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Home My WebLink AboutX2020-0572 - Permitsry"4'.1�ru, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0572 a4 # 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 5 7 2 Project No: 0174-2020 Permit Counter Phone (949)644-3288 ;3 Inspection Requests Phone(949)644-3255 HERS VEf_ PI''e/'TION RE/"a Combination Type - MFP MECH ELEC PLUM 9 A R @ �Ai R `! 'P 5 d Issued Date : re a912o20 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE 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: 1011 MUIRFIELD NB Description: MFR `ADDITIONAL SCOPE' REMOVE WALL BETWEEN KITCHEN AND LIVING RM Legal Desc.: TRACT 12105 LOT 1 OF PROJECT 931.79 LOCATED ON AP 442-033.04 Owner: MANCILLAS Address: 1011 MUIR BEACH CIR NEWPORT BEACH, CA 92660 Phone: Applicant: HALTON TODD Address: 1203 CHARCO SAN CLEMENTE CA 92673 Phone: 949-533-7746 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3IU Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 6 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X $7,000.00 Building Permit Fee: $184.00 Plan Check Fee: $160.08 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $427.88 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: HALTON CORPORATION Address: 1203 CHARCO SAN CLEMENTE CA 92673 Phone: 949.600-5770 Con State Lic: 767300 Lic Expire: 03131/2021 Bus Lic: BT30069684 Lic Exp Date: 11/3012020 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks 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: / Left: I Right: I larkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.88 $7.36 $16.66 Plan Check Fee Architect: Address: Phone: State Lic: ROGER 0 1 Engineer: SCHUMACHER 1 Address: 6 SIERRA BLANCO 0FOOTHILL RANCH CA 92610 Phone: State Lic:C-052780 0 Designer: HALTON TODD Q Address: 1203 CHARCO SAN CLEMENTE CA 92673 Phone: 949-533-7746 Special Conditions: REV20-0369 Fire Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PMl Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $40.00 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 $200.08 Fee Due at Permit Issuance : $227.80 PUBLIC WnRKS APPROVAL: PLAN CHECK -BY: APPROVAL TOISSUE: 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 (_) 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 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). ❑ 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 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.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 Section 0 ) isi 3 of the Business and Pro a F y license is in full force and effect. License Class License No Date Contractor Signatu '�— NORKERS' 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 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 ;otmance of the work for which this permit is issued. Policy No. have and will rance carrier of Agent 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' Number Expiration 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' compensation laws of California, and agre iat, If I should beco ct to the ere' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Appli ant /' IECLARATION F G D ONSTRUCTION LENDING AGENCY hereby 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). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or countyfo eater theoeove-identified property for inspection purposes. ACTION I DATE PERMIT EXPIRED PERMITCANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF 12'2a' 210 OCCUPANCY ISSUED , y_t 11ECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 SUBMITTED ASBESTOS NOTIFICATION TO. ASBESTOS NOTIFICATION IS NOT APPLICABLE TO FOR OFFICE USE ONLY