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Home My WebLink AboutX2021-2272 -City of Newport Beach - Building Division ' 100 Civic Center Drive, Newport Beach, CA 92660 a b Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 °'.inxxa Combination Type - MFP ELEC MECH PLUM 11111111111111p11111p1111111111111111111111p1111111 COMB Permit: X2021-2272 x 2 e 2 1 2 2 7 2 Project No : 1964-2021 Issued Date : 0812612021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/26/2024 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: 2 COVENTRY NB Description: MFR BATHROOM REMODEL 120 SF Legal Desc.: TR 9588 LOT 4 UNIT 4 OF PROJECT LOCATED ON AP 461.081-08 TOGETHER Owner: LETTERMAN SCOTT M Contractor: HOME RENEW 360 Architect: Address: 2 COVENTRY Address: 3711 LONG BEACH BLVD STE 201 Address: NEWPORT BEACH, CA 92660 LONG BEACH CA 90807 Phone: 949-922-1466 Phone: 714-884-2063 Phone: State Lic: lJ Applicant: LEVISOHN NOAM Con State Lic: 982343 Engineer: ESMAILI OMID Address: 23414 ERWIN ST Lic Expire: 03/31/2023 Address: 79 CLOUDCREST '® WOODLAND HILLS, CA 91367 Bus Lic: BT30076335 ALISO VIEJO CA 92656 Phone: 818-220-9452 Lic Exp Date: 0813112022 Phone: State Lic:C-087027 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE FUND Address:' Occupancy Group: R2/1.1 Policy No: 9144686 Added /New sq.ft. Bldg: 0 Expire: 1011312021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 4 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $9 600.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $52.00 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 : $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $17.22 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $9.84 NMUSD Fee: $0.00 $0.00 Plumbing %: $22.14 $0.00 TOTAL FEE : $566.22 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $566.22 PROCESSED BY: PUBLIC WORKS APPROVAL: (� ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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). ❑ 1 .as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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). ❑ 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 legall} 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://www.leginfo.c2.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 Section Al of iyjs�ign 3 of the Business and Profe�tsions Cotlnd my license is in full force and effect. License Class License No Date i! Contractor Signatures WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENGf.T.CN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm L.cj�, penalty of perjury one of the following declarations: ❑ . Yeve 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, pe or nce of he 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: ame of Agent 11 certify that, in the performance of the a+, if I should become subject to the ignature of AppCcant Policy Number Date 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Date, :rEty 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 I have provided is correct. I agree to comply with all applicable city and county or ances and state laws relating to building construction. authorize representatives of this city or county t;o t e abovyldeatiffu 'property -or inspection purposes. of Owner or Authorized ACTION DATE BY DtCLARATION OF 1403 CATIONS PPARTO61 OF TITLE CE WITH CODE IF FEDIERX,� OR OFFICE USE ONLY T E 40 AND RULE PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD PERMITFINAL (o—�V Qti ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF COPROPOSED DEMOLITI OCCUPANCY ISSUED 9 SIGNATURE: I ® i Date