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Home My WebLink AboutX2022-0457 - PermitsCity of Newport Beach - Building Division *X2022-0457* COMB Permit: X2022-0457 = 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 2940-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �'` miru�"• Combination Type - SFP ELEC MECH PLUM a.eP i kJ Issued Date: 02/1612022 •°® - Inspection Area : 3 •9J00 G ` PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/16/2025 OR PERMIT WILL BE INVAhID,r:.v 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: 1111 CLIFF DR NB • ° ° ° o Description: SFR DELTA 2 ADDL SCOPE ADD ONE BATHROOM (62 SF) REMODEL TO SCOPE � ..... Legal Desc.: N TR 1219 BLK B LOT 3 Owner: CONWELL KATHLEEN Contractor: E J S CONSTRUCTION Architect: Address: 1111 CLIFF DR Address: 31245 CALLE FELICIDAD Address: NEWPORT BEACH, CA 92663 TEMECULA, CA 92591 o°s,°• Phone: Phone: 562-355-0932 Phone: State Lic: •• ° w +°• ° a ° o Applicant: WOOLBERT CRAIG Con State Lic: 467507 Engineer: IBRAHIM MARK K a •° + ;' ° ° °; Address: 5622 LITTLER DR Lic Expire: 01/3112023 Address: 3436 E LONGRIDGE • ° ° ° ° p V • HUNTINGTON BEACH CA 92649 Bus Lic: BT30077878 ORANGE CA 92867 Phone: 714-856-2605 Lic Exp Date: 02128/2023 Phone: 714-283-2551 State Lic:S-004223 Code Edit : 2019 Worker's Compensation Insurance Designer: WOOLBERT CRAIG Type of Construction: VB Carrier: EXEMPT Address: 5622 LITTLER DR Occupancy Group: R31U Policy No: HUNTINGTON BEACH CA 92649 Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8,000.00 Building Permit Fee: $212.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $184.44 Additional Fee : $0.00 Plan check Fee, $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $14.84 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $8.48 NMUSD Fee: $0.00 $0.00 Plumbing %: $19.08 $0.00 TOTAL FEE : $493.84 Plan Check Fee : $236.44 Fee Due at Permit Issuance : $257.40 13T PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: MSLA PLAN CHECK BY: SCC 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 Ikm(s)_ action 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 fbr 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 C91%).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 thafljiyg Pllndred dollars ($500). teas owne; of We property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, nness and PLdfe*ions 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 Irpvements 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 irp6ed for the purpose of sale). L as owner`_of4l" property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not II.VTO 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 exervptfrom licensure under the ContractorsState License Law for the following reason: nYsignat&e bgl'ow I acknowledge that, except for my personal residence in which I must have resided for at least c a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. '14ions Cote, is available upon request when this application is submitted or at the following Web site:http://www.1 IatLre of PhQpeitybwner or Authorized Agent 'Bt.SED CQNTRACTOR'S DECLARATION reby affirm'IgWbr &natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70C effect. License Class License No Date _)C COMPENSATION DECLARATION year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Date Df Division 3 of the Business and Professions Code, and my license,; in full force —Gz— Contractor Signature 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: I 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: ier Policy Number Expiration 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 if I should become subject 9 the workers' compensation provisions of Section 3700 of the Labor Code, I shall nature of Applicantf ` �L ✓— -y CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work f Ider's Name Lender's Address 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 ente the above-identifi�e7d property for inspection purposes. nature of Property Owner or Authorized Ao!� ent � — C/ Print Property Owner ACTION DATE BY REGULATIONS PPART0610 TIITE40 AND QMD RULE CE WITH CODE OF AL FOR PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED 3-IL-23 ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DE�OLITIOAt�j SIGNATURE:/� so as to become subject to the workers' compensation laws of California, and agre i comply with those provisions. Date 6— this permit is issued (Section 3097, Civil Code). USE ONLY II) —