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Home My WebLink AboutX2021-2198 - Permits�yr�wrty4; City of Newport Beach - Building Division *X2021-2198* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MIFF MECH ELEC PLUM COMB Permit: X2021-2198 Project No : 1898-2021 Issued Date : Inspection Arearea :2022 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210712025 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: 220 NICE LN NB St: 1 Ft: 3 Unit: 310 Description: MFR REMODEL 187 SF (KITCHEN) Legal Desc.: TR 8336 LOT 13 UNIT 202 OF PROJECT LOCATED ON AP 423-011-22 TOGETHER Owner: MIDDLEBROOKS CAROLYN Contractor: DEL SOL CONSTRUCTION INC Architect: d' - I Address: 200 NICE LN #310 Address: 27106 PACIFIC TERRACE DR Address: 't �+ Y NEWPORT BEACH CA 92663 MISSION VIEJO CA 92692 Phone: Phone: 949-454-1938 Phone: State Lic: Applicant: CARO JAMES Con State Lic: 970677 Engineer: CHRISTENSON PAUL Address: 14 GUNWOOD Lic Expire: 03/31/2022 Address: 663 VALLEY AVE AT#101 IRVINE CA 92612 Bus Lic: BT30059058 SOLANA BEACH CA 92075 Phone: 949-500.2208 Lic Exp Date: 05/3112022 Phone: 858-509-8505 State Lic:C-057182 "" ; Code Edit: 2019 Worker's Compensation Insurance Designer: , Type of Construction: V-B-SPR Carrier: STATE COMP Address: ' Occupancy Group: R2/U Policy No: 1441295 '. Added /New sq.ft. Bldg: 0 Expire: 1010112022 Phone: Added /New sq. ft. Garage: 0 ' No of Stories: 3 Building Setbacks Rear: / Special Conditions: , No of Units : 49 Front: / " Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30,000.00 Building Permit Fee: $559.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $486.33 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 : $12.00 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 PM Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $78.26 San Dist : $0.00 Building Green Fee : $2.00 Mechanical %: $61.49 NMUSD Fee: $0.00 $0.00 Plumbing %: $50.31 $0.00 TOTAL FEE : $1,301.39 Plan Check Fee : $538.33 Fee Due at Permit Issuance : $763.06 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: 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 ie 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 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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 Iicensure under the Contractors' State License Law for the following reason: ly my signature b^l D•v 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,, ell 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 ", ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. gnaturc of Property Ot:•ner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION nereh;• 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 ro s Code and my licens is in full f ce nd effect. Licence ,ass License No Date Con actor Sign ture _ 1!ORKERS' COMPENSATION DECLARATION 'APNINCFAILURE. rO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF C')MPENS;. r!ON, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unde- 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 th erformance of the work For which this permit is issued. Policy No. and will ma'ntrin 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' carrier and policy number are: 1 Policy Number of Agent I certify that, in the perForma926of the work for which this 1 1, if I should become subject to the worl,pr 'compensation (nature of Applicant — -- — is issued, I (ions of Set Date ( not employ any person in any manner so as to become subject to the workers' compensation Bwsf California, and ogre 3700 of the Labor Code, I shall forthwith comply with those provisions. Date :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). Ider's Name my signature below, I certify to each of the following: I am the property owner or authorized to act an I have read this application and the infor on I he I agree to comply with all applicable y and court I authorize representatives of thi ity or county signature of Property Owner or Auth ACTION DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED owners behalf. ed is correct. .`es arid —state laws the building construction. inspection purposes. Print Prooertv Owner's or Authorized BY DECLARATIOIT15?•COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE POA- I SUBMITTED ASBESTOS NOTIFICATION TO EPA AQMD TO FOR OFFICE USE ONLY Z?1