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Home My WebLink AboutX2022-0703 - Permits��+oT City of Newport Beach - Building Division i K 100 Civic Center Drive, Newport Beach, CA 92660 Permit Cdunter Phone (949)644-3288 -" Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIII II COMB Permit: X2022-0703 Project No: 1418-2021 Issued Date : 03/09/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0310912025 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: 3 CASTAWAYS NORTH NB Description: SFR "CHANGE OF CONTRACTOR' ADD 90 SF, REMODEL 210 SF (BATHROOMS, FAMILY ROOM), NEW INTERIORIEXTERIOR GUARDRAILS Legal Desc.: N TR 15012 LOT 96 Owner: KEILLOR ERIC LEE Contractor: MATT WHITE CUSTOM HOMES INC Architect: Address: 2429 W COAST HWY #210 NEWPORT BEACH, CA 92663 Address: 3090 PULLMAN ST Address: COSTA MESA CA 92626 M Phone: Phone: 714-557-1325 Phone: State Lic Applicant: SANTANIELLO JAMES Con State Lic: 940163 Engineer: Address: 3419 VIA LIDO Lic Expire: 1113012023 Address: NEWPORT BEACH, CA 92660 Bus Lic: BT30030932 Di Phone: 714-815-5097 Lic Exp Date: 02/28/2023 Phone: State Lic: Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 90 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WVE506121800 Expire: 07/01/2022 Building Setbacks Rear: 10 Front: 10 Left: 5 Right: 5 Use Zone: Parkins Spaces: 0 Designer: KONAK SIBEL Address: 2627 SEAVIEW AVE NEWPORT BEACH, CA 92625 Phone: 415-306-4332 Special Conditions: REPLACE X2021-2844 Fire Hazard Zone : N Building Permit Fee: $0.00 -' Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee : $38.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $38.00 PROCESSED BY: ZONING APPROVAL: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00 PUCLIC,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 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 (_) 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). ❑ 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. 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 7�00&f llsi{p� of the Business and P ofill s Code, a m.Jicaa+s-ia. ill force and effect. License Class License No Date Contractor Signatur 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 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '1 hereby affirm under penalty of perjury one of the following declarations: 111 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, forth pertor rice of the work for which this permit is issued. Policy No. have and will maintain workers' c nsation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatiol insurance carrier arN okry number re; _ I. /} ie of Agent _�\ certify that, in the performance of the if I should become subject to the we Date 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 nrssnncncnflmf? nrnvlsinne of Sentlnn 3700 of the Labor Code. I shall forthwith comply with those provisions. nature of Applicant 'NJ 7z V &V 1 CLARATION REGAPPMG CONSTRIaCTION LENDING AGENCY :reby affirm under pefialty 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). lder's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or co my can r the EDO -ide eFEy for inspection purposes. re of ACTION PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED or Authorized Agent .1�� Print Property Owner's or Authorized Ag DATE BY f�D�LAR ON OF COMPLIANCE WITH CODE OF FEDERAL IFOR OFFICE USE ONLY -R£6.ULATION5 PART 61 OF TITLE 40 AND AQMD RULE NOi IF I( AliUN TO IS NOTAPPLIGABLE TO —2—Z—