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Home My WebLink AboutX2022-0355 - PermitstYl City of Newport Beach - Building Division k * 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 T}:.. Inspection Requests Phone (949)644-3255 Combination Type - SFP 'X2022-0355' COMB Permit: X2022-0355 Project No : 1873-2021 Issued Date : 02/09/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/09/2025 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: 2315 HEATHER LN NB Description: DELTA 5, REVISED KITCHEN WALL, ADDED FIREPLACE AND REPLACE LIVING ROOM SLAB (REV22-01201) Legal Desc.: N TR 3138 LOT 35 .... Owner: WELLS CORINNE & MICHAEL Contractor: J M I AND ASSOCIATES INC Architect: Address: 2315 HEATHER LN Address: 2046 MEYER PLACE Address: ; ° • • ° NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 Phone: Phone: 714-350-9527 Phone: State Lic: ppp. Applicant: FLORJOSE Con State Lic: 951957 Engineer: MORAN TIMOTHY °°•°'° Address: 5364 VIA MARIA Lic Expire: 09/3012022 Address: 23802 HUMPHREY CT YORBA LINDA, CA 92886 Bus Lic: BT30069739 MURRIETA CA 92562 . • .... Phone: 714-457-9177 Lic Exp Date: 11/30/2022 Phone: 714-920-7680 State Lic:C-071701 Code Edit: 2019 Worker's Compensation Insurance Designer: a° • ° Type of Construction: V-B Carrier: SIRIUS AMERICA INS Address: ° ° °• Occupancy Group: R3/U Policy No: WC74001 o Added INew sq.ft. Bldg: 0 Expire: 04129/2022 Phone: ° • • ° Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 10 Special Conditions: LANDSLIDE AREA No of Units : 1 Front: 20 Bldg Height: 0 Left: 4 Bldg Sprinklers: Right: 4 Flood Zone: A Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $14,000.00 Building Permit Fee: $314.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $273.18 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: $0.00 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 Inap. 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 W $0.00 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 : $640.18 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $640.18 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Z� -- • • • .• • OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the reason(s) indicatedbelow 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 (_) all of or U portions usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of a nproved for the purpose of sale). I, as owner of ft property, am exclusively contracting with licensed Contractors to construct the project (Section 7C pply to an owrRtpteroperty who builds or improves thereon, and who contracts for the projects with a licensed Contra • •I.ar; exempt fro%licensure under the Contractors' State License Law for the following reason: ly my ftnaturt below•I acknowledge that, except for my personal residence in which I must have resided for at least o %a Structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 'rofessions Code* is available upon request when this application is submitted or at the following Web site:http://www.h ignature of Potfty- Owner or Authorized Agent .ICF.NSED CONi ACTOR'S DECLARATION 44P.by affirm under .p•,enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section �OQ Pd.,ffect. LicowgI.Class License No Date ' V=ERS' COMPENSATION DECLARATION IQRNING: FAILURR TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE OST C� COMPENJJArO +DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. he'reely affirm yynder penalty of perjury one of the following declarations: • I�have and.vsili r4intain a certificate of consent to self -insure for workers' compensation, issued by the Directc 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 th surance carrier and policy number are: :arrier Policy Number me of Agent I certify that, in the perforipance of the work for which this permit is issued, I shall not employ any person in any It, if I should become Wbfect to the workepy compensation provisions of Section 3700 of the Labor Code, I shall ignature of Applicant C IOLEN'i NGCO TR ECLARATION REGAR UN DI G AGENC hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 tr ft abgp-identifiedgroperty for �inlsy[1action purposes. «„re ..r or, .4,, nu. r ,.� n,al,..rhed Ancnr QnP / 0 e 100 _C=nt Pronerty Owner's MPLIANCE WITH CODE OF ACTION DATE BY � REGULATIONS PA T010 TIIT E 40 AND AQMD RULE �L PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED AQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED q W'Z 58EST05 NOTIFICATION I OT APPLICABLE TO 'ROP DDEfytO ON SIGNATURA l ip. the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the Aetion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). 3 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 ' loys n 3 of the Business and Pr ions C and my license is in full force Contractor Signatur AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agree h comply with those provisions. 1, /'f DatAr —c-- /— l h this permit is issued (Section 3097, Civil Code). FOR OFFICE USE ONLY Name