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Home My WebLink AboutX2021-0356 - Permits (3)wry City of Newport Beach - Building Division COMB Permit: X2021-0356 x 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0355-2021 v Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 102/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/02/2024 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: 1318 GALAXY DR NB Description: SFR INTERIOR REMODEL (KITCHEN, MASTER BEDIBATH), NEW STUCCO/SIDING AND REMOVE & REPLACE WINDOWS/DOORS 700 SF t Legal Desc.: N TR 4224 LOT 92f� Owner: BRAUCHLI ROBERT Contractor: OWNER/BLDR Architect: LINSSAY BRANDON R �� Address: 1318 GALAXY DR Address: BRAUCHLI ROB Address: 151 KALMUS DR #G-1 NEWPORT BEACH, CA 92660 O/B AUTH ATT COSTA MESA, CA 92627 Phone: 858-349-6770 Phone: Phone: 714-754-4040 State Lic:C035799 d� Applicant: BRANDON LINDSAY Con State Lie: O/B Engineer: MANSHADI FARHAD - Address: 1571 ORANGE AVE STE B Lie Expire: Address: 1800 E 16TH ST UNIT B COSTA MESA, CA 92627 Bus Lie: SANTA ANA CA 92701 - • -• - - - Phone: 805-750-0042 Lie Exp Date: Phone: 714-835-2800 State Lic:C-036840 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B 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: 1 Building Setbacks Rear: / Special Conditions: LANDSLIDE AREA No of Units : 1 Front: I TIGHT QUARTERS TO HAUL Bldg Height: 0 Left: I DEBRIS Bide SDrinklers: N Right: I =food Zone: Building Permit Fee: $1,345.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,170.16 Additional Fee : $0.00 Plan check Fee: $46.25 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 : $38.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $105.00 Grading PC Fee: $0.00 Public Works Department - General Service $219.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check: $43.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $94.15 San Dist: $0.00 $0.00 Building Green Fee : $6.00 Mechanical %: $53.80 NMUSD Fee: $0.00 Plumbing %: $121.05 $0.00 TOTAL FEE : $3,831.40 Plan Check Fee : $1,383.44 Fee Due at Permit Issuance : $2,447.96 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS 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 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). 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 ovements 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 TIP 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 y 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). 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 have resided 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 !!,Pas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business nd 'rofessions Code, is available upon request when t ig application is submitte r a ollowin b site:http://www.leginfo.ca.gov/calaw.html. 2 lignature of Property Owner or Authorized Agent,4 Date 2 .ICENSED CON i RACTOR'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 Code, and my license is in full force aJ a'fec.t. Licensi Class License No Date Contractor Signature VORKERS' COMPLEASATION DECLARATION / IARMNG: 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 :DST OF COMPENSA.TPIN,AAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm uhdprpenalty of perjury one of the following declarations: J 1 have and WEE msii,tain 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 erformance of tho Nork forwhich 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' ante carrier 6nd.pGicy 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 Date rreby 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, Ider's Name Lender's Address 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 dinances and state laws relating to building construction. ,tom �a CI I I authorize representatives of this city or county t nter the above -identified property for inspection purposes. nature of Prooertv Owner or Authorized Aoent Print Prooertv Owner's or Authorized ADent's Name S ACTION PERMIT EXPIRED PERMITCIINCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 5.�42 I SUBMITTED ASBESTOS NOTIFICATION TO SIGNATURE: IS Civil Code).