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Home My WebLink AboutX2021-3308 - Permits8wrese City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II COMB Permit: X2021-3308 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 3 0 8 Project No : 2868-2021 4. •_ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM GRAD Issued Date : Inspection Arearea :2022 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1909 YACHT RESOLUTE NB Description: SFR REMODEL 38 SF & ADD 164 SF & YARD DRAINAGE Legal Desc.: N TR 9261 LOT 33 Owner: PHILLIPS TIM Contractor: ORION CONSTRUCTION Architect: SALAT JOHN A Address: PO BOX 8716 Address: 28201 VIA DEL MAR Address: 22386 WOODGROVE RD NEWPORT BEACH, CA 92658 SAN JUAN CAP CA 92675 LAKE FOREST CA 92630 Phone: Phone: 949-489-9463 Phone: 949.235-4847 State Lic:CO24445 Applicant: SALAT JOHN A Con State Lie: 903655 Engineer: ALLEN THOMAS CHRISTOPHER Address: 22386 WOODGROVE RD Lie Expire: 09/3012023 Address: 2 VENTURE #400 LAKE FOREST CA 92630 Bus Lic: BT01092801 IRVINE CA 92618 Phone: 949-235-4847 Lie Exp Date: 08/3112022 Phone: 949-477-4001 State Lic:S-005460 �� Code Edit : 2019 Worker's Compensation Insurance Designer: � i Type of Construction: V-B Carrier: NO EMPLOYEES Address: C) Occupancy Group: R3/U Policy No: STEVEN SPRENGER ./ Added /New sq.ft. Bldg: 164 Expire: Phone: :)j Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 38'/48' VIEW Special Conditions: LANDSLIDE AREA No of Units: 1 Front: 18' ST Bldg Height: 24 Left: 5' Bldg Sprinklers: N Right: 5' Flood Zone: X Use Zone: PC-18 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $89,000.00 Building Permit Fee: $1,623.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $1,326.69 Additional Fee: $0.00 Plan check Fee : $208.00 Fire Inspection: 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 Adm $0.00 Record Management : $38.00 Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept $0.00 Energy Compliance: $62.30 Grading PC Fee: $199.00 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 PAN Plan Check : $50.75 Grading Bond: Hazardous Mat $0.00 Electrical %: $113.61 San Dist : $0.00 $0.00 Building Green Fee : $4.00 Mechanical %: $64.92 NMUSD Fee: $0.00 $0.00 Plumbing %: $146.07 TOTAL FEE : $4,073.34 Plan Check Fee : $1,596.99 Fee Due at Permit Issuance : $2,476.35 PROCESSED BY: PUBLI; WO RK3 APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: A�PRCVAL 5 U 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 ire 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 sot more than five hundred dollars ($500). 1, 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, Usiness 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 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 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 Iegall) 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 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. .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of ivisio 3 of the Business and Prof s"91 ode, a �fn license 'r(full force nd effect. License Class License No Dat 2 Y Contractor Signat CORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN DOLLA ($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: 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 thl erformanceof the work for which this permit is issued. Policy No. - 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' rance carrier and policy number are: Policy Number of Agent Date d 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 agre hat, if I should become bj t the worke s' compensat' rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applica S/2 %/y7i )ECLARATION R AR G INU TION LENDING AGENCY hereby affirm u er pen per ry thythere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name l/ Lender's Address 3y 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 cou t r the Identified property for inspection purposes. '�! signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name iC 6-,—rv=- ACTION DATE BY E ATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY TION PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED CERTIFICATE Of SC��.$'S Di WASBESTOS OTIFICATION IS NOT APPLICABLE TO Y PROPOSED DE OLIT �_� OCCUPANCYISSUED SIGNATURE: