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Home My WebLink AboutX2022-1347 - PermitsN roua"� City of Newport Beach - Building Division II IIII IIIIIIIII�I IIIII IIIIIIIIIIIIIIIII II COMB Permit: X2022-1347 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 3 4 7 Project No : 1128-2022 Permit Counter Phone(949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 05/10/2022 CoCombination Type - BLDG Inspection Area : 3 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: 512 TUSTIN AVE NB Description: DEMO (E) GARAGE400 SF Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 36 LOT 4 Owner: KNIGHT RICH Address: 512 TUSTIN AVE NEWPORT BEACH, CA 92663 Phone: Applicant: GUIDERO WILLIAM Address: 425 30TH ST, STE 23 NEWPORT BEACH CA 92663 Phone: 949/675-2626 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: $1 000.00 Building Permit Fee: $110.00 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: $111.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: OW NER/BLDR Address: KNIGHT RICHARD Phone: 949-933-1061 Con State Lie: O/B Lie Expire: Bus Lie: Lie Exp Date: Workers Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Use 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: I Right: / kin S a $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Architect: Address: Phone: State Lie: Engineer: GABRIEL MICHAEL R Address: 483 E 20TH STREET COSTA MESA CA 92627 Phone: 949-646-6596 State Lic:S-002939 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 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $111.00 ?UBL'G WOEKF APPROVAL' PLAIT CHECi<.FY: 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 U 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 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 agp 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 m exempt from licensure under the Contractors' State License Law for the following reason: By m signature below I acknowledge that, except for my personal residence in which I ust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, structure that I have built as an owner -builder i t has not been onstructed iA Its Antirety b licensedicantractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request whes ap "cation i ubmitted o a the ollo> W http://www.leginfo.ca.gov/calaw.html, 5 Signature of Property Owner or Authorized Agen /1 D to Z Z 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 VORKERS' COMPENSATION DECLARATION IARNING: 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 ($1D0,000), IN ADDITION TO THE :DST 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 Cade, for th 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' compensatiol lsurance carrier and policy number are: :arrier Policy Number Expiration Date la of Agent Phone# ce 'fy that, in the performance of the work for which this per 't 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 iat, if I hould become subject to th'I orkers' com rise ion r is ns of Sect! 37 0 of t e Labor Code, I shall forthwith comply with those provisions. l �r re of Applicant � 1 l�L ` p / �( Date IECLARATION REGARDING ONStRUCTION LENDING AGEN 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, Civi ode). Ender's Name Lender's Address y 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 county o enter the above -identified property for inspection purposes. I / nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name J Date j \CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I SUBMITTED -13.23P NOTIFILATION IS