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Home My WebLink AboutX2021-1043 - PermitsCity of Newport Beach - Building Division COMB Permit: X2021-1043 C 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0959-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : Inspection Arearea :2021 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511112024 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: 2411 ORCHID HILL PL NB Description: SFR -INTERIOR REMODEL OF KITCHEN, BATHS, MASTER BDRM, DOOR C/O 570 SF Legal Desc.: N TR 6407 LOT 9 `^ Owner: HEIMALL BLAKE Contractor: DEDICATED CONSTRUCTION SVCS INC Architect: Address: 2411 ORCHID HILL PL Address: 21032 SHACKLEFORD CIRCLE Address: NEWPORT BEACH, CA 92660 HUNTINGTON BEACH CA 92646 Phone: 949-244-5475 Phone: 714-330-6604 Phone: State Lic: Applicant: ULLMAN TOBIAS Address: 9138 RESIDENCIA NEWPORT BEACH CA 92660 Phone: 949-350-6758 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3 Added /New sq.ft. Bldg: 570 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $1,209.00 Plan Check Fee: $1,051.83 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $44.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $2,596.88 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 925939 Lic Expire: 02/28/2023 Bus Lic: BT30075231 Lic Exp Date: 0513112022 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9049015 Expire: 03/19/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WD Insp. Fee : Electrical W Mechanical W Plumbinq W Rear: / Front: / Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $84.63 $48.36 $108.81 Engineer: WILSON KALEN Address: 23152 VERDUGO DR #102 LAGUNA HILLS CA 92653 Phone: 714-576-6524 State Lic:C-083753 Designer: ULLMAN TOBIAS - • " Address: 9138 RESIDENCIA ' " NEWPORT BEACH, CA 92660 ' Phone: 949-350-6758 .' 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 $46.26 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 Plan Check Fee : $1,098.08 Fee Due at Permit Issuance : $1,498.80 PUBLIC WORKS APPROVAL: _ PLAN CHECK BY: U'� I✓ 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 Ie 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 'rofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 7 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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, ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f Division 3 of the Business and Professions , and y is se is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE T'J SeUURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE DST OF COMPENSATInp",';AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ioe 5; iffirm unr+Pr p=nalty of perjury one of the following declarations: J I have and will n,writain 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 th1 ,LrfLrma-ace of the work forwhich this permit is issued. Policy No. and w-11; 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' carrier and paiicy number are: of Agent ;ei ii y that, in the performance of the work for if I chould tecoroe subiect to the workers' cc Policy Number Date 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 �� p� �� ,,p 1!, �I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. natur of Applioant � WIAV VAI \ Date GLARATION kl=Vi I DING CONSTRUCTION LENDING 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 Code). 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 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 ands to laws relating to building construction. I authorize representatives of this city or county to enter t bov tI ied property for inspection purposes. nature of Property Owner or Authorized ADent / Print Prooertv Owner's or Authorized Anent's Name G� O (241$2M ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY ✓ I DECLARATION OF COMPLIANCE WITH CODE OF IREGULATIONS PART 61 OF TITLE 40 AN AQMD RULE FEDERAL FOR OFFICE USE ONLY 7-1 I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOTAPNICABLE TO