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Home My WebLink AboutX2022-0803 - PermitsyT~rr tr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2022-0803 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 8 0 3 Project No : 0726-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date: Area : 2022 Inspection Area 3 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: 2415 FRANCISCO DR NB Description: SFR -ADD 414 SF, ADD 23 SF TO GARAGE. INTERIOR ALTERATION 2760 SF Legal Desc.: N TR 3282 LOT 12 Owner: SUN STEPHANIE Contractor: NEW WEST BUILDERS INC Architect: Address: 2415 FRANCISCO DR Address: 12082 WOODBINE DR Address: NEWPORT BEACH, CA 92660 SANTA ANA CA 92705 Phone: Phone: 714-412-5263 Phone: State Lic: ' Applicant: FERREL ISABEL Con State Lic: 469416 Engineer: DEIHIMI AMIR Address: 8255 BEVERLY BLVD STE 223 Lic Expire: 01/3112023 Address: 4400 CAMPUS DR LA CA 90046 Bus Lic: BT30058264 NEWPORT BEACH CA 92660 , Phone: 323-745-0123 Lic Exp Date: 0313112023 Phone: 949-752-1612 State Lic:C047283 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: BENCHMARK INSURANCE Address: Occupancy Group: R3/U Policy No: CST5022665 Added /New sq.ft. Bldg: 414 Expire: 11/14/2022 Phone: Added /New sq. ft. Garage: 23 No of Stories: 1 Building Setbacks Rear: 10' Special Conditions: CMSD# SD2022-0091 No of Units : 1 Front: 15' Bldg Height: 0 Left: 10' Bldg Sprinklers: Y Right: 10' Flood Zone: X Use Zone: R-6-1000 Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $388,104.00 Building Permit Fee: $3,699.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $3,042.77 Additional Fee : $0.00 Plan check Fee : $208.00 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 : $62.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $271.67 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety : $50.45 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 P/W Plan Check: $101.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $258.93 San Dist: $0.00 Building Green Fee : $16.00 Mechanical %: $147.96 NMUSD Fee: $0.00 $0.00 Plumbing %: $332.91 $0.00 TOTAL FEE : $9,047.19 Plan Check Fee : $2,817.51 Fee Due at Permit Issuance : $6,229.68 PROCESSED BY: PUBLIC WORKS APPROVAL: ` ZONING APPROVAL: l PLAN CHECK BY: 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 Iicensure 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 c•A,73: 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 exe:Tp; ;rom Iicensure under the Contractors' State License Law for the following reason: By wy signatve 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 Iegall 'sell 3 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.htmi. Gignature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Division 3 of the Business and Pr sio Code, ry my license is in full force and effect. License Class License No Dat - Contractor Signatur �4 WORKERS' COMPENSATION DECLARATION IF — WARNING: 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 OF COMPENSATICL, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm --rder penalty of perjury one of the following declarations: I h-ave 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 perfglmance of fha work for which this permit is issued. Policy No. 1Shave 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' compensatio ur ce carrier an4 policy number are: _ Carrier ti 1 AT k" �,L, Policy Number C S T 5 (� i- r�-C, G S I Expiration Date I L4 - _ Name of Agent -e✓ t: Ci .Svh v Coe— Cs, A�_��C1eT A JUa-FF+rcpne# Se C-e-, $G.C_ C.CUvuJ I certify that, in the perfo ante of the work for which this permit is issued, I shall n t employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should becomes ject to thehe worpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat DECLARATION REGARDING CON UCTION LENDING AGENCY I 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). Lender's Name Lender's Address By 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county /po e r the above -identified property for inspection purposes. r � ' / ( I ( I' Signature of Property Owner or Authorized Agen4�[ .-./vS/.Y�L�'t Print Prooertv Owner's or Authorized ADent's Nam I AtA /' v- 47 Dat4/ ACTION DATE BY D=RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 !� REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQM D PERMIT FINAL ASBESTOS NOTIFICAT ON IS N APPLICABLE TO CERTIFICATE OF r( l n V PROPOSED p� IOU OCCUPANCylSSUED Ib�`p, 1 ` SIGNATlIR�1( _4 %—