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Home My WebLink AboutX2022-0364 - Permitsr'orr 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 Combination Type - SFP ELEC MECH PLUM IIIIIIIIIIIIII�IIIIIIIIII II II COMB Permit: X2022-0364 Project No : 1092-2019 Issued Date : 02107/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 02(0712025 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 DR NB Description: SFR INTER REMODEL ADD BATHROOM & WALK IN CLOSET TO BEDROOOM #4 (80 sf) *CHANGE OF CONTRACTOR* Legal Desc.: NEWPORT HEIGHTS LOT 287 NWLY 78.75 FT SELY 315 FT Owner: VANDERHOOK RUSSELL Address: 2419 SANTIAGO DR NEWPORT BEACH, CA 92663 Phone: Applicant: BARTHOLOMEW RYAN M Address: Phone: Code Edit: 2016 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: Construction Valuation Contractor: CROWN RECONSTRUCTION SVCS Architect: Address: 45 VANTIS DR Address: ALSO VIEJO CA 92666 Phone: 949-273-6782 Phone: State Lic: Con State Lic: 1051230 Engineer: O Lic Expire: Bus Lic: 03/31/2023 BT30066708 Address: p+,�+ S, Lic Exp Date: 06130/2022 Phone: State ic: Worker's Compensation Insurance Designer: BUITRAGO-JIMENEZ ALFONSO Carrier: STATE FUND Address: 3202 W WARNER AVE Policy No: 9224420 SANTA ANA CA 92704 Expire: 01/17/2023 Phone: Building Setbacks Building Permit Fee: $0.00 Excise Tax: Plan Check Fee: $0.00 Additional Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: Investigation Fee: $0.00 Grading PC Consultant Record Management: $0.00 Grading Permit Fee: Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access: $0.00 Hazardous Mat $0.00 Electrical %: Building Green Fee : $0.00 Mechanical %: Plumbing %: TOTAL FEE : $38.00 PROCESSED BY: ZONING APPROVAL: Rear: / Front: / Left: / Right: / irking Spa $0.00 $38.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Special Conditions: CMSD PERMIT #Sol9-0218 CHANGE OF CONTRACTOR 0 Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $38.00 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). ❑ 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 00). Divi I � he Business and Prof ' s m IaLull force and effect. License Class License No Date '3pi'}Contractor Signature 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: 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 the p ormance 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 Cade, for the performance of the work for which this permit is issued. My workers' compensatiol Insu nce carrier and policy number are: Carrier _ Policy Number Expiration Date Te of Agent certify that, in the performance of the . if I should become sub'ec 9 of permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe9kation laws of California, and agre rov s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D -� 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 o e). ender's Name Lender's Address y 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 0rdinan and sta� laws relating to building construction. I authorize representatives of this city or coun enter e a oV id erty for inspection purposes. ��ad ionature of PrODertV Owner or Authorized Agerlt Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY EC TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EIEPA PERMIT EXTENDED PERMITFINAL t r1 q ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF 1, yf/ PROPOSED DEMOLITION OCCUPANCYISSUED v ` SIGNATURE: