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Home My WebLink AboutX2021-3376 - Permitsw r City of Newport Beach - Building Division *X2021-3376* COMB Permit: X2021-3376 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2940-2021 r,. Permit Counter Phone (949)644-3288 u: o Inspection Requests Phone (949)644-3255 z:agtr„�s+' - Combination Type - SFP ELEC MECH PLUM Issued Date : 02/0212022 0 Inspection Area : 3 ' PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/02/2025 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 Job Address: 1111 CLIFF DR NB Description: SFR- INTERIOR ALTERATION 2074 SF. VAULT CEILING IN BR & GREAT ROOMIKITCHEN. RE -ROOF, NEW SKYLIGHTS. ADD 171 SF @ GREAT ROOM. -STOP WORK` 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 Phone: Phone: 562-355-0932 Phone: State Lic: o °, • •., o ° ° Applicant: WOOLBERT CRAIG Con State Lic: 467507 Engineer: IBRAHIM MARK K ° , • 64, • • • Address: 5622 LITTLER DR Lic Expire: 01/31/2023 ° Address: 3436 E LONGRIDGE "° • , �� HUNTINGTON BEACH CA 92649 Bus Lic: BT30077878 ° ° ®• � ORANGE CA 92867 .... Phone: 714-856-2605 Lic Exp Date: Phone: 714-283-2551 State Lic:S-004223 Code Edit: 2019 Worker's Compensation Insurance °.'°e Designer: WOOLBERT CRAIG . •°.•�',°OGp6 Type of Construction: V-B Carrier: EXEMPT Address: 5622 LITTLER DR Occupancy Group: R31U Policy No: HUNTINGTON BEACH CA 92649 Added /New sq.ft. Bldg: 171 Expire: Phone: 714-856-2605 ° ° •i ° o Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 10 Special Conditions: STOP WORK No of Units : 1 Front: 20 121-2776 Bldg Height: 0 Left: 4 Bldg Sprinklers: Right: 4 Flood Zone: X Use Zone: Parkinq Spaces: 0 Fire Hazard Zone : N Building Permit Fee: $2,835.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $2,381.13 Additional Fee : $0.00 Plan check Fee: $208.00 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: $2,835.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $48.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $27.00 Energy Compliance: $180.32 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $33.49 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 P/W Plan Check : $101.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $198.45 San Dist: $0.00 Building Green Fee : $11.00 Mechanical %: $113.40 NMUSD Fee: $0.00 $0.00 Plumbing %: $255.15 $0.00 TOTAL FEE : $10,056.44 Plan Check Fee : $2,372.21 Fee Due at Permit Issuance : $7,684.23 PROCESSED BY: D Z PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE:�- �yK 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 nest to the applicable itft(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 he 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 'rofessions 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 lot more than five hundred dollars ($500). i I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 Ipply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signaturq t 9115% 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 legall3 ;ell a structure thek ►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 rA W:)ns Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. 3ignatufe of PrCpeA Cjwner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION :heaaby affirm under eenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) �of Division 3 of the Business and Pmf Ions o e, and my lice r`e is in full force aryl effect. License bass License No Date Contractor Signature i ��-� > UO�RKERS' COMPENSATION DECLARATION PINS: FAILURBTO 9ECERE 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 ,OST OF EOMPENSATIDN, IFAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereb affirm under penalty of perjury one of the following declarations: r 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 the )r.Vggrygpce of thMork for which this permit is issued. Policy No. k Asll and wNI'mainYkain 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' compensatior nsurance carrier and policy number are: I Policy Number of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manr a , " I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth ignature of Applicant\ 7,' GJ ECLARATION REGA9lDlWG CONSTRUCTION LENDING AGENCY hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for wl 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 tenter the above-identified5iroperty for inspection purposes. ionature of Property Owner or Authorized Agent Print Property Owner's or Date so as to become subject to the workers' compensation laws of California, and agre, h comply with those provisions. Daf Z - 2— 2-02-2 h this permit is issued (Section 3097, Civil Code). Name ! /W6"WY:!�rav ACTION DATE BY DEOnkRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' \ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED AQMD NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO