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Home My WebLink AboutX2021-3291 - PermitsCity of Newport Beach - Building Division "X2021-3291* COMB Permit: X2021-3291 F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 S ,.� R^ro Project No : 1503-2020 Inspection Requests Phone (949)644-3255 " �� ` t� i Issued Date :12107/2021 "air uK> Combination Type - SFP MECH ELEC PLUM Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/07/2024 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: 1532 KEEL DR NB Description: DELTA 3 - ADD'L SCOPE -REMODEL BATH. 3 PATIO HEATERS, DUCTWORK, TANKLESS WATER HEATER, SUBPANEL, UPGRADE MAIN PANEL (REV21-1915) Legal Desc.: N TR 6152 LOT 115 Owner: DOYLE JOHN M Contractor: OWNER/BLDR Architect: Address: 1532 KEEL DR Address: JOHN DOYLE Address: CORONA DEL MAR, CA 92625 Phone: Phone: 714-726-3340 Phone: State Lic: Applicant: DOYLE JOHN M Con State Lic: Ole Engineer: RUVALCABA MARTIN Address: 1532 KEEL DR Lic Expire: Address: 4182 N VIKING WY CORONA DEL MAR, CA 92625 Bus Lic: LONG BEACH CA 90808 Phone: 714-726-3340 Lic Exp Date: Phone: 310-741-2699 State Lic:C-075838 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: $4 000.00 Building Permit Fee: $144.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $173.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Workers Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 3arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.08 $5.76 $12.96 Plan Check Fee 0 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $173.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 the 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 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 improved 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 a p o 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 exemg, f,om icensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in whic I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally n" i 37ucture that Phuve built as an owner -builder if has not been construc in s entirety by licensed contractors. understand that a copy of the applicable law, Sectio 7044 of the Business and Professions Code is zvailable upon request when th" ap all is submi t d the following Web site:http://www.leginfo.ca.gov/calaw.html. y 2 /� / 2 Slana,ure of Property Owner or Authorized Agent - D t d LICENSED CONTRACTOR'S DECLARATI I 'iere�y affirm',lnder penalty of perjury that I am license nder provisions o Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is in full force ano errect. License Class License No Date Contractor Signature `.4'ORXERS' COMPENSATION DECLARATION 'v^,r,trG: 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 COMPENSAI ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES hereby, affirm 11r,der penalty of perjury one of the following declarations: I ha"e 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 -formance of fFe r'rr'. 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' compensa urance carrier and policy number are: Policy Number of Agent Date I 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 It, if I should become supject tp-(hq workers' cfgmpgoation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat Z 7 2 H, LARATI N RE AWI N TR TIONNDING AGENCY hereby affirm under penalty o erjury that ther a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender'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 law relating to building construction. I authorize representatives of this city or county o ente a ove-i tifie roperty for inspection purposes. —�'' 11 �J o ), n ��'- '� j 2 21 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na Date ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY , REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQM D PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED i)^�.7 y {�-L- A5BESTJ.5 NOTIFICATION IS NOTA LICABLE TO pR SED (}�pIOL171mN� SIGNATIIR 7� �%U (^—