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Home My WebLink AboutX2022-0452 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a Inspection Requests Phone (949)644-3255 Combination Type -SFP M, 11�1 1111111111111111111111111111111111111111111111 11111 COMB Permit: X2022-0452 x 2 0 2 2 0 4 s 2 Project No : 0396-2022 Issued Date : 04/1112022 Inspection Area : 2 Construction Hours: Monday- Friday 7:00 a.m. to and and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 219 VIA SAN REMO NB '`�X�y� Description: SFR INTERIOR ALTERATION 50 SF. R/R WINDOWS, DOORS, STAIRS. RMVA�G 6L BETWEEN KITCHEN/DINING RM Legal Desc.: N TR 907 LOT 197 Owner: GAUTSCHI PHILIP W Contract�� 4/'J�A T OWACZ CUSTOM 8y6J Address: 219 VIA SAN REMO Address: VE AVE, 4537 NEWPORT BEACH, CA 92663 H N BEACH CA Phone: Phone: 714-32 /� Applicant: CRAWFORD JAY Con State Lic: 652767 !f �® Address: 470 WALD Lic Expire: 0613012023 IRVINE CA 92618 Bus Lic: BT30073008 Phone: 949-453-9893 Lic Exp Date: 09/30/2022 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $1,357.00 Plan Check Fee: $1,180.59 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $24.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $5.00 TOTAL FEE: $2,618.59 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9052041 Expire: 0110112023 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: PROCESSED BY: V ZONING APPROVAL: - GRADING APPROVAL: Rear: / Front: / Left: / Right: I Architect: CRAWFORDJAY Address: 470 WALD IRVINE CA 92618 Phone: 949-453-9893 State Lic:0009001 Engineer: KHAEF ESMAIL Address: 4005 CALLE SONORA #213 LAGUNA BEACH CA 92637 Phone: 714-504-8260 State Lic:C-045870 Designer: Address: Phone: Special Conditions: HIGH DENSITY FORM SIGNED Fire Hazard Zone : IN $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,232.59 Fee Due at Permit Issuance : $1,386.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 700r' 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 (_) 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). ❑ 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). ❑ 1 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 legal 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.htmi. 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 Section 7000) of Division 3 of the Business and Pr sions Co , and � license is in full force and effect. License Class License No �� = "-� Da Contractor Signatu CORKERS' COMPENSATION DECLARATION a �T \ — VARNING: 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 t$100,0001, 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: 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 the le mance of 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' compensatiol is 'ante carrie'a and policy number are: ner Policy Number Expiration Date Jame of Agent Phone # :1I certify that, in the pe orma of 4woryfor which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp nsation laws of California, and agre hat, if I should become su 'ect to ampensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant)ECLARATION REG DI G LENDING AGENCY hereby affirm under penalty of 'juis a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name 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. agree to comply with all applicable city and count r In as a state laws relating to building construction. I authorize representatives of this city or county to nter the ibo - entified property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na Date ACTION DATE BY DEC 10 OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED OAQMD PERMIT FINAL CERTIFICATEOF ISSUED OCCUPANCY , ASBESTOS NOTIFIRATr&Q IS NCSAPPLICABUE TO PROPOSED DEMOL I SIGNATURE: