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Home My WebLink AboutX2021-1835 - Permits(9) City of Newport Beach - Building Division 11111111111111p11111p1111111111111p1111p1111111111 COMB Permit: X2021-1835 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 8 3 5 Project No: 1583-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC Issued Date : 07/1312021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711312024 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: 20371 BAY VIEW AVE NB "- Description: SFR REMOVE (E) WINDOW, INSTALL BI-FOLD WINDOW, REPLACE ENTRY DOOR Legal Desc.: N TR 1501 LOT 31 Of Owner: HOELSCHER Contractor: OWNER/BLDR Architect: Address: 20371 BAY VIEW AVE Address: HOELSCHER JENNIFER Address: 1 NEWPORT BEACH, CA 92660 �y Phone: Phone: 619-750-1230 Phone: State Lic: Applicant: HOELSCHER JENNIFER Con State Lic: O/B Engineer: VOLPE ROBERT M Address: 20371 BAY VIEW AVE Lic Expire: Address: 20321 LAKE FOREST DR STE D-6 NEWPORT BEACH, CA 92660 Bus Lic: LAKE FOREST CA 92630 Phone: 619-750-1230 Lic Exp Date: Phone: 949-305-4700 x1 State Lic:C-025116 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $52.00 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 : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $6.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $17.22 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $536.24 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $536.24 PROCESSED BY: , PUBLIC WORKS APPROV4L� _ ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPHOVA',. TO ISSUEt 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 rem(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 do L) all of or L) 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 Rqprovements 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 kn oved for the purpose of sale). �Yl 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 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). 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 legal) 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, 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: 111 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 performance of the work for which this permit is issued. Policy No. ❑I 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' compensation insurance carrier and policy number are: Carrier Policy Number Expiration Date haR, e of Agent Phone # 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 agree Lif I should become subj t to the workers' ompensa provisio s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat DECLARATION REGA DI ONSTRUCTIA LENDIN6 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. r_� I agree to comply with all applicable city and county ordinances and tate laws relating to building construction. n ri ee I authorize representatives of this city or coun to r th b -i .ntif'e:d any for inspection purposes.-}-��elSCt�-� 7I 3 �a� ,Signature of Property Owner or Authorized A ant JJ Print Property Owner's or Authorized Agent's Na e ACTION DATE BY R ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATI S PART 61 OF TITLE 40 AND AQMD RULE 140.'. PERMITEXPIRED I LJ I S'JBMI - D ASHSTOS VOTIFICATICN TO PERMIT CANCELLED _ 'E?A J _ ERTIIL CERTIFICATE pl 17,7t CERTIFICATEFICATE OF � OCCUPANCYISSUED IS NOTAPPLIC,I4BLE TO