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Home My WebLink AboutX2021-2780 - Permits�ctt&pr City of Newport Beach - Building Division ra 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u... .Se Inspection Requests Phone (949)644-3255 `'rrnu`r Combination TypE - SFP ELEC �� II PCOMB Dermit:oz2021-2780 Issued Date : 12115/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1211512024 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: 2012 SANTIAGO. OR NB Description: SFR- ENERGY STORAGE SYSTEM Legal Desc.: N TR 4224 LOT 310 Owner: DORA RICHARD ANTHONY Contractor: FREEDOM FOREVER LLC Architect: Address: 2012 SANTIAGO DR Address: 7200 FENWICK LN Address: NEWPORT BEACH, CA 92660 WESTMINSTER CA 92680 Phone: 949-533-2162 Phone: 888-557-6431 Phone: State Lic: Applicant: CHA KOOK Con State Lic: 1029644 Engineer: Address: 7200 FENWICK LN Lic Expire: 08/31/2023 Address: WESTMINSTER, CA 92683 Bus Lic: BT30064271 Phone: 949-468-6091 Lic Exp Date: 08/31/2022 Phone: State Lic: Code Edit: 2019 Type of Construction: V-B 43445 BUSINESS PARK DR STE 110 Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $7,000.00 Building Permit Fee: $195.00 Plan Check Fee: $169.65 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: $491.68 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Designer: FREEDOM FOREVER LLC Carrier: BERKSHIRE HATHAWAY HOMESTATE Address: Policy No: FRWC217374 Expire: 06/01/2022 Building Setbacks Rear: / Front: / Left: I Right: I Use Zone: Parkina Spaces: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $25.53 $0.00 $0.00 TEMECULA, CA 92590 Phone: 951-319-4975 Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $48.50 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Cheek -Fee.., $282.03 Fee Due at Permit Issuance : $209.65 sa a_ e _ P , IC WOLIKS: PPROVAL: o PLAN CHECK BY: P s3 `APPROMAt.= ISSUE: e e ° � ° 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 applica'p!e 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 app{iciilnt for is 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 7,000) 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 of more than five hundred dollars ($500). 1 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, Iusiness 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 nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com oletion, the Owner -Builder will have the burden of proving that it was not built or nproved 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 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed ContraGtc r pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature 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 legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I uhderstand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiry70 ) f Division 3 of the Business and Pr s ons C,pde, a m,Y, license is in full force nd effect. License Class License No Daate� 4 Contractor Signature // O I I/ORKERS' COMPENSATION DECLARATION ` 1/// 'ARNING: 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 ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: G 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 erfopance of the work for which this permit is issued. Policy No. ,have and will main�jnorkers' compensation insurance, as required by Section 3700 of the Labor Code, for the q�erformance of the work for which this permit is issued. My workers' compensatiol nsurance carrier and pi mber are: F� //' /'� ;arrier Polic��b>L Expiration Date Vame of Agent OJ Phone # JI 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 hat, if I should become s bjec to the orkem' compensatio .. ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Dates )ECLARATION RE RDIN ) �TRUCTIO ENDING AGENCY �� "TT hereby affirm under penalty f p,ErjGry 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 3y my signature below, I certi o 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 cou ty enter th above- J�tified grope wfor inspection purposes. /f Signature of Property Owner or Authorized Agent / I Print Property Owner's or A thorized Agent's Na ` Dat ACTION DATE BY I DECLAkATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIO SPART 61 OF TITLE 40 AND AQI RULE 1403 1 ••i ••• PERMIT EXPIRED ❑ISUBMITTEDASBESTE75 iFICATISiI TOO • •. i PERMITCANCELLED EPA • • • • • • • • •' PERMIT EXTENDED QMD •� ••� • .•• PERMITFINAL j UU ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF II+I"I+ PROPOSED DEMOLITION • • •• ••• SIGNATURE: OCCUPANCYISSUED I ••• ••• • • • �', s s se• ea• •e• � s es• e•