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Home My WebLink AboutX2022-1360 - Permitsn&M!'n City of Newport Beach - Building D yisior- COMB Permit: X2022-1360 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 3 6 0 Project No : 1262-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM Issued Date : 05/11/2022 4iatr�a.'?*s Inspection Area : 2 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: 2661 CRESTVIEW DR NB Description: DEMO SFR 3 BEDROOMS 1654 SF Legal Desc.: N TR 1014 LOT 68 Owner: ROOT DAVID Contractor: OWNER/BLDR Architect: Address: 3500 SAN JOAQUIN PLZ Address: Address: NEWPORT BEACH CA 92660 m Ni ".� Y L,'� Phone: 7601419-9902 Phone: Phone: State Lic: Applicant: ROOT DAVID Con State Lic: O/B Engineer: „ Address: 3500 SAN JOAQUIN PLZ Lic Expire: Address: NEWPORT BEACH CA 92660 Bus Lic: Phone: 7601419-9902 Lic Exp Date: Phone: State Lic: > Code Edit : 2019 Worker's Compensation Insurance Designer: , Type of Construction: Carrier: Address: Occupancy Group: R3 Policy No: - Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: CIS FORM ATTACHED - - - No of Units : 1 Front: / Bldg Height: 0 Left: / , Bldg Sprinklers: Right: / Flood Zane: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $7,200.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $223.00 Additional Fee : $0.00 Plan check Fee: $104.00 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: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,127.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE : $1,881.98 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,881.98 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: Pap.- PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: o � 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 applicanffor 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). -' 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, usiness and Professions Code: The Contractors' State License Law does not apply to an owne o 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 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 legalll 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 7944 of the Business and Professions Code, is available upon request whe, th� application is Ittpd 9r atj�je following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent e : D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penclty 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 anr! effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 'ARI<:ING:,-AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0DO), IN ADDITION TO THE OST 6F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under pen&Ity of perjury one of the following declarations: I hcv3 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 erf,rm97ce of th? work for which this permit is issued. Policy No. line 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' -z,7 -arrier and policy number are: Policy Number .TR of Agent Date I 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 agre t, if should bec me ubject to the work/er/�j' compe/�,sationn provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. j�Y��// lnature of Applicant ��CY /� DateL— ICLARATION REGARDING GCONSTRUCTION LENDING AGENCY areby 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, C Titans 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 countyordinances and state laws relating to building construction. I authorize representatives of this city or count)Nnter the 30bve-*ntif5d prcRoy for inspection purposes. n �� Signature of Property Owner or Authorized Agent 1, �6_d!ilcz1 Print Property Owner's or Authorized Agent's Naml N fc<A^ Dat Orl a I Ili ce 11 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED pA PERMIT EXTENDED QMD PERMiTFINAL TO OCCUPANCY SUED `O 1� PROPOSE DO�EJUIOLITCD��D�PPLE� SIGNATUR :�