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Home My WebLink AboutX2021-2508 - Permits�wµr'okr City of Newport Beach - Building Division *X2021-2508* COMB Permit: X2021-2508 100 Civic Center Drive, Newport Beach, CA 92660 �� Project No : 2128-2020 4 Permit Counter Phone (949)644-3288 SAP LCTO Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : Inspection Arearea :2021 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912112024 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: 422 ALISO AVE NB , Description: BUILD NEW ACCESSORY DWELLING UNIT ABOVE NEW DETACHED GARAGE 965 SIF , Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 28 LOT 6 , Owner: DUNCAN CHARLES W Contractor: OWNER/BLDR Architect: Address: 422 ALISO AVE Address: CHARLES WARREN DUNCAN Address: NEWPORT BEACH, CA 92663 Phone: Phone: 714-747-8773 Phone: State Lic: Applicant: DUNCAN CHARLES W Con State Lic: O/B Engineer: GABRIEL MICHAEL R Address: 422 ALISO AVE Lic Expire: Address: 483 E 20TH STREET NEWPORT BEACH, CA 92663 Bus Lic: COSTA MESA CA 92627 ' Phone: 714.747.8773 Lic Exp Date: Phone: 949-646-859G State Lic:S-002939 , Code Edit : 2019 Worker's Compensation Insurance Designer: VAN DYKE BRUCE , Type of Construction: V-B-SPR Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 965 Expire: Phone: 714-747-8773 Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 5' Special Conditions: No of Units: 1 Front: 20' Bldg Height: 0 Left: 4' Bldg Sprinklers: Y Right: 4' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $145,000.00 Building Permit Fee: $2,046.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $1,429.00 Additional Fee : ($4,192.50) Plan check Fee : $208.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $101.50 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $18.85 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $143.15 San Dist : $2,014.92 Building Green Fee : $6.00 Mechanical %: $81.80 NMUSD Fee: $1,775.60 $0.00 Plumbing %: $184.05 $0.00 TOTAL FEE : $3,815.37 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $3,815.37 PROCESSED BY: PUBLIC WORKS APPROVAL: _ /l \' 1 ZONING APPROVAL: `�`> �' PLAN CHECK BY: GRADING APPROVAL: _ APPROVAL TO ISSUE: '1<yyZ__ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indic ted below by the checkmark(s) I have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem fish, or repair any structure, prior to its issuance, also requires the applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L w (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violates of Spqtp 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of S�ifv r��rfeffy,` y employees with wages as their sole compensation, will do L) all of or o 0ntPVtt uslness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compl improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor I am exe.npt rri Iicensure under the Contractors' State License Law for the following reason: IBy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y sall a structure tnat I have built as an owner -builder if it hag.not been nstructed in its entirety by licensed contractors. I unc Professions Code Is available upon request when to rA bmitted or at the following Web site:http://w .leginf Signature of Pioperty Owner or Authorized Agenr LICENSED CCNTRACTOR'S DECLARATION ierehy affirm •P.C'Er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of �cC „ffect. License Class License No Date WC,RKERS' COMPENSATION DECLARATION hRNING: FAILURF "O SE-URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALI 5T q- COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm, u.iJ�r 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 rformance 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 pe urance carrier and policy number are: Policy Number of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner s it, if I should become subjep toi^ compensation provisions of Section 3700 of the Labor Cade, I shall forthwith matu re of Apollo an^7/�L/ //�i�/7 l� £GLARAI IUN RhGARDING GUN5IRUG I ION LLNUING AGtNGY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which 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 tyey ,p0e,.a_4qLe-identified property for inspection purposes. ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 15UBMITTED A5BESTO5 NOTIFICATION TO EPA AQMD APPLICABLE TO i, an7the structure is not intended or offered for sale (Section 7044, See' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or 5iness and Professions Code: The Contractors' State License Law does not rsuant to the Contractors' State License Law). r prior to completion oT the Improvements coverea Dy mIs permit, I cannot rstand that a copy of the applicable law, Section 7044 ofthe 13 amass and ca.gov/calaw.html. A/ �, / , 3 of the Business and Professions Code, and my license is in full force Contractor Signature AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date as to become subject to the workers' compensation laws of California, and agre Imply with those provisions. Gy DatK //q/ is permit is issued (Section 3097, Civil Code). ONLY C V`'