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Home My WebLink AboutX2022-1378 - Permits" City Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII�IIIIIIIIIIIII COMB Permit: X2022-1378 100 Civicis Center Drive, Newport Beach, CA 92660 4 ' Permit Counter Phone (949)644-3288 X 2 0 2 2 1 3 7; 8 Project No : 1277-2022 p. L^ inspection Requests Phone (949)644-3255 Combination Type - MIFF MECH ELEC PLUM Issued Date : 0610112022 Inspection Area : 2 PERMIT EXPfRES 180 DAYS AFTER ISSUANCE OR LAST Construction Hours: Job VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID Monday -Friday 7:00 a.m. to 6:30 Saturday W B Address: 972 BAYSIDE COVE N Description: p.m. and from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays MFR REMODEL 253 SF( KITCHEN, BATHROOMS) INSTALL RECESSED LIGHTING THROUGHOUT. Legal Desc.: TR 8073 LOT 2 UNIT 610 P B G OF PROJECT LOCATEDON AP 50-383-09 Owner: INLANDER TODD & TRACY Address: 972 BAYSIDE COVE Contractor: ERICK ALLEN BUILDERS Architect: KRUSE THOMAS NEWPORT BEACH, CA 92660 Address: 372 OLINDA DRIVE Address: 3259 OCEAN BLVD Phone: 949-322-8982 BREA CA 92823 CAYUCOS CA 93430 Phone: Applicant: ERIC 714-524-2406 Phone: State Lic:C015585 Address: 72 372 OL DR Con State Lic: 630635 Engineer: Lic Expire: 9INDA BREA, CA 2823 Phone: 714-524-240fi 08/31/2023 Bus Lic: BT30078879 Address: Edit : Lic Exp Date: 06/30/2023 Phone: State Lic: Tope 2019 ype of Construction: V_B Worker's Compensation Insurance Designer: ccu Occupancy Group: R2IU R21 Carrier: NORGUARD INS CO Address: Added /New sq.ft. Bldg: 0 Policy No: ERWC233930 _ Added /New sq. ft. Garage: p Expire: 07/26/2022 Phone: °' No of Stories: 2 0 No of Units : 3 Building Setbacks Rear: / Special Conditions: 'ice Bldg Height: 0 Bldg Sprinklers: Front: / LIQUEFACTION Left: / N Flood Zone: AEg Right: / Use Zone: Parkin S aces: 0 Construction Valuation: $65 000.00 Fire Hazard Zone : N Building Permit Fee: $929.00 Excise Tax: $0.00 Plan Check Fee: $808.23 Planning Department - Fire Department Additional Fee : $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Plan check Fee Grading Bonds Fee: $0.00 $52.00 Fire Inspection: Fair Share : $0.00 Record Management: $6.00 Grading PC Consultant: $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 $0.00 Energy Compliance: $0.00 Grading Permit Fee: $p.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm Grading PC Fee: $0.00 CA Seismic Safety: $D.00 Public Works Department -General Service WO Insp. Fee: $0.00 $0.00 $0.00 Disabled Access : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 _ Hazardous Mat $0.00 PAN Plan Check : $0.00 Electrical %: Grading Bond: $65.03 $0.00 Building Green Fee : $3.00 ban Dist; $0.00 00: Mechanical / $37.16 NMUSD Fee: Plumbing %: $83.61 $0.00 $0.00 TOTAL FEE : $1,984.03 $0.00 Plan Check Fee: $860.23 Fee Due at Permit Issuance $1,123.80 PROCESSED BY: WgR3«APPlO0IA?: ZONING APPROVAL: �PUBLlt �yP I -I o PLAN CHECK BY: y-- GRADING APPROVAL: o`er `'/jPPF3QV412ITOdSSA°.� 0 0 0 0 0 o a 0 00 0 0 o o OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicated below repair the structure, prior i I have placed next to the applicthe able item(s) action 7031.5, Business iatement that he oemit to con sheAis I censed pursuant to the that Iprovisions res a of the Contractors' State ct, alter, rLicense Law (Chapter 9 (commencing with sSection 7000) of Divisionu3e f the Business lfand permit to file a signed s ofessions 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 o t more than five hundred dollar ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do r o all of or (w portions of the work, and the structure is not intended improves offered for sale (Section d 44, that rty Iisiness and Professions provemen s are not me dedeor offered for sale. If, howLicense ever, the budoes ild ngnot or i provement snsoldfwithnone year of completion, the Owner Bui deho, through employees' or personal r wit havle theds rburden of pro vngt that itwasbuilt to e (proved for the purpose of sale). Contractors to construct the project (Section Business and Professions Code: The Contractor' State License Law does not ]1, as owner of the property, am exclusively contracting with licensed )ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ] 1 am exempt from licensure under the Contractors' State License Law for the following reason: zlmy l a structures that I halve built as aneownere-bueder f f has not belresidence in en constructed in It I must have resided entirety by licensed for I undersear tand that a copy of the applicable aw?Section 7044by tof the Business and his permit, I cannot legal rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION r134f the Business and Pr f a license is in full force hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDat 70 f CG Contractor Signat nd effect. License Class License No VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'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: 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 rmance of the work for which this permit is issued. Policy No. k for which this permit is issued. My workers' compensation I have and will ma K ain orkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the wor nsurance carrier and licy number are: Expiration Date farrier P I N be phone # Vame of Agent 4 �I Certify that, in the performance of the work for nst a erovlisis provisions of Se.j issued, lcfion11not 3700 of the Labor Codeloy any person ,Il shall forthwith complyany manner so as to bwith those subject ovi;iothe workers' co��/mpensatio laws of California, and agree that, if I should become sub a work p P Date��d �z Signature of Applican DECLARATION REGA TRUC 10 LENDING AGENCY I hereby affirm under natty of perjury that there is a construction lending agency forLthe performance enders Address of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name By 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 cos z I agree to comply with all applicable city and county ordi es n at taws relating to building construction. I authorize representatives of this city or cou -ide (fed property for inspection purposes. Cat Signature of Property Owner or Authorized Agent Print Propert Owner's or Authorized Agent's Na ICE USE ON ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFLY RF6U IONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT FINAL CERTIFICATE OF i OCCUPANCY ISSUED -ABLE TO • o o m e•• •e o0 0 0 oao 00