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Home My WebLink AboutX2021-2383 - PermitsCity of Newport Beach - Building Division ��awrc�4.T 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `+«rvru�'•' Combination Type - MFP ELEC MECH PLUM COMB Permit: X2021-2383 x 2 0 2 1 2 3 8 3 Project No : 2064-2021 Issued Date : 1011312021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1011312024 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: 77 SEA ISLAND OR NB Description: MFR BATHROOM REMODEL 168 SF, R/R (4) WINDOWS AND (5) SLIDERS AND FIREPLACE, NEW INT GLASS RAILINGS 8 REPLACE (E) DECKING Legal Desc.: TR 8444 LOT 1 UNIT 77 OF PROJECT LOCATED ON AP 442-251-01 TOGETHER Owner: BARNES LESLIE Contractor: HILTON BUILDERS Architect: OH TIMOTHY Address: 77 SEA ISLAND DR Address: 425 31ST ST Address: 3 RED OAK CIRCLE NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 POMONA CA 91766 Phone: Phone: 949-673-4128 Phone: 949-233-3435 State Lic:C034711 Applicant: HILTON PATRICIA Con State Lic: 316788 Engineer: Address: 425 31ST ST Lic Expire: 05/3112023 Address: NEWPORT BEACH, CA 92663 Bus Lic: BT00014142 Phone: 949-673-4128 Lic Exp Date: 02/28/2022 Phone: State Lic: Code Edit : 2019 Type of Construction: V-B Occupancy Group: R2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 5 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $1,537.00 Plan Check Fee: $1,337.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $18.00 Energy Compliance: $105.00 CA Seismic Safety : $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $4,218.59 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: FALLS LAKE FIRE AND CASUALTY Policy No: FLA005371 Expire: 0510712022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $107.59 $61.48 $138.33 Plan Check Fee 0 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 $4,218.59 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: r� 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 ;he 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 d0 (_) all of or U 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 t0 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 1 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 11 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.htmi. Cign3tor3 of Prcperty`Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION ' her^hy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Division 3 of the Business and Professions Code, and my license is in full force and effect. Licel Ise Class /� License No J/ 6 i 1LE Date 10JgJJJ 3-1 Contractor Signature NURKERS' COMPENSATION DECLARATION W4 PNIHG: FAILURE TO s€CURE 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 COST OF COMPEVSSTIP@, 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: ��' 1 hove and will n.Lintain 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 64@Tjmnance of f'to,wok for which this permit is issued. Policy No. 3ve and v-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' compensatiol uranca carrier and policy number are: Carrier Policy Number Expiration Date ie of Agent ' 1——.' certify that, in the performance 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 if I chnuld become sulnect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applican 4C ECLARATION RE A DING CONSTRUCTION LENDING AGENCY 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 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 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 and state laws relating to building construction. I authorize representatives of this city or county tAntteerrtthe abov -itie Tied-pr6 - - for inspection purposes. / iionature of Property Owner or Authorized Agent G! 4,% not Property Owner's or Authorized Agent'/ Na 71S.)Q ACTION DATE BY BE IONS OF OMPLIANCE WI4 TH CODE ND AGNDFEIDE AL FOR OFFICE USE ONLY 61 OF I SUBMITTED ASBESTOS PERMIT EXTENDED L1AOM0 PERMIT FINAL �/ 2� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OE I PROPOSEDDI^ j ION— OCCUPANCYISSUED GNATUR uA/ti��^ /J ig 0 a/ Civil Code).