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Home My WebLink AboutX2021-2168 - PermitsCity of Newport Beach - Building Division .,y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �t Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM *X2021-2168* COMB Permit: X2021-2168 Project No : 1873-2021 Issued Date : 09123/2021 �g��g� �° Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/23/2024 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 Holidayg M Job Address: 2315 HEATHER LN NB _ Description: SFR INTERIOR REMODEL AND WALL REMOVAL IN LIVING RM 700 SF **STOP WORK 121-2292** T 1\11/7 / rl'{1'1 X Legal Desc.: N TR 3138 LOT 35 X Owner: WELLS CORINNE & MICHAEL Contractor: J M I AND ASSOCIATES INC Architect: D 0 Address: 2315 HEATHER LN Address: 2046 MEYER PLACE Address: Z NEWPORT BEACH, CA 92660 Phone: COSTA MESA CA 92627 D W Phone: 714-350-9527 Phone: State Lie. > r C Applicant: FLOR JOSE Con State Lie: 951957 Engineer: MORAN TIMOTHY i -0 i F. Address: 5364 VIA MARIA Lie Expire: 09130/2022 Address: 23802 HUMPHREY CT ^ C YORBA LINDA, CA 92886 Bus Lie: BT30069739 MURRIETA CA 92562 ` / ;0 Phone: 714457-9177 Lie Exp Date: 11/30/2021 Phone: 714-920-7680 State Lic:C-071701 C m Code Edit: 2019 Worker's Compensation Insurance Designer: FLOR JOSE 0 W Type of Construction: V-B Carrier: Occupancy Group: R3/U SIRIUS AMERICA INS Address: 5364 VIA MARIA Z 0 C Policy No: WC74001 YORBA LINDA, CA 92886 Added /New sq.ft. Bldg: 0 Expire: 04/29/2022 Phone: 714-467-9177 z ` Cy+ Added /New sq. ft. Garage: 0 M D No of Stories: 1 Building Setbacks Rear: / Special Conditions: Z z r No of Units : 1 Front: / Bldg Height: 0 Left: / N Bldg Sprinklers: N Right: I Flood Zone: A Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $157,000.00 - Building Permit Fee: $1,579.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,373.73 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: $1,579.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $28.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $109.90 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 P1W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $110.53 San Dist: $0.00 Building Green Fee : - $7.00 Mechanical %: $63.16 NMUSD Fee: $0.00 $0.00 -11 Plumbing %: $142.11 $0.00 TOTAL FEE: $5,900,43 Plan Check Fee �'k o PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $964.63 Fee Due at Permit Issuance : $4,935.80 PUBLIC WORKS APPROVAL: / PLAN CHECK BY: C-- 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 items) 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 of the work, and the structure is not intended or offered for sale (Section 7044, ;mass and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throuh employees' or personal effort, builds or improves the property, provided that the rovements are not•=intended or offered for sale. If, however, the building or improvement is sold within one year of c mpletion, the Owner -Builder will have the burden of proving that it was not built or roved for the, purpose of sale). [,as ownerbf3he property, am exclusively contracting with licensed Contractors to construct the project (Section 71 ly to an*owrrpr'of property who builds or improves thereon, and who contracts for the projects with a licensed CoriM I am exempt from licensure under the Contractors' State License Law for the following reason: ny.signaturebelow 1. 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. 'essions Code, is,available upon request when this application is submitted or at the following Web site:http://www.1 lature_of Prop.Qrty(ner or Authorized Agent ENSED CONTRACTOR'S DECLARATION reby affUm'under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section effect Liwhse;Class License No _ Dat t VORKERS' COMPENSATION DECLARATION IARNING:,FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'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 Dire erformance ofthe work for which this permit is issued. Policy No. ,//shave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for isllrance carrier and policy number are: :arrier _ Policy Number lame of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any m iat, if I should become sSlbject to th"orkers' compensation provisions of Section 3700 of the Labor Code, I shall fc of Applicant hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work fol Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 coygEyY(o a th�ove�ri 'ad property for inspection purposes. lionature of Prooertv Owner or Authorized ADent %( A� //i Print Pr00erty Owner's ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY DECLARATION OF IREGULATIONS PPA T0610 TIITLE 40 ANDCE WITH ODE OF AQMD RULE FOR ASBESTOS NOTIFICATION TO ASBESTOS NOTIFICATION IS PrOTAPPLICABLE TO PROPOSED DEMOLITION / Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). - 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 linfo.ca.gov/calaw.html. Date T 3 of the Business and Profk4i Cod , and my license is in full force Contractor Signature to 4=i_ 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 agre( 7 comply with those provisions. ��v// C:c Date^ I — f-3 -�!_` this permit is issued (Section 3097, Civil Code). USE ONLY Name • • • ••• • • • • • s s •• O O O 3