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Home My WebLink AboutX2022-1796 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 E r Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MIFF ELEC PLUM �1111 1111111111111111111111111111111111111111111111 111� 11COMB Permit: X2022-1796 Project No : 1303-2021 Issued Date : 0612912022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVAL 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: 1037 GRANVILLE DR NB Description: DELTA 41ADD'L SCOPE ADD'L LIGHTS, RECEPTACLE, DRYWALL, SUBPANEL, RE -PIPE Legal Desc.: TRACT 14839 LOT 2 OF PROJECT 939-63 LOCATED ON AP 442-421-13 Owner: FRENCH ROBERT E Contractor: JON DELAVAN GENERAL CONTRACTOR Architect: LA ROCHE DENIS A Address: 1037 GRANVILLE DR Address: 17235 CITRON Address: PO BOX 3708 NEWPORT BEACH, CA 92660 IRVINE CA 92612 TUSTIN CA 92781 Phone: Phone: 949-933-3382 Phone: 949-939-3047 State Lic:C013756 Applicant: JON DELAVAN GENERAL CONTRACTOR Con State Lic: 984903 Engineer: Address: 17235 CITRON Lic Expire: 06/30/2023 Address: IRVINE CA 92612 Bus Lic: ST30071549 Phone: 949-933-3382 Lic Exp Date: 04/30/2023 Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Type of Construction: Carrier: EXEMPT Occupancy Group: R3/U Policy No: no employees Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 11 Construction Valuation: $25 000.00 Building Permit Fee: $501.00 Plan Check Fee: $435.87 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: $1,018.03 PROCESSED BY: ZONING APPROVAL: Designer: Address: Phone: Special Conditions: Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bands Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $35.07 San Dist : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $45.09 Plan Check Fee : - $V;00 t Fire Department $0.00 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 Fee ;Di!e it Permit Issuance : $1,018.03 PUBLIC, WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO fS5UE: 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, prior to 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 (_) all of or U 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 Cade: 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: By 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 legal) sell a structure that I have 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, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000)4 f. 'visi n 3 of the Business and Professions Cam, antmyyAicense is in full force and effect. License Class License No Dat Contractor Signature° .1� NORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, 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: ❑ 1 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 the 5Ngtmance of the work for which this permit is issued. Policy No. !I ave and will maintain 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' compensatior nsur nce carrier and policy number are: r Policy Number Expiration Date Vame of Agent Phone # ❑1 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 agree :hat, if I should become subject to the IS' co en ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant V �aL�o- Dat DECLARATION REGARYNG LENDING AGENCY hereby affirm under penalty of perjury 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 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 ordinance nd state laws relating to building construction. I authorize representatives of this city or county to ent abg -id ntified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name Date ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED U I SUBMITTED f.SB`-STOS N'OTI FIC9TION TO, OEPA PERMITCANCELLED PERMITEXTENDED 13AQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED /r3 ASBESTOS NOTIFICATION 15 NOTAPPLICABLE TO PROPOSED DEMOLrTION SIGNATURE