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Home My WebLink AboutX2021-1418 - Permitsµ�,t•, r, City of Newport Beach - Bidding Division COMB Permit: X2021-1418 r .� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1244-2021 Permit Counter Phone (949)644-3288 ,,. Inspection Requests Phone (949)644-3255 Issued Date : 0710912021 aa' A Combination Type - SFP Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/09/2024 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: 401 HELIOTROPE AVE NB Description: MFR CHANGE DOOR SIZE AND ADD NEW DOOR Legal Desc.: -V Owner: LEGGETT MICAHEL Address: 401 HELIOTROPE NEWPORT BEACH, CA 92660 Phone: Applicant: GOETZ ANDREW Address: 2855 E COAST HWY #234 CORONA DEL MAR CA 92625 Phone: 949-673-3152 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $559.00 Plan Check Fee: $486.33 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety : $0.0( Disabled Access : $0.0( Hazardous Mat $0.0( Building Green Fee : $2.0( TOTAL FEE: $1,103.33 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: M C M Address: 2238 PORT CARLISLE PL NEWPORT BEACH CA 92660 Phone: 714-803-9204 Con State Lie: 869498 Lie Expire: 12131/2021 Bus Lie: BT30042113 Lie Exp Date: 01/31/2022 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: WO Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: / Front: / Left: I Right: I arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: GOETZ ANDREW ,ram. Address: 2855 E COAST HWY #234 CORONA DEL MAR CA 92625 Phone: 949-673-3152 State Lic:C018499 Engineer: Address: VCi Phone: a,QV State Lie: _ • . Designer: S7-Ruc� Address: l.i 0/v - Phone: lJ wO 0A, R Special Conditions?-'q�q V t3 Planning Department - Plan check Fee Fair Share: SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 $532.58 Fee Due at Permit Issuance : $570.75 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 (a) 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 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-Builderwill 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.ca.gov/calaw.htmi. Signature of Prcpa. ty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereb,, affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) of Division 3 of the Business and Professions�ed�n� m is in full force and effect. License Class License No Date %/� Contractor Signatures w/ i G/.Y.y JvnRKERS' COMPENSATION DECLARATION NARKING: FAILURE T'1 -'CURE 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 -nST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. her^hy 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 the .c'a.roance of the, work for which this permit is issued. Policy No. havr and will. ma;a:ain 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' ranee carrier Ind pclicy number are: of Agent Policy Number Expiration Date hcertify that, in the performance of the 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 agre t, if I should become ssyblect totoworkers''' C mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /! (nature of Applicant/::Zr// ' !� r' Q.(N` Date// 2., CLARATION REGARDING CONSTRUCTION LENDING AGENCY �reby 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). tder'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 ordinances and state laws relating to building construction. I authorize representatives of this city or cou y t enter, tt �e�-identified property for inspection purposes. nature of Property Owner or Authorized A t �7z v ft A\ Print Property Owner's or Authorized ADent's Namw �%�Ir �� rvl" 10 ACTION PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 -1 %- ASBESTOS NOTIFICATION IS NOTAPPUCABLE TO FOR OFFICE USE ONLY ul U O Ct3 ysw `J ❑ CLI 11y LL N �- C O N -O O L C O .-C O t( �¢ OjQ (n O O( Ui t= C CD cl 77 ai V 00 1 CU .-�, -C cciw O U) O I O O 0 Coo CD �U U L Ct) (v O tl7 Tir U^- U) -� '�- O z '� •� �-� G '(n /v W L UJ i- TU N (d 6j L vJ M C CU a)C N �t L1 �� Ctl d+ en r T O O in tZ L E m la T zm C V! w 0 e cc k. � } \ � \ \ 22 }} 3 �} {\\ z 2 2 6 / _ ( u ) / w §