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Home My WebLink AboutX2022-0215 - Permits4 R.W;frJ+ City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 µ'. ,.. Permit Counter Phone (949)644-3288 T Inspection Requests Phone (949)644-3255 taayu Combination Type - BLDG COMB Permit: X2022-0215 IIXI�IIIIIIIIIII�IIIII0�IIIIIIIIIII II Project No: 1092-2019 Issued Date : 01/24/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112412025 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: 2419 SANTIAGO OR NB Description: SFR REPLACE (E) SIDING W/ HARDIPANEL (WHOLE HOUSE ELEVATION) R t1i,- is Legal Desc.: NEWPORT HEIGHTS LOT 287 NWLY 78.75 FT SELY 315 FT Owner: VANDERHOOK RUSSELL Address: 2419 SANTIAGO DR NEWPORT BEACH, CA 92660 Phone: Applicant: CROWN RECONSTRUCTION SVCS Address: 45 VANTIS DR ALISO VIEJO CA 92656 Phone: 949-273-6782 Cade Edit Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Contractor: CROWN RECONSTRUCTION SVCS Address: 45 VANTIS DR ALSO VIEJO CA 92656 Phone: 949-273-6782 Con State Lie: 1051230 Lie Expire: 03/3112023 Bus Lie: ET30066708 Lie Exp Date: 06/3012022 2019 Worker's Compensation Insurance Carrier: STATE FUND R3/U Policy No: 9224420 0 Expire: 01/17/2023 0 Building Setbacks Rear: / Front: / Left: / Right: / _ Use Zone: Pnrkinn Rnacnc Building Permit Fee: $416.00 Plan Check Fee: $0.00 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: $417.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: Address: Phone: i s f Special Conditions: Fire Hazard Zone : IN J Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Electrical W $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $417.00 PUBLIC WORKS iPPROVAL: PLAN CHECK BY:' APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION indicated below by the checkmark(s) I have placed next to the applicable item(s) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section d tha al effort, builds or improves the property, provided that the Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or person 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 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://wv4w.leginfo.ca.govicalaw.htmi. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Divisig/I of the Business and Pro :ieR e, art Ice in full farce and effect. License Class License No ,( d Contractor Signatur 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 TH SAND DOLLARS jS100,000j, 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: 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 B ormance 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' compensatio urance carrier and policy number are: r:arrier Policy Number Expiration Date ie of Agent certify that, in the performance . if I should become subject -to - of for fFms-pe it 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 nsation provisl of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )^ C/ - coo CLARATION REGARDI _"f1CTtOfl-C ING AGENCY :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 Cade). Ider'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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordin ces R ate laws relating to building construction. �7 I authorize representatives of this city or c e e agld ropedy for inspection purposes. „Qn K �� an�re of Prooertv Owner or Authorized Agen \ Print Property Owners or Authorized Agent's Na` / // c ACTION DATE BY LARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED L J - SUB'NITTED A56ESTOS_ NOTIF,CATICN TO O FPA PERMIT CANCELLED _11QMD PERMITEXTENDED - PERMIT FINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATED[ /♦_t q �w p� PRO;OSED PEMOUTION OCCUPANCYISSUED SIGN[.TURE: