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Home My WebLink AboutX2021-1534 - Permitsors City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 m q Inspection Requests Phone (949)644-3255 �'r+raA Combination Type - MFP PLUM *X2021 -1534* COMB Permit: X2021-1534 Project No : 2367-2020 Issued Date : 09/2312021 Inspection Area : 1 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 Holidays Job Address: 4708 NEPTUNE AVE NB Description: MFR *ADDITIONAL SCOPE* 14' HIGH FIREPLACE Legal Desc.: R S 032-50 PAR 8 AND RIVER SECTION BLK 47 LOT 8 Owner: GASSEL DARCY Contractor: STN BUILDERS INC Address: 4708 NEPTUNE AV Address: 13681 NEWPORT AVENUE #8 NEWPORT BEACH CA 92663 TUSTIN CA 92780 Phone: 949-500-2252 Phone: 714-713-1097 Applicant: MADDUX KYLE Con State Lic: 817262 Address: 35 ARGONAUT STE B2 Lic Expire: 02/28/2023 ALSO VIEJO CA 92656 Bus Lic: BT30056339 Phone: 805-815-8131 Lic Exp Date: 0813112022 Code Edit : 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $6,000.00 Building Permit Fee: $178.00 Plan Check Fee: $154.86 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: $401.88 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9111360 Expire: 09/04/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $16.02 Architect: Address: Phone: State Lic: Engineer: MADDUX KYLE LAWRENCE Address: 35 ARGONAUGHT, STE B2 ALISO VIEJO CA 92656 Phone: 805-815-8131 State Lic:C-086632 Designer: Address: Phone: If Special Conditions: S CT Fire Hazard Zone : 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 $0.00 $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 Check Fee : $201.11 Fee Due at Permit Issuance : $200.77 PUBLIC WORKS APPROVAL: •+ ° ® e o PLAN CHECK BY: ° + APPROVAL TO ISSUE: ono ems• ;' � a � a • 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 item(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 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). L.I I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throe improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 71 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contr: ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least r sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.1 Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secty6ir�7QC and effect. License Class License No ate COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL OMPENSATION, 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: ave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire nance of the work for which this permit is issued. Policy No. ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for tee -carrier and policy number are: 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 , if I should become subject to the workers' compensatiipnRrovisions of Section 3700 of the Labor Code, I shall nature of Applicant ,V I v CLARATION REGARDING COTR ION LENDING AGENCY - :reby affirm under penalty of prjury that there is a construction lending agency forthe performance of the work for 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 countyAo enter the above_1dPgntified property for inspection purposes. of Prooertv Owner or Authorized ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY REGULATIONS PART0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND AOMD RULE f FICATION TO �(I•�f /L J�� LI ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO l ` W PRQIiGSEF4DEMOLITION •a• • • • • � •CI*ATURE:: of the work, and the structure is not intended or offered for sale (Section 7044, 3h employees' or personal effort, builds or improves the property, provided that the impletion, 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). e year prior to completion of the improvements covered by this permit, I cannot understandthat a copy of the applicable law, Section 7044 of the Business and Date of Division Z. of the Business and Professionj Code aqd m(ic se is in full force Contractor Signal JLTIES 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 agre h comply with those provisions. ate "/ - .�(� • �� h this permit is issued (Section 3097, Civi Code). FOR OFFICE USE ONLY Lh0 /-kern �-z3 • e ee• •ee •e• • m eee mm