phone: 818-749-4139 Applicant: WATERPOINTE CUSTOM HOME Address: 3500 E COAST HWY #110 CORONA DEL MAR CA 92625 Phone: 949-644-8900 Code Edit: 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: Added Mew sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X-0.2 Construction Valuation: Building Permit Fee: $120.00 Plan Check Fee: $227.60 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: $1.00 TOTAL FEE: $1,823.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: WATERPOINTE CUSTOM HOME Address: 3500 E COAST HWY #110 CORONA DEL MAR CA 92625 Phone: 949.644-8900 Con State Lie: 947494 Lie Expire: 0513112022 Bus Lie: BT30036114 Lie Exp Date: 06/31/2021 Worker's Compensation Insurance Carrier: STATE COMP INS Policy No: 1962335 Expire: 0510'112021 Building Setbacks Excise Tax: - Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5' Front: 10' Left: 3' Right: 3' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.80 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lie: Special Conditions: HAULER: GREENLEAF Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $92.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: !C® It' 0 :XJ $0.00 $0.00 $26.00 $219.00 $1,127.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,823.80 - o RUB'_LC WO,ISo;4;PR 0 0 � PLAN CHECK BY: APaPF ®VAI-'�`rb 6o561E: 3 0 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 ne applicant for is 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 'rofessions 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 of more than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved 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 pply 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 licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 'signature of Property Owner or Authorized Agent Dale .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of D'visio 3 of the Business and Profes Ions Cade nit my license is in full force nd effect. License Class License No Date 2 7-Contractor Signature UORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 e&fmance of the work for which this permit is issued. Policy No. have and wil�nlaintain 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' rance carrier Dolicv number arec Date of Agent 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 subject to the w,grkers' pompensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. I _ 'signature of Applicant Dau Ll 123 IECLARATION REGAA�D !G C STRUCTION LENDING AGENCY 1 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 owners behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cou to er the abf��/�rV'e-identified property for inspection purposes. G signature of Property Owner or Authorized Agent t^N` &—J Print Property Owners or Authorized Agent's NamAjC. �nr� t 4c�) ACTION DATE BY Ra�ULA.TITONS�A TCOMPLIANCE 61 OF Tt.L. 40 ANDD AQMD RULE FEDERAL FOR OFFICE USE ONLY PERMITC4NCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED NOTAPPLICABLE TO PROPOSED 4EMOLIT •/'�'� ( • s w•� SIGNATU • • • • • i Ts b o e / CO OCO O G 00 06° 00 0