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Home My WebLink AboutX2021-3162 - PermitsCity of Newport Beach - Building Division *X2021-3162* COMB Permit: X2021-3162 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2732-2021 Permit Counter Phone (949)644-3288 A Inspection Requests Phone (949)644-3255 INSPECTOR I Nti.. ' ` P LEC T +,�¢ Issued Date : Combination Type - MFP ELEC MECH PLUM Inspection Arearea :z021 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/20/2024 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: 70 CORMORANT CIR NB *121-2215* 7 m Description: SFR *STOP WORK* REMODEL MSTR BATHROOM/CLOSET. REPLACE MASTER BEDRM BALCONY (74 SF). NEW BI-FOLD DOOR @ 1ST FL. Legal Desc.: N TR 12212 LOT 16 0 \ ^ / X Owner: DEVINCENTIS ANTHONY Contractor: OWNER/BLDR Architect: ANTHONY Address: > O Address: 70 CORMORANT CIR Address: DEVINCENTIS _ Cif NEWPORT BEACH CA 92660 70 CORMORANT CIR NB CA 92660 Phone: State Lic: Lr \ I m Phone: 949-973-5169 Phone: In Applicant: DEVINCENTIS ANTHONY Con State Lic: OIB Engineer: MUTKA JASON RICHARD > D i C Address: 70 CORMORANT CIR Lic Expire: Address: PO BOX 77144 r- i NEWPORT BEACH CA 92660 Bus Lic: CORONA CA 92877 C Phone: 949-973-5169 Lic Exp Date: Phone: 951-235-0276 State Lic:C-072255 O S m Code Edit: 2019 Worker's Compensation Insurance Designer: HOWARD GABRIEL 7177 BROCKTON AV ^ l , Type of Construction: V-B Carrier: Address: Z Occupancy Group: R3/U Policy No: RIVERSIDE CA 92506 O C Added /New sq.ft. Bldg: 0 Expire: Phone: 951-536-9833 �, Z , Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: O/B FORM ATTACHED m D No of Units : 1 Front: / 121.2215 7 Bldg Height: 0 Left: / N Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $35,000.00 - i Building Permit Fee: $619.00 Excise Tax: $0.00 Planning Department - Fire Department , Plan Check Fee: $538.53 Additional Fee : $0.00 Plan check Fee: $208.00 Fire Inspection: $0.03 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $q_00 , Investigation Fee: $619.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $30.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $O.OQ Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 $0-90 CA Seismic Safety: $0.00 WQ insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00, Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: - Hazardous Mat $0.00 Electrical %: $43.33 San Dist: $0.00 $0.00 - Building Green Fee : $2.00 Mechanical %: $24.76 NMUSD Fee: $0.00 Plumbing %: $55.71 $0.00 TOTAL FEE : $2,140.33 Plan Check Fee : $746.53 Fee Due at Permit Issuance : $1,393.80 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 items) 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 to 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). 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, 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 np ved for the purpose of sale). 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 I 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). 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 eside l 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 construc in its y by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Coda,, is. available upon request when o appli tion is a following Web site:http:/A w .leginfo.ca.gov/calaw.html. ignalure of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATIO hereby affirm under penalty of perjury that I am licensed provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd 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 ($100,000), IN ADDITION TO THE OST 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 IN erformance, 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' compensatior Isurance carrier andpolicy number are: Policy Number r.0 of Agent Date I certify that,'in the perform rice of the work for which t ued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and tat, if I should become ub ct to workers' co anon prov' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,J,Z ign,.ture of Applican' l' - )at 1 ET-ARATION REGAR ING CON CTI AGENCY hereby affirm uhaer nenalty of here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Code). ende,'s Name Lender's Address y my signature below, I certify to each of the following: I am the prapert/ owner or authorized to act on the property owner's behalf. I have read t'iis application and the information I have provided iW-,ded agree to comply with all applicable city and count rdinances elating to building construction. I authorize 'repregentatives of this city or county nter th perty for inspection purposes. ^ / ��j ianature of Prooertv Owner or Authorized ADent Print PrODertv Owner's or Authorized Agent's Name , \ ACTION DATE BY RATION OF CO PLIANCE ODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART TLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQM D PERMITFINAL �In %%% ASBESTOS TIFI ISN LICABL 70 CERTIFICATE OF I .//, / RO SEDD LI OCCUPANCY 155UED VVV(J / SIGNATURE: