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Home My WebLink AboutX2022-0090 - PermitsCity of Newport Beach - Building Division 'X2022-0090" COMB Permit: X2022-OOCIO r,s•p.,,i. 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0102-2022 ' Permit Counter Phone (949)644-3288 ;• .. " A Inspection Requests Phone (949)644-3255 -,�xrun+"' Combination Type - BLDG �[ � Issued Date : 01/13/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLE E 0 1312025 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: 272 EVENING CANYON RD NB Description: DEMO DETACHED GARAGE 400 SF Legal Desc.: N TR 1116 LOT 61 Owner: BEDERMAN STACY Contractor: NICHOLSON CONSTRUCTION CO Architect: TEALE MARK Address: 272 EVENING CANYON RD Address: 1 CORPORATE PLZ #110 Address: 2900 BRISTOL ST BLDG A203 CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 COSTA MESA CA 92626 Phone: Phone: 949-872-6637 Phone: 949-975-0123 State Lic:CO22162 + ; Applicant: GLASS NANCI Con State Lic: 660295 Engineer: Address: 1 CORPORATE PLAZA DR STE 110 Lic Expire: 12131/2022 Address: .. NEWPORT BEACH, CA 92660 Bus Lic: BT98032850 Phone: 714-865-4465 Lic Exp Date: 04/30/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE FUND Address: , Occupancy Group: U Policy No: 9074255 Added /New sq.ft. Bldg: 0 Expire: 10/01/2022 Phone: 1 3; Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: ; No of Units : 0 Front: I j' Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $3,000.00 Building Permit Fee: $127.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $110.49 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: $0.00 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 %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing W $0.00 $0.00 TOTAL FEE : $290.49 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $290.49 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: /" PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjurythat 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, priorto its issuance, also requires the applicant for he 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 'rofessions 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 fora permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). 1, 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, 3usiness 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 mprovements 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 mproved 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 Ipply 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 Iicensure under the Contractors' State License Law for the following reason: 3y my signature LBAW 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 legal]) :ell a structure th+,t Ihave 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 2rof6 sions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calmw.htmi. 31gn 1ture of-cp^ :^,' Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Sectio 0) Of D VI oj�'I the Business and Pr Code, and y titan is in full force and effect. License Class License No Date -J-LL Contractor Signature v6PKERS' COM?ENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE a,Sr OF COMP FHSJITJON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Ecreby affirm under penalty of perjury one of the following declarations: 7 I have anti will maintain a certificate of consent to self4nsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi tied ,Tnance• of tha work for which this permit is issued. Policy No. �If Fave 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' compensatior , rance ca.rier and policy number are: Policy Number of Agent Date JI Certify thaC in the performance o e work forwhich 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 tat, if I should becom%s/ybfact a workers' compensatlon(prrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant /0.�� - /1 Date 1-13-22 IECLARATION REBAND G CG71V NST&U nT 0 LADING 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). tinder'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 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 countvpj4hiances and state laws relating to building construction. I authorize representatives of this city or courVIS enter the above -identified PJ�2pparty for inspection purposes. signature of ProDertv Owner or Authorized Agent , a V —DOM p.,.,, , n,.,,.er� ,.. e.,rn...rwa A.,e..1. wr-- V Nand Glass -A/, _9 0. DATE BY , J%PECLARATION OF I RE2ULAT10NS PART0MPLIANCE WITH CODE OF 1 OF TITLE 40AND AQMD RULE FOR OFFICE USE ONLY 1 SUBMITTED PERMITCANCELLED PERMITEXrENDED CERTIF/CATEOF OCCUPANCYISSUED ISNOTAPPUCABLE TO