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Home My WebLink AboutX2021-2294 - Permits (3)wr City of Newport Beech - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u. Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII COMB Permit: X2021-2294 Project No : 1985-2021 Issued Date : 08/27/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812712024 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 Su ys or Holidays Job Address: 3801 SEASHORE DR NB /� Description: SFR -FIRE DAMAGE REPAIR @ BEDROOM @ DRYWALL THROUGHOUT Legal Desc.: THIRD ADD TO NEWPORT BEACH BLK 38 LOT 1 <.n Owner: SUMMERS ROBERT Contractor: OWNER/BLDR Architect: Address: 41 BELL CANYON Address: NOLAN RICK Address: DOVE CANYON CA 92679 O/B AUTH LETTER ATT Phone: 949/752-7500 Phone: Phone: State Lic: Applicant: NOLAN RICK Con State Lic: O/B Engineer: Address: 53 HEMINGWAY CT Lic Expire: Address: TRABUCO CANYON CA 92679 Bus Lic: Phone: 949/584-8389 Lic Exp Date: Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: NOLAN RICK Type of Construction: V-B Carrier: Address: 53 HEMINGWAY CT Occupancy Group: R3/U Policy No: TRABUCO CANYON CA 92679 Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 a No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: VE Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $20,000.00 aaccoa Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $361.92 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: ° $0.80 ° ..° Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev o 4$6..66 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $29.12 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $864.04 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $864.04 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE:: 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c mpletion, the Owner -Builder will have the burden of proving that it was not built or roved 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 ly 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). U I 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 sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors Professions Code, is available upon request when this 1ploftIfflon is supra' ie'd-olyat the. Ilowing Web site:http://www. Signature of Property Owner or Authorized Agent ` LICENSED CONTRACTOR'S DECLARATIO I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 and effect. License Class License No Date _ COMPENSATION DECLARATION e year prior to completion of the improvements covered by this permit, I cannot legal understand that a copy of the applicable law, Section 7044 of the Business and linfo.ca.gov/calaw. html. Date O Q - Z T Z! ) of Division 3 of the Business and Professions Code, and my license is in full force Contractor Signature NING: FAILURE �EGURE 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 T OF COMPENSMdION,PkMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. gpypffirm under pp natty of perjury one of the following declarations: I have and LI'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 the prrr?Wce of the yrork for which this permit is issued. Policy No. a%e and will-maint9in 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' mce carrier and pdicy number are: Policy Number isof-A ant ceilk that, in tFe performance of the work for which this permit is issued, I shall not employ any person in any if I Mould beCorp subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fa'fdre of Applicant _ Date so as to become subject to the workers compensation laws of California, and I comply with those provisions. 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 y 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. I authorize representatives of this city or county �to% nter o -Identified property for inspection purposes. �tDt linnnture Of PmDerty Owner or Authorized ADen:/ / / � Print Property Owner's or Authorized Agent's Name M1'_ DATE BY DECLARATION OF CMPLIANCE WITH CDE OF FEDER REGULATIONS PARTO63 OFTITLE 40 A DOAQMD RULE AL FOR OFFICE USE ONLY PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMITEXTENDED QMD- PERMITFINAL (Z—ZO b( ESTO NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF - OP SED M I OCCUPANCY ISSUED SIGNATURE: $' ` T"