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Home My WebLink AboutX2021-1403 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 4 I lv Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM 'X2021-1403` COMB Permit: X2021-140 Project No : 1230-2021 �- gtl 1 _°*c �1 �'� f77 ��ii N Issued Date : 021 Inspection Arearea : 55 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811112024 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: 12 TASMAN SEA NB Description: SFR KITCHEN REMODEL (214 SF) Legal Desc.: N TR 15857 LOT 6 Owner: MONTGOMERY JULIE & RANDALL Contractor: M C M Architect: Address: 12 TASMAN SEA Address: 2238 PORT CARLISLE PL Address: -. NEWPORT COAST, CA 92657 NEWPORT BEACH CA 92660 Phone: 262-339-6994 Phone: 714-803-9204 Phone: State Lic: , Applicant: RIZZO WAYNE Con State Lic: 869493 Engineer: Address: 484 PROSPECT ST Lic Expire: 1213112021 Address: NEWPORT BEACH, CA 92663 Bus Lic: BT30042113 Phone: 949-285-7447 Lic Exp Date: 01131/2022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: RIZZO WAYNE Type of Construction: V-B Carrier: W/C EXEMPT Address: 484 PROSPECT ST Occupancy Group: R-3/U Policy No: (NO EMPLOYEES) NEWPORT BEACH, CA 92663 Added /New sq.ft. Bldg: 0 Expire: Phone: 949.285-7447 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $361.92 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: $2.00 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 WO Insp. Fee : $1,00 Park Dedication : $0,00 Refund Deposit $1,11 Disabled Access : $0.00 PM Plan Check : $0.00 Grading Bond: $0.0p Hazardous Mat $0.00 Electrical %: $29.12 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $16.64 NMUSD Fee: $0.00 $0.00 Plumbing %: $37.44 $0.00 TOTAL FEE : $916.12 Plan Check Fee : $408.17 Fee Due at Permit Issuance : $507.95 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 .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 for a permit subjects the applicant to a civil penalty of -ot more than five hundred dollars ($500). I, 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 Proressions 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 art, � iut 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 . np. cv3J for the pumcse 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 _pp'y to an owner rf 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'rom lipensure under the Contractors' State License Law for the following reason: By my a gnature below' 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 legally 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 Pl orassicns CodL, i-;. ailable upon request when this application is submitted or at the following Web site:http://www. leginfo. ca.gov/calaw.html. Ci3.irtire of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm Tinder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section°70 0) of ivi on 3 of the Business and Pro io ode an icense is in full force and effect. Lice„se Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECJRE 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. hereby 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 thl cerformance of the work for which this permit is issued. Policy No. I have 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' urance carrier and policy number are: Policy Number of Agent Date 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 agre 'at, if I should become su ect t he ork r mpensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. Q 9 ignature of Applicant C�� DkL O �� 2 / ECLARATION REGA 1 ONSTRUCTI N 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, Ci Code). ender's Name Lender's Address y 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 coun)y ordinances and state laws relating to building construction. / I authorize representatives of this city or cou ant eca�6-ovee--I tifIS, property for inspection purposes. �t //„�7 rt^ n/// /_ , ionature of Pmnertv Owner or Authorized Anent /G"L': CUA Print Prooertv Owner's or Authorized Aoent's Name\/ ( a0A "l�'& D e 25 L� ACTION DATE BY 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AOM D PERMITFINAL Z- - Jx ASBEST S TIFICATION IS NOTAPPPJ/C/AABLL'E/(TO CERTIFICATE OF OCCUPANCYISSUED 5G POUREII� �/'�v`