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Home My WebLink AboutX2021-1428 - Permits„T,Ntrc,4, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1428 1 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 1 4 2 8 Project No: 1251-2021 4 L. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 11/22/2021 Combination Type - SFP ELEC MECH PLUM Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/22/2024 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: 30 BAFFIN BAY NB Description: SFR KITCHEN, LIVING ROOM, 4 BATHROOM REMODEL (1878 SF), NEW ATT WOOD PATIO COVER (318 SF), WINDOW & DOOR CIO. Legal Desc.: N TR 15851 LOT 23 Owner: HSIEH LEAH M Contractor: RIGGINS CHRIS CONSTRUCTION Architect: BARLOW CHRISTOPHER Address: 30 BAFFIN BAY Address: 692 N CYPRESS Address: 1428 CHARLESTON ST NEWPORT COAST, CA 92657 ORANGE CA 92867 TUSTIN CA 92782 Phone: Phone: 714-580-6671 Phone: 510-912-8719 State Lic:C031392 Applicant: BARLOW CHRISTOPHER Con State Lic: 906800 Engineer: CARDOSO MICHAEL Address: 1428 CHARLESTON ST Lic Expire: 09/30/2023 Address: 3317 RAMONA DR TUSTIN CA 92782 Bus Lic: ST30067688 SANTA ANA CA 92707 Phone: 510-912-8719 Lic Exp Date: 06/30/2022 Phone: 714-926-6250 State Lic:C-059415 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: INS CO OF THE WEST Address: Occupancy Group: R3/U Policy No: WSD506026400 Added /New sq.ft. Bldg: 0 Expire: 04/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 10' Special Conditions: ROBERTS WASTE No of Units : 1 Front: 10' TO HAUL DEBRIS Bldg Height: 0 Left: 0' Bldg Sprinklers: Y Right: 0' Flood Zane: X Use Zone: PC52 Parking Spaces: 0 Fire Hazard Zone : IN Construction Valuation: $226,230.00 a Building Permit Fee: $1,999.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,739.13 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: $66.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $158.36 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety : $29.41 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $139.93 San Dist: $0.00 Building Green Fee : $10.00 Mechanical %: $79.96 NMUSO Fee: $0.00 $0.00 Plumbing %: $179.91 $0.00 TOTAL FEE : $5,3059.70 Plan Check Fee : $1,091.48 Fee Due at Permit Issuance : $4,218.22 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 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(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 cf 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 icensure 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 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 -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 legal) 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://w .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 00 of Division 3 of the Business and Prof ssiorode,; my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION ' 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 e ormance of the work for which this permit is issued. Policy No. h ve 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 t�sure ce carrier and policy number are: r Policy Number Expiration Date Name of Agent Phone # I 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 ogre that, if I should become subject to theJv�rkers' o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant x ` //Gk _— Dat)e— DECLARATION REGARDI CAN 3N TRUCTION 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 inances nd state laws relating to building construction. I authorize representatives of this city or cou ty to er the ve-identified property for inspection purposes. Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name / k5 ' Date ACTION DATE BY J DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 'X REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1 1403 _ PERMIT EXPIRED SCBMITTEDrASBESTOS NOTIFICATION TO PERMIT CANCELLED —� PERMITEXTENDED QMDD QM D PERMITFINAL to •(LZ SBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF R or1SED DEMOLITIO OCCUPANCY ISSUED SIGLAT JR-__: - 2s otn- C m aCi tC N QJ iy Q'i H 4y C v yo y • O 00 v Q+ O Q o z i° �o °r�ov m O ONi N O w 0 u \i 0 d m o 0 03vbiD C N p U 3 U C-4 rn � � aG o°o m en O o� ° CoC7 yGd' oa�>i •'�Eo 'GC0 03 v °'w 3 Xv aano ��°° ox � o ,�v a. ❑ x Nm 1.UbD .> 'U ° eio o U Z � v o ioNm p= P. ,x omUu . an o N cc) o u UUw�m2U C� 'WGao U¢ E o � cx cn W Vi U r U M Ifl u