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Home My WebLink AboutX2021-1058 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1058 L a r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 0 5 6 Project No : 0972-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 08/10/2021 Combination Type- SFP ELEC MECH PLUM GRAD Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811012024 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 Jab Address: 1136 SANTIAGO DR NB Description:— . NEW SFR W/ ATTACHED GARAGE 4206 SF & 667 SF, DECK 1224 SF Legal Desc.: N TR 4224 LOT 194 Owner: BRYANT DAVID AND AUDREY Contractor: NEW WEST BUILDERS INC Architect: Address: 1136 SANTIAGO DR Address: 12082 WOODBINE DR Address: NEWPORT BEACH, CA 92660 SANTA ANA CA 92705 Phone: Phone: 714-412-5263 Phone: State Lic: Applicant: GUIDERO WILLIAM Con State Lic: 469416 Engineer: MANSHADI FARHAD Address: 425 30 TH STE 23 Lic Expire: 01/31/2023 Address: 1800 E 16TH ST UNIT B NEWPORT BEACH, CA 92663 Bus Lic: BT30058264 SANTA ANA CA 92701 Phone: 949-675-2626 Lic Exp Date: 03/31/2022 Phone: 714-835-2800 State Lic:C-036840 Code Edit: 2019 Worker's Compensation Insurance Designer: GUIDERO WILLIAM Type of Construction: V-B-SPR Carrier: BENCHMARK INSURANCE Address: 425 30 TH STE 23 Occupancy Group: R3/U Policy No: CST5020475 NEWPORT BEACH, CA 92663 Added /New sq.ft. Bldg: 4206 Expire: 1111412021 Phone: 949-675-2626 Added /New sq. ft. Garage: 667 No of Stories: 1 Building Setbacks Rear: 20 Special Conditions: LANDSLIDE AREA NoUnits: 1 Front: 6 Bldgg Height: 0 Left: 6 '�s��e �•/ Bldg Sprinklers: Y Right: 6 Flood Zone: X Use Zone: R-1-6000 Parking Spaces: 3 Fire Hazard Zone : N Construction Valuation: $842,876.00 Building Permit Fee: $6,431.00 Excise Tax: $1,023.33 Planning Department - Fire Department Plan Check Fee: $4,416.00 Additional Fee : $0.00 Plan check Fee : $520.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $2,204.16 SJH Trans : $0.00 Demolition Fee Record Management: $84.00 Grading Permit Fee: $1,257.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $303.00 Grading PC Fee: $483.84 Public Works Department - General Service $0.00 CA Seismic Safety: $109.57 WQ Insp. Fee: $1,220.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $406.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $450.17 San Dist : $1,068.00 Building Green Fee : $34.00 Mechanical %: $257.24 NMUSD Fee: $1,941.20 $0.00 Plumbing %: $578.79 $0.00 TOTAL FEE : $22,787.30 Plan Check Fee : $6,141.00 Fee Due at Permit Issuance : $16,646.30 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: —_ S4*1 PUBLIC WORKS APPROVAL: --*=I PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 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 '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 iot 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 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 mproved for the purpose of sale). ILJ 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). ❑ 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 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://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Divi iqqn 3 of the Business and Professions de, license is in full force and effect. License Class License No Date ( l Contractor Signatur .r D� — WORKERS' COMPENSATION DECLARATION / NARNING: 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 I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under 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 thi aaijormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work forwhich 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 agre that, if I should become bact to a workers' �compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.� Signature of Applicanti'uJC�/ D�te1% r� L DECLARATION REGA DING rONSTRUCTIOIVEENDING AGENCY I 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 309t Civil Code). Lender's Name Lender's Address By 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 cou to enterle a ove-i tified pro rty for inspection purposes. O Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam � Date �^ ACTION DATE BY DECLA T OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1AP3 PERMITEXPIRED L I I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED QM D PERMITFINAL ls't ^Z ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIi NATURE: