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Home My WebLink AboutX2021-2004 - Permits,� ,,,,� City of Newport Beach - Building Division "X2021-2004* COMB Permit: X2021-2004 s- 100 Civic Center Drive, Newport Beach, CA 92660 Project ND: 1753-2021 H Permit iCounterRequests Phone (94 3288 )644 N® CONSTRUCTION NOISE � ' � Inspection Requests Phone (949)644-3255 r'�irrnn*"'' Combination Type - SFP MECH ELEC PLUM GRAD Issued Date : 05/23/2022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIOtm .100'a BY OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Sa y b\9-Vb}}ySr No work on Sundays or Holidays Job Address: 329 LINDO AVE NB Description: SFR ADD 71 SF, REMODEL (E) 280 SF. REROOF, NEW WINDOWS/DOORS & REPAIR (E) SIDING & BRICK PATIO 221 SF Legal Desc.: EAST NEWPORT BLK A LOT 142(AND LOT 143 Owner: WHITAKER LISETTE Contractor: EPIC CUSTOM HOMES INC Architect: BURGER THOMAS Address: 8200 STOCKDALE HAYW #M10 Address: 2781 BLUEBIRD CIRCLE Address: 33751 PEQUITO DR BAKERFIELD CA 93311 COSTA MESA, CA 92626 DANA POINT CA 92629 Phone: Phone: 949-280-7006 Phone: 949-376-2126 State Lic:C015902 Applicant: BURGER THOMAS Con State Lic: 1015708 Engineer: SABERI MEHDI Address: 33751 PEQUITO DR Lic Expire: 07/31/2022 Address: 2182 DUPONT DR #202 DANA POINT CA 92629 Bus Lic: BT30042675 IRVINE CA 92612 Phone: 949-376-2126 Lic Exp Date: 1113012022 Phone: 949-833-9900 State Lic:S-005528 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 66 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: A01 Worker's Compensation Insurance Carrier: EVEREST NAT. INS. Policy No: 7600018178211 Expire: 0912912022 Building Setbacks Rear: 5' Front: 10' Left: 4' Rioht: 4' Use Zone: RA Designer: Address: Phone: Special Conditions: FLOOD ZONE A01 LIQUEFACTION AREA HIGH DENSITY AREA Fire Hazard Zone : N Construction Valuation: $35,000.00 Building Permit Fee: $1,654.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $1,116.29 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management : $38.00 Grading Permit Fee: $237.00 In -lieu Housing Fee Energy Compliance: $61.00 Grading PC Fee: $199.00 Public Works Department - CA Seismic Safety : $4.55 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 P/W Plan Check: $101.50 Hazardous Mat $0.00 Electrical %: $115.78 San Dist : $0.00 Building Green Fee : $2.00 Mechanical %: $66.16 NMUSD Fee: $0.00 Plumbing %: $148.86 PROCESSED BY: Fire Department $208.00 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 TOTAL FEE : $3,952.14 Plan Check Fee : $961.75 Fee Due at Permit Issuance : $2,990.39 PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: s® Cr)i A � FAl 0 y� 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 he 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 Orofessions 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 iot 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, 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 mprovements 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 mproved for the purpose of sale). '❑ 1, 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 apply 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: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION [[[�� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 of the Business and Prof siol s c�pge, as my I en his i Horce and effect. License Class License No Date ( Contractor Signature I' \ l WORKERS' COMPENSATION DECLARATION ram_ .--. NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUe1ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I h ve 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 th perffaance of the work for which this permit is issued. Policy No. have and '11 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 rance carri a policy numb t ier i CV0 06e Expiration Date 1e of Agent Phone # certify that,rbecome rmanc f the work for which is permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cal'fornia, and agre if I should ject a wor ers' compe sa' nprosi ection3700 of the Labor Code, I shall forthwith comply with those provisions.IatureofApate_ . J! ;reby 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, Civil Code). 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 have p vided is correct. 1 agree to comply with all applicable city and county ordl antes and sta la s relatin to building construction. I authorize representatives of this city or county to is he a ve-id t' i d proBe for inspection purposes. nature of Prooertv Owner or Authorized Agent '� Print Property Owner's or Authorized Agent's Name O ACTION DATE BY RE RTIO N OF CO P TNTLE 40 AND CE WITH DE OF FEDERULERAL FOR OFFICE USE ONLY PERMITEXPIRED LIISUBM ED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED QM O PERMITFINAL t �, 3„'� 3 \ ASBESTO NOTIFIC NIT TAPP AT CERTIFICATE OF ✓ PROPOSED MOL O OCCUPANCY ISSUED SIGNAT 1