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Home My WebLink AboutX2021-1390 - Permitsw11(,4r City of Newport Beach - Building Division *X2021-1390* COMB Permit: X2021-1390 G 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0127-2D21 - :, ` "� Permit Counter Phone (949)644-3288 U - r:,��u„+� Inspection Requests Phone (949)644-3255 Combination Type - SFP I p (j'`� R Issued Date : 06/1612021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0611612024 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: 1228 MARIAN LN NS Description: DELTA 5- *ADDITIONAL SCOPE* VAULTED CEILINGS AND FRAMING Legal Desc.: N TR 1973 LOT 18 Owner: JONES JEFF Contractor: REES J CONSTRUCTION Architect: METODIEV TRIFON Address: 1228 MARIAN LN Address: 325.5 MARGUERITE AV Address: 155 ROCHESTER NEWPORT BEACH, CA 92660 CDM CA 92625 COSTA MESA CA 92627 Phone: Phone: 949-441-6742 Phone: 949-293-2176 State Lic:C037W Applicant: GARCIA RON Con State Lie: 860577 Engineer: BURKE THOMAS ^ , Address: 155 ROCHESTER DR Lie Expire: 09/30/2022 Address: 151 KALMUS DR #140 ^ " COSTA MESA CA 92627 Bus Lie: BT30074689 COSTA MESA CA 92626 ^ ^ ^ ^ Phone: 949-612-7257 Lie Exp Date: 0312112022 Phone: 949-494-0776 State Lic:S-005088 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: W/C EXEMPT Address: ^ Occupancy Group: R3/U Policy No: _ Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: REV21-0846 - a No of Units : 1 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2,500.00 Building Permit Fee: $127.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $110.49 Additional Fee : $0.00 Plan check Fee : $46.25 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: $30.00 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 Insp. 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 %: $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 : $314.74 Plan Check Fee : $156.74 Fee Due at Permit Issuance: $158.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: �C_/ 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) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for the 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 Professions 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 not more than five hundred dollars ($500). 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, Business 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 improvements 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 improved 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 apply 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 signature oeljw 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 sell a structure tha... iave 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, S tion 7044 of th usiness d )-cfr,ss-ons Cod is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. iignatuM of Property Owner or Authorized Agent D to JCEi4SED CONTRACTOR'S DECLARATION her, :,y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Divis on 3 o t e Business and Pro I ns Co e, and lic is I force Ind effect. Licsn-v C-ass License No Date lD ' LG� ontractor Signature) VORKERS' COMPENSATION DECLARATION YAJd1:G: FAILUR- TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D TH US ID DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATWN, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I hale and will mz;ntain 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 )-rf(,rmence of the worK for which this permit is issued. Policy No. 'lave and 1ei.1 ,T,aiLtain 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' compensatioi n rance carrier and policy nun r are: ,arrier P ' y N bar Expiration Date dame of Agent Phone # certify that, in the perform nce f the work fo whit t permi s issued, I shall not employ any person in any manner so as to become subject to the worke s' compensation laws of California, and agre hat, if should bec0m ubI to t e workers' c pe a ion pro of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2 signature of Applicant Cat ^v )ECLARATION REG DI STRUCTION LENDING AGENCY hereby affirm under enalty of jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci it Code). _ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the p erty owner's alf. 1 have read this application and the information I he e p ovided is c rect. I agree to comply with all applicable city and co nt ordi antes an stat s r ting to building construction. I authorize representatives of this city or co t to mer t ove tden ie 0 for inspection purposes. signature of PropertyOwner or Authorized Agen Print Property Owner's or Authorized Agent's Name 3WOVl /' D t ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / LATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED EPA IS NOT TO