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Home My WebLink AboutX2022-0421 - PermitsCity of Newport Beach - Building Division - 'X2022-0421` COMB Permit: X2022-0421 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0372-2022 Permit Counter Phone (949)644-3288 .e Inspection Requests Phone (949)644-3255 Issued Date : 07/05/2022 Combination Type - SFP ELEC MECH PLUM Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL fjE,fl�'VALlD No Sundays or H Ip 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. work on ` Job Address: 2100 OCEAN BLVD NB Description: SFR ADD NEW BDRM BATH 321 SF/REPLACE DECK/NEW WINDOWS/ROOFINGIOMIT RAISED ENTRY V�0�N Legal Desc.: N TR 518 BILK F LOT 1 gr I <�\e Owner: MONROE JOHN Contractor: YOUNG JAMES CONSTRUCTION Architect: Address: 2100 OCEAN BLVD Address: 26585 SOTELO Address: NEWPORT BEACH CA 92661 MISSION VIEJO CA 92692 Phone: 6261590.8759 Phone: 949.878-8027 Phone: State Lic: y-> Applicant: MCBETH DOUG Con State Lic: 352184 Engineer: ROSS SCOTT WILLIAM Address: 34453 VIA ESPINOZA Lic Expire: 0813112022 Address: 1800 E 16TH STREET #8 CAPISTRANO BEACH CA 92624 Bus Lic: BT30079183 SANTA ANA CA 92701 Phone: 9491374-0166 Lic Exp Date: 0713112023 Phone: 714-835-2800 State Lic:C-045309 . Code Edit : 2019 Worker's Compensation Insurance Designer: MCBETH DOUG _ Type of Construction: V-B Carrier: EXEMPT Address: 34453 VIA ESPINOZA Occupancy Group: R3/U Policy No: CAPISTRANO BEACH CA 92624 , Added /New sq.ft. Bldg: 321 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks . _ .. Rear: / Special Conditions: ROBERTS WASTE TO HAUL No of Units : 1 Front: / DEBRIS .. Bldg Height: 0 Left: / • - . . Bldg Sprinklers: Flood Zone: 0.2 Use Zone: Right: / .. - Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $374,000.00 - - - Building Permit Fee: $3,759.00 Excise Tax: $0.00 Planning Department - Fire Department - ' _ • • - - $0.66 Plan Check Fee: $3,094.97 Additional Fee : $0.00 Plan check Fee : $208.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : Fee: $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $27.00 Record Management: $82.00 Energy Compliance: $261.80 Grading Permit Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety : $48.62 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 $0.00 Disabled Access : $0.00 P/W Plan Check : $304.50 Grading Bond: Hazardous Mat $0.00 Electrical %: $263.13 San Dist: $0.00 $0.00 Building Green Fee : $15.00 Mechanical %: $150.36 NMUSD Fee: $0.00 $0.00 Plumbing %: $338.31 TOTAL FEE : $9,381.69 Plan Check Fee : $3,564.77 Fee Due at Permit Issuance : $5,816.92 PUBLIC WORKS APPROVAL: PROCESSED BY: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 to 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 aPralicant to a civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 1, 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). I 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 Chapters (commencing with Section 7000) of Div sion 3 of the Business and Professions C e, and my cense Is in full force no effect. License Class /i ! License No 3 �Z! Date S 'L— Contractor Signature �/` VORKERS' COMFFNSATION DECLARATION a U - 'ARNING: FAILURE i U SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE O°T, 0' COMPENSATION 1AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm Ilyder penalty of perjury one of the following declarations: 1 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 mance of trs vicrk for which this permit is issued. Policy No. r _ave 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' compensatiol isurance carrier a.1d'policy number are: Policy Number Agent Date ✓certify that,,:n th3 Parformance 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 1, ffa should become su/N t to the workersk pens provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, filature of Ap'pfcant / Date 7 CIZ.3'�' CLARATION RE RD G CONSTRU ?�N LENDING AGENCY areby affirm and r alty 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 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. agree to comply with all applicable city and county ordinances and state laws relati o building construction. I authorize representatives of this city or county to r abov iden rty for inspection purposes. _ $i nature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name A o"f5 ACTION DATE DECLARATION OF COM LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMITEXTENDED PERMITFINAL 113}Z3 J( ASBESTOS NOTIFICATION 15 NOT AA�PPUCABLEETTO CERTIFICATE OF ( l \\ OP05ED yEMOLII N� OCCUPANCYISSUED ar--men lR �c..r