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Home My WebLink AboutX2022-1157 - PermitsCity of Newport Beach - Building Division *X2022-11,57*- 100 Civic Center Drive, Newport Beach, CA 92660 ¢ p Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 r`xz,xga 6s� Combination Type - BLDG PLUM TA,'^ �' COMB Permit: X2022-1157 Project No : 1165-2021 Issued Date : 0412512022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 lob Address: 1222 SAND POINT WAY NB Description: DEMO (E) SFR W/GARAGE 2,822 SF (4 BEDROOMS) -egal Desc.: N TR 6113 LOT 31 Dwner. SWICK DANIEL Contractor: HIEBSCH CUSTOM HOMES Architect: °°°,°° 4ddress: 1222 SAND POINT WAY Address: 9183 EL COLORADO AVENUE Address: ° CORONA DEL MAR, CA 92625 FOUNTAIN VALLEY CA 92708 .... ?hone: Phone: 714-465-2912 Phone: State Lic: a°°° ° Applicant: VARGAS SILVIA Con State Lic: 967286 Engineer: o 4ddress: 9183 EL COLORADO AVE Lic Expire: 1113012023 Address: FOUTAIN VALLEY CA 92708 Bus Lic: BT30044946 Phone: 949-258-2969 Lic Exp Date: 10/31/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: CLER SPRING Address: aeocca Occupancy Group: R3/U Policy No: CSWC0008982 Added /New sq.ft. Bldg: 0 Expire: 0111012023 Phone: Added/New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: HAULER; TIM GREENLEAF No of Units: 1 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: / A Construction Valuation: $16,000.00 Building Permit Fee: $122.00 Plan Check Fee: $0.00 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: $2,117.98 use cone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: R!5 ZONING APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.98 Plan Check Fee : W rue nazara cone: N Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: - - $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,117.98 PLAN CHECK BY: GRADING APPROVAL: SA 6 APPROVAL TO ISSUE: S 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 U 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 aq qv"r 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 94avptlfrom licensure under the Contractors' State License Law for the following reason: Bmy signp"e 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 Iegall) I ss a structure aUt 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 bode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. • Signature of Property Owner or Authorized Agent Date LICENSF15 000TRACTOR'S DECLARATION Iilereby affi M unller penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division, 3 of the Business and Professi dI m Ic nse I force %d effect. •License Class License No Date �22ontractor Signature K IAN •' WQRKERS'*QOMPENSATION DECLARATION QJ • • 1AARNING: 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 • • 6®1FOF COM PENS4WN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. e I hereby of it"Cn4r penalty of perjury one of the following declarations: a• • $ have Sod wilhmaintain 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 • Petfomlanct r41he work for which this permit is issued. Policy No. 5khave 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' compensation insurance carrier and policy number are-,:' 'r 4, '' I Carrier i'l aY wiy1G� ✓(�jY.A �'✓) Policy Number GS ! Expiration Date Name of Agent l—� Phone # ❑I 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 agre, that, if I should become §e�o lihe workers' cofagensatior ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date/ ` L+'L>✓ ECLARATION REGARDING CONSTRUCyION LENDING AGENCY 1 11, _ 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 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-ofdInarlipes and state laws relating to building construction. I authorize representatives of this city or county t he)eVove-iAentjfgcMropery for inspection purposes. ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DECLARATION OF C6MPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED IS NOTAPPLICABLE TO Civil Code).