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Home My WebLink AboutX2021-2094 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2094 .$ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 0 9 4 Project No : 1813-2021 Permit Counter Phone (949)644-3288 v. $ inspection Requests Phone (949)644-3255 Issued Date : 12/08/2021 Combination Type - SFP MECH ELEC PLUM Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210812024 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: 621 DONALD PL NB Description: SFR ADD 597 SF 8. REMODEL 750 SF Legal Desc.: N TR 10156 LOT 2 Owner: BRENNAN KEVINILISA Address: 621 DONALD PL NEWPORT BEACH, CA 92663 Phone Applicant: WHITE MITCHELL Address: 1995 N BATAVIA ST ORANGE CA 92865 Phone: 714-637-7848 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 597 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $3,732.00 Plan Check Fee: $2,896.69 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $34.00 Energy Compliance: $129.50 CA Seismic Safety: $24.05 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE: $9, PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: P R CONSTRUCTION INC Architect: Address: 1995 BATAVIA ST Address: ORANGE CA 92865 Phone: 714-223-7848 Phone: State Lic: Con State Lic: 673267 Engineer: YAGHI SHUCRI I Lic Expire: 03/3112023 Address: 112 E. CHAPMAN #D Bus Lic: BT30076183 ORANGE CA 92866 Lic Exp Date: 08/31/2022 Phone: 714-997-9120 State Lic:C-043205 Worker's Compensation Insurance Designer: Carrier: EVEREST NATL INS CO Address: Policy No: CA100025832211 Expire: 01/01/2022 Phone: - Building Setbacks Excise Tax: Additional Fee Grading Bands Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: 12 IMF Rear: 10 Front: 20 Left: 4 Right: 4 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $261.24 $149.28 $335.88 Special Conditions: CMSD RECEIPT REC'D WASTE MGMT TO ^T® J' HAUL DEBRIS INS E _ Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSO Fee: $1,098.48 Plan Check Fee : $2,410.43 Fire Department $208.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $7,322.69 PUBLIC WORKS APPROVAL: PLAN CHECK BY: .VP20VAL TO I$SUE:. 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 '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 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 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). 1 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 .poly 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 Iicensure 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 all 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ;ignature 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) of Division 3 of the Business and Professions Co d y licer}se is in full force no effect. License Class License No Date Contractor Signature CORKERS' COMPENSATION DECLARATION FARNING: 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$100,000I, 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: 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 the egormance 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 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date/ IEULAKA I IUN KEGAKUING-1;UN5TRUCTION 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 to enter the above -identified property for inspection purposes. IvX iqnature of Property Owner or Authorized Agent /7/�' 1 ".� Print Prooertv Owner's or Authorized Aaent's Name fV / IF, ACTION DECLARATION OF DATE BY REGULATIONS PA TO61 OF NTLE 40 AND AQMD RULERAL FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL S'IS'Z3 CERTIFICATE OF OCCUPANCY ISSUED I SUBM 117ED AS.",ESTOL NUTIR CATION To NOTIFICATION IS NOTAPPLICABLE TO MOUTJON. . . Z7 0 Civil Code). _��U� Date