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Home My WebLink AboutX2020-2745 - PermitsNryT City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 n fpt,ro4�`A Combination Type- SFP ELEC MECH PLUM IIIIII�I�IIIII�IIIIIIIIIIIIIIII�IIIII II COMB Permit: X2020-2745 x 2 0 2 0 2 7 4 5 Project No: 2181-2020 Issued Date: 0511412021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511412024 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: 2589 BUNGALOW PL NB Description: MFR INTERIOR REMODEL (KITCHEN, M. BATH, LIVING RM) 150 SF Legal Desc.: Owner: TOMAC JILL Address: 2589 BUNGALOW PL NEWPORT BEACH, CA 92625 Phone: Applicant: NICHOLSON TONYA Address: 406 ORCHID AVE #1188 NEWPORT BEACH, CA 92625 Phone: 949-278-1327 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 3 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $1,089.00 Plan Check Fee: $947.43 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $24.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $4.00 TOTAL FEE: $2,328.48 PROCESSED BY: - ZONING APPROVAL: Contractor: S M CONSTRUCTION Address: 11 WILKING DR IRVINE CA 92620 Phone: 714-357-5893 Con State Lic: 890394 Lic Expire: 0212812023 Bus Lic: BT30056358 Lic Exp Date: 08/31/2021 Worker's Compensation Insurance Carrier: W/C EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: I 3arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $76.23 $43.56 $98.01 Plan Check Fee Architect Address: Phone: State Lic Engineer: CHRISTIAN DALE Address: 1744 W KATELLA AVE #107 ORANGE CA 92667 Phone: 714-997-1145 State Lic:S-002705 Designer: NICHOLSON TONYA Address: 406 ORCHID AVE #1188 NEWPORT BEACH, CA 92625 Phone: 949-278-1327 Special Conditions 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 $46.25 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 $993.68 Fee Due at Permit Issuance : $1,334.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: - _ _ _ _ _ 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) (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 U all of or (_) 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-Builderwill have the burden of proving that it was not built or im roved 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). ❑ 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 one year prior to completion of the improvements covered by this permit, I cannot legally 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 following 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 7 00 orf DsvJ-sion 3 of the Business and �rpfessi6�s•C'ode, and my license is in full force and effect. License Class License No Dat 'W ' /`�-2f Contractor SignatgY@ bb 1 --- WORKERS' COMPENSATION DECLARATION WARNING: 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. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance of the work for which this permit is issued. Policy No. ❑I have 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' compensatia insurance carrier and policy number are: of Agent edify that, in the performance of the work for if I should become subject tpftt a workers' cqd of Applicant Policy Number Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date� I CLARATION REGARDI ONSTRUCTION LENDING AGENCY 1� :reby 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). order'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 county to efrt)3tjhe ab�q�Ie-identified property for inspection purposes. // (� (► N2t",L�(/LA1L• mature of Prooertv Owner or Authorized Agent n / / ---� Print Property Owner's or Authorized Agent's Nam / - _ _ Date Qi WIr 7J ACTION PERMITCANCELLED PERMIT EXTENDED CERTIFICATE OF OCCUPANCY ISSUED DATE eV J{ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACIMD RULE 1403 r❑ I SUBMITTED ASBESTOS NOTIFICATION TO D� ASBESTOS NOTIF TION IS NOTAPPLICABLE TO P POSED L}EMf N U� L �- o G a oa, m NQpm az�Zol>�> a'a�x w woo Z, Ca O1 C ' ,U 2 U Uo U p r �I