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Home My WebLink AboutX2022-0123 - PermitsCity of Newport Beach - Building Division a 'g 100 Civic Center Drive, Newport Beach, CA 92660 rw + Permit Counter PhonE (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM 'X2022-0123* COMB Permit: X2022-0123 Project No: 0142-2022 Issued Date : 02/22/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/22/2025 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: 111 JADE AVE NB Description: SFR KITCHEN REMODEL AND CONVERTING BEDROOM TO MSTR BATH & LAUNDRY AREA 441 SF Legal Desc.: BALBOA ISLAND SEC 5 BLK 3 LOT 8 Owner: JACOBSON ROBERT Contractor: MIGUELANGELO DESIGNS Architect: Address: 215 WALNUT ST Address: 11724 MONTEVISTA DR Address: NEWPORT BEACH, CA 92663 WHITTER CA 90601 Phone: Phone: 562-658-7341 Phone: State Lic: Applicant: RODRIGUEZ MIGUELANGEL Con State Lic: 960403 Engineer: Address: 11724 MONTEVISTA DR Lic Expire: 04/30/2023 - - 9060t B sExlp p�I/� /��Anddrreess:WHITTIER p� /'+ n t�'('��Q�' l�tu9te#kic: Phone : 621658. 34A Lic Date: 07131120229 I V V `1SJIASTRUCTION Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 2019 Workers Compensation Insurance VB Carrier: STATE COMP. INS R3/U Policy No: 9283791 0 Expire: 0912112022 0 Building Setbacks Rear: / Front: I Left: / Right: / Construction Valuation: $50,000.00 Building Permit Fee: $799.00 Plan Check Fee: $695.13 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 : $2.00 Designer: VEGA OSCAR Address: 534 W LINCOLN jyµy -�,�tC AAyNAHEIM CA t�92805 0 Vhol�l-IE VV1E TEEND Special Conditions: HIGH DENSITY ZONE Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds 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 P/W Plan Check : $0.00 Electrical %: $55.93 San Dist: $0.00 Mechanical %: $31.96 NMUSD Fee: $0.00 Plumbing %: $71.91 Zone Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FEE : $1,707.93 Plan Check Fee: $747.13 Fee Due at Permit Issuance : $960.80 PROCESSED BY: PUBLIC WORKS APPROVAL: zJ ✓ l/ ZONING APPROVAL: OW1../ � 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 pluced ne;:t 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 Iicensure 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 C-) 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 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 Iicensure 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, 's available upon request when this application is submitted or at the following Web site:http://www.ieginfo.ca.gov/calaw,html. Signature of Prcp=rhr Owner or Authorized Agent Date LICEI:SED CONTRACTOR'S DECLARATION I hereby affirm under ,)enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of yyl I 3 of the Business and Profe o filer d lice a is I force a:1d effect. License Class License No Date[ Contractor Signature WORKERS' COMPENSATION DECLARATION AARNI:IG: FAILURE 10 S-CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA D DOLLARS ($100,000), IN ADDITION TO THE COS, OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he,eby affirm under penalty of perjury one of the following declarations: _I I 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 thl ieqgKance of the work for which this permit is issued. Policy No. have and wid 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' "ance carrier and policy number are: Policy Number ie of Agent Date JI certify that, in the performance of the work forwhi this permit is isstted, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should become subj to the woOrs'D f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. om nsati provis Iignature of Applicant r Datez-�ZZ/Z� IECLARATION REGA W ING CO CTI L I G AGENCY hereby affirm under penalty of rju hat there is a construction le in gen Ender's Name ly 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 c rrec . I agree to comply with all applicable city and county o inanc s I authorize representatives of this city or county t nter ve-' nti �kmature of Prooertv Owner or Authorized Anent for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address purposes. lerty Owner's or Authorized Ao ACTION DATE BY RECLAATION5 OF CO 1 LIANC E WITH AQ OF FEDEFEDERAL FOR OFFICE USE ONLY 1 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I SUBMITTED ASBESTOS NOTIFICATION TO