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Home My WebLink AboutX2020-1226 - Permitsti wno City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1226 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 9 1 2 2 s Project No: 2144-2019 Permit Counter Phone (949)644-3288 h Inspection Requests Phone (949)644-3255 Issued Date : 06110/2020 Combination Type - SFP Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 06/11/2023 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: 7 CRESTWOOD DR NB Description: DELTA 2 -ADD 25 SF (2ND FLOOR) (1) DOOR AND (4) NEW WINDOWS 8: REMOVE (E) 52 SF DECK Legal Desc.: N TR 9860 LOT 34 Owner: BAIN NORMAN HAROLD Address: 7 CRESTWOOD DR NEWPORT BEACH, CA 92660 Phone: 949-300-5494 Applicant: HAHN PRYN Address: 34167-D PCH DANA POINT CA 92629 Phone: 949-226-7130 Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Building Permit Fee: $526.00 Plan Check Fee: $457.62 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $26.00 Energy Compliance: $56.00 CA Seismic Safety: $0.0c Disabled Access: $0.0C Hazardous Mat $0.0( Building Green Fee : $2.0( TOTAL FEE: $1,107.62 PROCESSED BY: ZONING APPROVAL: Contractor: OW NER/BLDR Address: BAIN NORMAN HAROLD Phone: Con State Lic: Ole Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carder: Policy No: Expire: Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: ICJ Front: IS' Left: 15r Right: Irv. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect Address: Phone: State Lie Engineer: BURKE LEO Address: 34167 PACIFIC COAST HWY #D DANA POINT CA 92629 Phone: 949-226-7130 State Lic.C-067404 Designer: Address: Phone: Special Conditions: O/B AUTH ATTACHED 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 Plan Check Fee : $0.00 � iNScC 1 ®1 Fire Department $40.00 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 Fee Due at Permit Issuance : $1,107.62 PUBLIC WORKS APPROVAL: /_ PLAN CHECK BY: APPROVAL TO ISSUE: _ GRADING APPROVAL: 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 Drofessions 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 Tot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 EIan 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). exempt from licensure under the Contractors' State License Law for the following reason: ignature 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 cons t ed in its entirety by license mractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request wh s application is I rn ,red or at the following W s' a p://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent \ \ + 40 .�1 D y(J _ICENSED CONTRACTOR'S DECLARATION �a hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Ind effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 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 th erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date I r�ertify 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 t If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDING 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 count ordi nces and state s lating to building construction. I authorize representatives of this city or county to eJyer above-identi ied p rty for inspection purposes. _ (�' l./V1 nature of Property Owner or Authorized Agent -print Property Owner's or Authorized Agent's Name Z, ` 4 — Date ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED QMD PERMIT FIA I I U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF 8o`-ol., PROPOSED DEMOLITION OCCUPANCY ISSUED FOR OFFICE USE ONLY