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Home My WebLink AboutX2022-1163 - PermitsCity of Newport Beach _ Building Division IIIIIIII�IIIIIIIIIIIII�IIIII�IIIIIIIIIIIIII111111IlIlIII COMB Permit: X2022-1163 f 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1070-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ~' Combination Type - SFP ELEC MECH PLUM Issued Date : 05/12/2022 Yp 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 6.90 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays Job Address: 1722 ORCHARD DR NB Description: SFR INTERIOR REMODEL 2281 SF Legal Desc.: Owner: STIEVE DAVE & SOFIA Address: 1722 ORCHARD DR NEWPORT BEACH, CA 92660 Phone: Applicant: THOMPSON TODD Address: 3257 IDAHO LN COSTA MESA, CA 92626 Phone: 949-646-2262 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: T H T CONSTRUCTION Architect: Address: 463 E 19TH STREET Address: COSTA MESA CA 92627 Phone: 949-646-2262 Phone: Con State Lic: 725078 Engineer: Lic Expire: 09/30/2022 Address: Bus Lic: BT30060997 Lic Exp Date: 10/31/2022 Phone: Worker's Compensation Insurance Designer: Carrier: CLEAR SPRING PROP & CASUALTY C State Lic: YAGHI SHUCRI 1 112 E. CHAPMAN #D ORANGE CA 92866 714-997-9120 State Lic:C-043205 Address: Policy No: CWC00550900 Expire: 02/28/2023 Phone: A Building Setbacks Rear: / Special Conditions: CMSD a Front: / IV � d � Left: / Right: / YIOoa Lone: use Lone: Yarmng spaces: U rlre Hazara Lone : N Construction Valuation: $270,102.00 Building Permit Fee: $2,263.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,968.81 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: $40.00 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 $564.00 Disabled Access : $0.00 PIW Plan Check: $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $158.41 San Dist: $0.00 Building Green Fee: $11.00 Mechanical %: $90.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $203.67 $0.00 TOTAL FEE : $5,694.16 Plan Check Fee: $2,071.56 Fee Due at Permit Issuance : $3,622.60 DV. - n C � n � ` DI LaA I!� V1lll 011C A ��Ol1V A 1 wnnrlrccccn ZONING APPROVAL: _ PLAN CHECK BY: GRADING APPROVAL: s V 1PPt2'°dAL TO ISSUE: .U O OWNER-BUILDER;D;E I hereby affirm under pent (Section 7031.5, Business an the permit to file a signed stat Professions Code) or that he not more than five hundred di ❑ I, as owner of the propert Business and Professions Cc improvements are not intendE improved for the purpose of s ❑ I, as owner of the propert apply to an owner of property ❑ 1 am exempt from licehsu By my signature below I actin sell a structure that I have Lau Professions Code, is avaiia6l� Signature of Property Owner LICENSED CONTRACTC I hereby affirm under penalty and effect. License Class .v�n�sr rf [�f I+I"111111']ClIC Y1' 'ARNING: FAILURE TO SECU OST OF COMPENSATION, DG hereby affirm under per I I have and will mair rmance of the work Q�have and will maint Isusance carrier and poi -ARATION 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) rofessions 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 ent 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 ;he 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 rs ($500). r my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 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 I� 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 am; exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not no builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). under the Contractors' State License Law for the following reason: ✓ledge 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 legally 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 ipon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Authorized Agent Date 'S DECLARATION n perjury at I am licensed under provisions of Chanter 9 (commencing with Se cti , 7000) of Division 3 of the Business and Professio o �O license is II force /} License Noo _`7—��%-�JCYz Contractor Signature 1 v� ONi DECLARATION KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. perjury one of the following declarations: I� a��certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for V lCiI this permit is issued. Policy No. corkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa lumber are: tamer Policy Number Expiration Date dame of Agent Phone # 31 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become subject tpthe or ers' ppensatioonn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D Signature of Applicant )ECLARATION REGAR$IN'6-CONSTRUCTION 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 3y 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 I�to ent t awe-identifi property for inspection purposes. Signature of Property Owner or Authorized Agent fa UfJ Print Property Owner's or -Authorized Agent's Name Date 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 NOTIEkATIO12 TO PERMIT CANCELLED EPA o PERMIT EXTENDED LwQMD r PERMIT FINAL i i of ASBESTOS NOTIFICATION IS NOT APPLICABLE `r CERTIFICATE OF i PROPOSED DEMOLITIO OCCUPANCYISSUED SIGNATURE `'