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Home My WebLink AboutX2022-0692 - PermitsNt= City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB permit: X2022-0692 `4 ? 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 6 9 2 Project No : 1756-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 03/0812022 a yrrY ,= Combination Type - SFP Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310812025 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: 63 CAMBRIA DR NB Description: SFR - ADD ELEVATOR TO NEW SFR Legal Desc.: N TR 7844 LOT 122 Owner: BIRE II LLC Contractor: MONTESANTOS BUILDERS INC Architect: Address: 63 CAMBRIA DR Address: 459 E ALLISON ST Address: CDM CA 92625 ELMHURST IL 60126 Phone: Phone: 630-514-5158 Phone: State Lic: Applicant: JEHEBER ROD Con State Lic: 1077463 Engineer: REZAEI ALI Address: 410 32ND ST STE 202 Lic Expire: 06/30/2023 Address: 1B021 SKYPARK CIR #E2 NEWPORT BEACH CA 92663 Bus Lic: BT30076141 IRVINE CA 92614 Phone: 949-723.4393 Lic Exp Date: 08/31/2022 Phone: 949466-9394 State Lic:C-041068 Code Edit : 2019 Worker's Compensation Insurance Designer: JEHEBER ROD Type of Construction: V-B-SPR Carrier: EXEMPT Address: 410 32ND ST STE 202 Occupancy Group: R3/U Policy No: no employees NEWPORT BEACH CA 92663 Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 2 Building Setbacks Rear: I Special Conditions: No of Stories: Front: / q T\6V220�}03 / '� No of Units : 1 Left: / Bldg Height: 0 Right: I 4 1a Bldg Sprinklers: Y Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $18,000.00 Building Permit Fee: $382.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $332.34 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 Fee: $0.00 Grading Bonds Fee: Grading PC Consultant : $0.00 $0.00 Fair Share : SJH Trans : $0.00 Demolition Fee Investigation Record Management: $66.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - $0.00 General Service Refund Deposit $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : PAN Plan Check : $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE : $833.34 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $833.34 PU3L-C WORKS APPROVAL: PROCESSED BY: _ _, rN� AIL IY\' PLAN CHECK BY: yu�1 lyl/ ZONING APPROVAL: 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 ie 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 Irofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or L) 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). 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 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). 7 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 legally 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 thisapplication is submitted or at the following Web site:hftp://vnwv.leginfo.ca.gov/calaw.htmi. 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 Chapter 9 (commencing with Section 7000) D ision 3 of the Business and Profession license is in full force nd effect. License Class License No Dat Contractor Signature VORKERS' COMPENSATION DECLARATION ARMING: 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 ($1D0,000), IN ADDITION TO THE DST 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: 7 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 th9 erformance of the work for which this permit is issued. Policy No. LJI 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date IS of Agent Phone # ,c rtify that, in the performance oft a 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 agref at, i I should become su loci nsation provisions of Section 3700 of the labor Code, shall forthwith comply with those provisions. SI nature of Applicant DECLARATION REGA ING TRUCTION LENDING 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 3097, 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. L*01.LE 1hoM'(CSIL•YC>75 I agree to comply with all applicable city and county or inan s and state laws relating to building construction. I authorize representatives of this city or county ntified property for inspection purposes. L-,-\ Signature of Property Owner orAuthorized Age t Print PropertOwner's or Authorized A ent's Name7At Dat ACTION DATE BY DECLA ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QMD PERMIT FINAL ETASBESTCS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF "�S"''11 ��"�� PROP05ED DEMOLITION OCCUPANCY ISSUED SIGNATURE: