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Home My WebLink AboutX2022-1137 - PermitsA4�t1k City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 E» �; Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r'rrou`� Combination Type - SFP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1137 x 2 0 2 2 1 1 3 7 Project No : 1040-2022 Issued Date : 04/19/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/191 ,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.. ork o Sundays or Holidays CC Job Address: 36 GONDOLIERS BLUFF NB Description: SFR REMODEL 1,000 SF Legal Desc.: A 1 Owner: DUDLEY CHARLES LLC Contractor: VETERAN B - S GROUP INC1,�\S vfQcld4eect: ar C�i'+%r"�'' Address: 36 GONDOLIERS BLUFF Address: 290 COAST HIGH�(pNa'?'N• Addresrsa NEWPORT COAST CA 92657 - WPORT BEACH, CA 926B3 Phone: Pholae --"' 949-270-2761 ` ��D�Rhd-ne: Sf�ate Gry 6 Applicant: STANGLE ZACHARY y s Cyyn e Lie:64 Engi!leer a Address: 2901 W COAST HWY'"�'"-.r Ci�Ex 01/31 /2023 ,y.l-' , �rl?§5: 5 NEWPORT BEACH CA 92663 -�y1 lr7 ic: BT3a0 2 y kc) Phone: 949-547-7456 -J - Lie Exp Date '01I31/2023 tF Phone: State Code Edit : 20 ,Worker$ Compensation Insura Designer: WUETHRICH ERNEST Type of Construction: V B PR ,,' Carnet EMPLE SERVICE Address: 4405 BROOKSHIRE CIR Occupancy Group: R3/ ,.� Policy No: C70001664 F„Jl �., SANTA ROSA CA 95405 Added /New sq.ft. Bldg. ; ,. x `� Expire 04/01/2023 ` Phone: 707-494-8857 Added /New sq. ft. Garage: •... No of Stories: 2 Building Setbacks Rears„Special Conditions VH '§q No of Units : 1 g` Front; q " Bldg Height: 0 a- c j Left: o Bldg Sprinklers: Y - / `toe 0&I { €t `iis, Right: I Flood Zone: X - F `yA ,Zglll �` Parking Spaces: 0 6 to e Ha;gr Building Permit Fee: $1 837 O) Plan Check Fee: $1,598.19 Overtime Plan Ck: Investigation Fee. $0 00'� $0.00 Record Management : $18 00`- Energy Compliance: $0.00 4 CA Seismic Safety: $0.00 .' Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE: $4,73k59 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 4 Excise Tax: Ai 0t0i -'-; 1A Additional Fee : V$b`'90�° adiror}iie0.00 Gr%ing rmit Few r„' of 0.00 ing P F�,$ t� $0.00 WQ Insp. F a 00 Planning Department - Plan check Fee Fair Share SJH Trans In -lie sing Fee: is Works Depa Park Ded' IVM Plan Check Fee $0.00 $0.00 Fee: $0.00 C Li l Lie: $0.0 fire PI $0.00 $bCblp"' rtion Fee $01Building Dept Adm $27.00 ?" General Service $265.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $4,736.59 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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 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 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://w .leginfo,ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of per �IIry that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Divis n 3 of the Business and Profe�Ssions and my license is in full force and effect. License Class '75 License No )041g0_ /ate Date Contractor Signature r fi 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: ❑ jj..��t�ave 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 peff�rmance of the work for which this permit is issued. Policy No. P' have and will maintain worker ' pensation insurance, required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior isurance carrie and licy num er ;arrier Dk m4or Expiration Date Jame of Agent Phone # :1I certify that, in the performance of t ork for which this perms is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become subject to kers' co nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant )ECLARATION REGA IN CONST LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performanceof the work for which this permit is issued (Section 3097, Civil 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. C �nrn I have read this application and the information I have provided is c ct. I agree to comply with all applicable city and county ordinance nd ate laws relating to building construction. I authorize representatives of this city or county a er t abov d tified pro y for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Namee ACTION DATE BY C FIRTIONOF L CE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY U T T61OFTITLE40ANDAQMD RULE 403 _ PERMIT EXPIRED I SU MITTE ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QM D PERMIT FINAL UYASBESTOSTIFICATION IS NOTAP/PLICA�BLE TO CERTIFICATE OF PROPOSED LIT / OCCUPANCYISSUED SIGNATUR