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Home My WebLink AboutX2021-2565 - PermitsQ�Y,wr•ra4,T City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM COMB Permit: X2021 Project No : 2223-2021 Issued Date : 0612912022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 4 RUE SAINT CLOUD NB Description: SFR ADD 261 SF (CONVERT ATRIUM TO LIVABLE). REMODEL (E) 1962 SF. RE CONSTRUCT/RE-ROOF. RE -STUCCO PORTION. Legal Desc.: N TR 7519 LOT 52 Owner: BARMAN BETTY B Address: 4 RUE SAINT CLOUD NEWPORT BEACH, CA 92660 Phone: Applicant: FRANCIS TIM Address: 15761 HUMMINGBIRD LN HUNTINGTON BEACH CA 92649 Phone: 714-230-6416 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 261 Added /New sq. ft. Garage: -31 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $240,000.00 Building Permit Fee: $2,925.00 Plan Check Fee: $2,437.39 Overtime Plan Ck: $0.00 investigation Fee: $0.00 Record Management : $40.00 Energy Compliance: $168.00 CA Seismic Safety: $31.20 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $10.00 TOTAL FEE: $7,311.34 PROCESSED BY: ZONING APPROVAL: Contractor: W A M CONSTRUCTION Address: 11240 MOUNTAIN AVE RIVERSIDE CA 92505 Phone: 949-290-1842 Con State Lic: 781538 Lic Expire: 07/31/2022 Bus Lic: BT30024689 Lic Exp Date: 0813112022 Worker's Compensation Insurance Carrier: NORGUARD INS Policy No: WIWC326396 Expire: 06/11/2023 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: 15' Front: 10' Left: 5' Right: 5' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $204.75 $117.00 $263.25 Architect: Address: Phone: State Lic: , Engineer: FORBES DALE L Address: 1800 E 16TH ST #B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: FRANCIS TIM Address: 15761 HUMMINGBIRD LN HUNTINGTON BEACH CA 92649 Phone: 714-230-6416 Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PIW Plan Check: $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $200.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $27.00 $265.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $2,458.14 Fee Due at Permit Issuance : $4,853.20 PUBLIC WORKS APPROVAL: n PLAN CHECK BY: GRADING APPROVAL: -� APPROVAL TO ISSUE: l fTX� OWNER -BUILDER DECLARATION I 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, 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). 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, 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). I am exempt.from licensure under the Contractors' State License Law for the following reason: By my signature belnW 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 legally sell a ztructure 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 Pfcfessions Cod,, 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 Dato LICENSED CONTRACTOR'S DECLARATION I hereby affirm unde, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of49ivision 3 of the Business and Pro ins Co rid y license is in full force and effect. Licorse Class License No Date v- Contractor Signatur WORKERS' CCMPPNSATION DECLARATION WARNING: FAILURE -. u ScCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE 033. JF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I :1J,abv affirm under penalty of perjury one of the following declarations: I have and %A1 m6intain 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 xi funrance of the wo-k for which this permit is issued. Policy No. have and wil 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' ;.ante carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of work to 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 that, if I should become subject to the r ers' c ensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Signature of Applicant DECLARATION REGA D CONSTRUCTI 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, Ci 'I 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 or 'ded is corr t. I agree to comply with all applicable city and county Droll es ands a laws relating to building construction. authorize representatives of this city or con t to nier h above -id tified property for inspection purposes. / u Signature of PropertyPropeqy Owner or Authorized A e Print Property Owner's or Authorized Agent's Nam, ( G�DaR'° ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I) I SUBMITTED ASBESTOS NOTIFICATION TO EPA AQMD TO