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Home My WebLink AboutX2022-1526 - Permitswa{ City of Newport Beach - Building Division s m 100 Civic Center Drive, Newport Beach, CA 92660 v Permit Counter Phone (949)644-3288 c: yam, Inspection Requests Phone (949)644-3255 ".,�..* Combination Type - SFP ELEC MECH PLUM *X2022-1526* COMB Permit: X2022-1526 Project No : 1395-2022 Issued Date : 06/13/2022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALI®3 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: 5409 SEASHORE DR NB o 3 Description: SFR INTERIOR REMODEL 200 SF *122-0879* f fy work u Legal Desc.: OCEAN FRONT TR BLK 54 LOT 5 a 3 �4 Owner: MORRIS JEFFREY Contractor: OWNER/BLDR Architect: Address: 5409 SEASHORE DR Address: MORRIS JEFFREY/ CO:MIKE Address: NEWPORT BEACH, CA 92663 O/B FORM ATTACHED Phone: Phone: 949-637-2309 Phone: State Lic: Applicant: MORRIS JEFFREY Can State Lic: O/B Engineer: SILVA CHRISTINA Address: 5409 SEASHORE DR Lic Expire: Address: 24482 MUELA NEWPORT BEACH, CA 92663 Bus Lic: MISSION VIEJO CA 92692 Phone: 949-637-2309 Lic Exp Date: Phone: 949.795-6256 State Lic:C-037201 Code Edit : 2019 Worker's Compensation Insurance Designer: RKS DESIGN LLC Type of Construction: V-B Carrier: Address: 719 ALLEN DR Occupancy Group: R3/U Policy No: CORONA, CA 92879 Added /New sq.ft. Bldg: 0 Expire: Phone: 714-319-7858 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: HIGH DENSITY ZONE No of Units : 1 Front: / LIQUEFACTION RISK Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: X-0.2PCT Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $40,000.00 Building Permit Fee: $679.00 Excise Tax: $0.00 Planning Department - Fire Department ; Plan Check Fee: $590.73 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $679.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $18.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department- General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication: $0.00 Refund Deposit Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $47.53 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $27.16 NMUSD Fee: $0.00 -: Plumbing %: $61.11 TOTAL FEE: $2,217.53 PROCESSED BY: ZONING APPROVAL: Plan Check Fee a e°edf °o a 1�dy5 as a Fra M M M Z $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $642.73 Fee Due at Permit Issuance : $1,574.80 PUBLIC WORKS APPROVAL: M PLAN CHECK BY: I � � K GRADING APPROVAL: APPROVAL TO ISSUE: J J IJOOJf3 a ° a ua�a a +a a a3�-a a as CZ n 4 O Z 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 ie 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 Irofessions 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). I, as ownerbl "e�pYoperty, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, laipgIs 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'.noi 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 aprotsed for tht puflibse of sale). T 5, as owner ofthe 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 jo an owgJr olebperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 21 am exempt from tcensure under the Contractors' State License Law for the following reason: Iy..rGYsignatulg belaRv 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, �u structure tkat.l.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 applic�i�Jli i� bmitt� o-,t,at the following Web site:http://www.leginfo.ca.gov/calaw.html. "gna4ljre of Prgperty, Qwner or Authorized Agent j�n G"'�' Date -ICENSED CQN$1�4CTOR'S DECLARATION held* affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force god,affect. License lass License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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: 7 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 erformance of the 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' rance carrier and policy number are: ie of Agent certify that, in the pi . if I should become of Applicant Policy Number Date 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 ge/,w�o�rkers' o�rn ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,, t, � $ • " Date 1-3 ` 3y-,L. 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 I 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 county to ant a bnove'-i ntiyed property for inspection purposes. �,(9 Iionafure of Prooertv Owner or Authorized Agent 1�.�/ Vzr. C Print Prooerty Owner's or Authorized Aqent's Name �'f'L'� eji1v ACTION PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED D SIGNATURE: NOTIFICATION IS NOTAPPLICABLE TO