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Home My WebLink AboutX2021-0712 - PermitsCity of Newport Beach - Building Division *X2021--0712" COMB Permit: X2021-0712 4 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0656-2021 F ` Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 °:,r1rnY z Combination Type - SFP ELEC PLUM Issued Date : 10712021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410712024 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: 1706 HIGHLAND DR NB v Description: SFR - REMODEL MASTER BATH & CLOSET 72 SF Legal Desc.: N TR 3800 LOT 3 Owner: WELLS JONNO A & DIANNE B Contractor: MILLER & SONS CONSTRUCTION GROUP Architect: Address: 1706 HIGHLAND DR Address: 17595 HARVARD AVENUE #282 Address: NEWPORT BEACH, CA 92660 IRVINE, CA 92614 Phone: 949-280-3778 Phone: 844-340-4300 Phone: State Lic: Applicant: MARTINEZ MICHEAL - Con State Lic: 1058366 Engineer: Address: 18017 SKY PARK CIR #Q Lic Expire: 0913012021 Address: IRVINE CA 92614 Bus Lic: BT30071734 Phone: 714-854-2865 Lic Exp Date: 04/30/2021 Phone: State Lic: Code Edit : 2019 Type of Construction: VB Occupancy Group: R3IU Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $607.00 Plan Check Fee: $528.09 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 TOTAL FEE: $1,280.46 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1302959 Expire: 09111/2021 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: I Left: / Right: / -arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $42.49 $0.00 $54.63 Plan Check Fee Designer: MARTINEZ MICHAEL Address: 17595 HARVARD AVENUE #282 IRVINE, CA 92614 Phone: 844-3404300 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 N Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: oeoon° ° $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $574.34 Fee Due at Permit Issuance : $706.12 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 (_) 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: 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 legall) 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.htmi. 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 0 0) of 'visi n 3 of the Business and Pro sions od , and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE 10 SEUURE 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 COMPENSA1104, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. n=,eby effirm under penalty of perjury one of the following declarations: I have and will I.lai.dain 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 IT erfTrmcnce of the work for which this permit is issued. Policy No. 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' �anca carrier aI,G policy number are: r _ Policy Number Expiration Date of Agent Phone # 1 _, :rli'y 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 agre :hat, if 1 ^hould t dbotWDOffMUCTION tt workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �Ignarum of ApplicanOV� Dat �7(' DECLARATION kEO 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, Ci iI 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 cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or cou entified property for inspection purposes. Signature of Property Owner or Authorized Agen o ente above-idPrint Property Owner's or Authorized Agent's Name i& Date ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED EPA PERMITEXTENDED AOMD PERMITFINAL OCERTIFICATE CCUPANCY 65UED G L h� I SIANRE:N OLITIy ION IS N APPLICABLE TO