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HomeMy WebLinkAboutX2021-0921 - PermitsCity of Newport Beach - Building Division *X2021-0921" COMB Permit: X2021-0921 p 100 Civic Center Drive, Newport Beach, CA 92660 { �'C Project No : 0853-2021 n. Permit Counter Phone (949)644-3288 m, Inspection Requests Phone (949)644-3255 *qSJ Issued Date : 0412012021 a,zyriw+'" Combination Type - BLDG PLUM Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/20/2024 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: 1862 BRAEMAR WAY NB _ Description: SFR PRE-FAB DIRECT -VENT ISOKERN FIREPLACE Legal Desc.: N TR 3282 LOT 42 Owner: TIPPETT BLAKE Address: 1862 BRAEMAR WAY NEWPORT BEACH, CA 92660 Phone: Applicant: WRIGHT JC Address: 833 DOVER DR #7 NEWPORT BEACH CA 92663 Phone: 949-795-0648 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $331.00 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $702.01 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor_ __wl DSCAPESry Architec 1`Carlie- s: 833 DO R DR STE7 Addressh app t$E�T EACH C�— O 1 CO% fel Phone. Phone: ❑ SO/0 Of State Lic: Con State Lic: 84258fi t gineer: RADVAR SHAHROKH Lic Exp ,n, 0a4r 120%C dress: 6, [ us Liz `' Y*A53 t0 IRVINE CA 90630 Vc Ex Spate Q2 + Phone: 714-270-6780 State Lic:C-066139 rion Insurance _ram,Design a� �'�Carrier: 1, FALLS LAK �'^ re Policy Nf y �.A 9'I a. .J ire a O'BfO Bu ,lathe Special Conditions: Left: I Right: I pAc - ment- (nowOly, Fire Department al Fee : Cwfl: kHousing F$011n-lieu $46.25 0 0' Bonds Fee: Fire Plan Re , a ' PC Consultant: Si o,.....;. �eeFee: $0.00 $0. 4ns B QUtO Building De $0.00 nap. Fee : Plumbing %: $0.00 Public Works D ariwien eY1PF ervice $0.00 $0.00 edication�i&B9"'� Refund Deposit $0.00 I'31Pf= elk : $0.00 Grading Bond: $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $29.79 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $702.01 PUBLIC WORKS APPROVAL: _ 11 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 reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 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 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 Sec ign,.7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section �.5by�11 � ermit subjects the applicant to a civil penalty of 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 „gr<toa eaeJT'[F- not intended or offered for sale (Section 7044, iness and Professions Code: The Contractors' State License Law does not apply to an owner w o, through employe@@¢g gJ[A,q FF, builds or improves the,groperty, provided that the rovements are not intended or offered for sale. If, however, the building or i s ithin one year of completion, thpl O COUilder willClhhave,(t6pr f (rF�ti 4fhg that it was not built or roved for the purpose of sale). n� [ffi�r V uuU I, as owner of the property, am exclusively ggplcaef+ng'rl licensed Con s to oust ct t ectien 7044, Business a�r �19FD�s�ioTis Cade: The Contractors' State License Law does not ly to an owner of property who builds or im(9�roves thereon, and who contract or c s with a licensed Contractor-pursuantTo the Contractors' State License Lam I am exempt from licensure under the Cont By my signature below I acknowledge that, exc sell a structure that I have built as an owner-buil'� Professions Code, is available upon request whf Signature of Property Owner or Authorized Ager LICENSED CONTRACTOR'S DECLARAT I hereby affirm under penalty of perjury that I am and effect. License Class Irr��''�ff��t��A,iGe or a following reason „F`.'-I�RrA';. DU personal residence in which 4,m ust`I ave resided for at least -one yea��r� _p_,rgil t t of the improvements covered by thi permit, I cannot if it has not been conW. cted In Its entirety by licensed contractors. I undeJS(tlTIC that a copy of the applicable law, Section 7044 of the Business and his subbed or at the following Web. site;http//www.-leginfo.ce.gov/calaw.html. ° der: provisions of Chapter 9 (commencing License No Business ancifPnN:eftions Code, anQAhy lict•:nse is in full force JORKERS' COMPENSATION DEC LARATI N ,?, DST OF: FAILURE TI ScWRE WORKERS' COMPENSATION VERAGE IS, UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE O IMINgL PENALTIES AND CIVIL FINES UP TO ONE HUNORF� THO SAND DOLLAR515100,eDuT, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR INS TION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. t +rah• affirm under penalty of perjury one of the fo wing declarations: I have and will raci.itain a certificate of consen to self�nsure for workers' compensation, issued by the Director f Ind tri g la[ioDs as'prdvided for b1(-Section 3700 of the L bor Code, for thI =rtormence of the,work for which this permit is issue Policy No. Start�Q / I and will malq:ain workers' compensation in ra e, as requi y epiigrr,f�00 qi ep a s de, for the performance (&1QeVbR for which this permit is issued. M ce '-compensatior anca carder pclicy number are: PRIPr - olicyP �Expiration Date PEEP. of Agents 11tt]] P oz ty that, m t)re perto nce of the wo for which is permit is issued, I shall not employ any person in er so as to become subject o411E�Fiorkers c ensafion-laws of California, and agreE at, if I should hecome sir ect to the wor rs' compens ion provisions of Section 3700 of the L e, I shall forthwith compl w' provisie _ t, Ignatwe of Applicant, _ FDat :reby affirm under penalty of perjury that there is a cons Ider's Name my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the pn I have read this application and the information I have I agree to comply with all applicable city and co of I authorize representatives of this city or noun ent nature of PrODertv Owner or Authorized Anent 009-"90 PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED CERTIFICATE OF OCCUPANCY ISSUED DATE I BY this permit is issued (Section 3097, owner's behalf. ad is correct. , 1 ;as a e laws relating to building construction. "1 abo -1 rt for inspection purposes. ILI t PropertOwners or Authorized Agent's Name Dal ON OF COMPLIANCE W F FEDERAL FOR OFFICE USE ONLY DNSP 3OF TITLE40 AND AOMO RULE I SUBMITTED EPA TO ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION `Z