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Home My WebLink AboutX2021-0869 - Permitsxsir. City of Newport Beach - Builc ;'ing Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 k^ .; Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0869 Project No : 2269-2020 Issued Date: 04/3012021 Inspection Area : PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/30/2024 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: 707 MARIGOLD AVE NB ��LL-�� Description: ADDED SCOPE 60 SF 2ND FLOOR ADDITION, ADD SHOWER AND LAVATORY IN EXISTING BATH, Ay1ytT10NAL WALL DEMO. Leaal Desc.: �-((JJ Owner: BENSCHOP PETERIJOANNE Address: 28701 PASEO MIRALOMA SAN JUAN CAPISTRANO CA 92675 Phone: Applicant: FRAZIER DARYN Address: 206 CAMERAY HTS LAGUNA NIGUEL CA 92677 Phone: 949-607-9751 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: $15,000.00 Building Permit Fee: $331.00 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Contractor: C" SADDLEBACK DEVELOPMENT CORPArc Address: 28832 SIERRA PEAK LN Adores �lA TRABUCO CANYON CA 92679 1 j� Phone: 949-858-0941 Phone: 191 Con State Lic: 870126 Lic Expire: 12131/2021 Bus Lic: BT300741170 Lic Exp Date: 02/28/2022 Worker's Compensation Insurance Carrier: ACE AMERICAN INS CO Policy No: C68639712 Expire: 01/0112022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $23.17 $0.00 $29.79 TOTAL FEE: $788.18 Plan Check Fee PROCESSED BY: tt ZONING APPROVAL: ` engineer: A�clress: BIKH F RYAN 3300 I E 4245 NEWPO ACI Phone�� 949-862-85 Designer: D, Address: V]PG v d Phone: Special Conditions: Fire Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: CA 92660 State Lic:C-077753 Fire Department $46.25 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 $186.32 Fee Due at Permit Issuance : $601.86 PUBLIC WORKS APPROVAL: PLAN CHECK BY: ni GRADING APPROVAL: 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 L) 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). ❑ 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). J 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 improv, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Ivi 3 of the Business and Profe nd effect. License Class License No Da 3 Contractor Signa�ulp/ IIORKERS' COMPENSATION DECLARATION �� N 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 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: nents covered by this permit, I cannot law, Section 70" of the Business and my license is in full force ($100,000), IN ADDITION TO THE 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 'ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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' compenaati n laws f California, and agree t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -Z nature of Applicant - Date `7 �Id 2� CLARATION REGA ING CONSTRUCTION LENDING AGENCY )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, Ivi ode). 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' be f. I have read this application and the information I have provided i corr c I agree to comply with all applicable city and county ordinanc and t laws relating to building construction. / I authorize representatives of this city or county to enterer ove tified property for inspection purposes. _ _ _� signature of Property Owner or At ACTION DATE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED CERTIFICATE OF OCCUPANCY ISSUED COMPLIANCE WITH CODE OF FEDERAL IT 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY Name Date