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Home My WebLink AboutX2022-0702 - Permits�Mr=rr� City of Newport Beach - Building Division r 100 Civic Center give, Newport Beach, CA 92660 P,errrit Counter Phone (949)644-3288 x•-. . Inspection Requests Phone (949)644-3255 Za `` i111111 `' Combination Type - SFP MECH ELEC PLUM GRAD COMB Permit: X2022-0702 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 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* REMODEL 1,320 SF, KITCHEN, CHANGE OUT WINDOWS/DOORS & YARD DRAINAGE (-`a Legal Desc.: N TR 15012 LOT 96 6-r' Owner: KEILLOR ERIC LEE Contractor: Address: 2429 W COAST HWY #210 Address: NEWPORT BEACH, CA 92663 Phone: Phone: Applicant: KONAK SIBEL Con State Lic: Address: 2627 SEAVIEW AVE Lic Expire: NEWPORT BEACH, CA 92625 Bus Lic: Phone: 415-306-4332 - Lic Exp Date: MATT WHITE CUSTOM HOMES INC Architect 3090 PULLMAN ST Address: COSTA MESA CA 92626 714-557-1325 Phone: 940163 Engineer: 11/30/2023 Address: BT30030932 02/28/2023 Phone: Code Edit : 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: INS CO OF THE WEST Occupancy Group: R3/U Policy No: WVE506121800 Added /New sq.ft. Bldg: 0 Expire: 07/01/2022 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / .Jy ral State Lic: (7) FORBES DALE L 1800 E 16TH ST #B SANTA ANA CA 92701 '� § 714-835-2800 State Lic:C-030407 �5 Designer: KONAK SIBEL Address: 2627 SEAVIEW AVE CORONA DEL MAR CA 92625 Phone: 415-306-4332 Special Conditions: REPLACE X2021-1605 ood Zone: X Use Zone: Parking Spaces: 0 Fire H Construction Valuation: $0.00 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 PM 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 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, alsa 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 professions 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 iot 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 C_) 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 Iicensure 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:http://www.leginfo.ca.gov/calaw.html. 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 0 Division 3 of the Business and Pr as ' n Code, and y li¢enae 1s 1P1-fvMvforce and effect. License Class License No Date Contractor Sign at it WORKERS' COMPENSATION DECLARATION NARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 the perfogmance of the work for which this permit is issued. Policy No. have and will maintain workers' compent t on insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and lic�'flhmber are: I Policy Ie of Agent Date certify that, in the performance of the work r which this FArmit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre [, if I should become sued to a workers' c of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat -7 CLARATION REGA I CONSTRUCOIDN LENDING AGENCY ereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Civil Code). Ider'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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or cou �t t),,/enter the above -identified property for inspection purposes. � nature of ProDertv Owner or Authorized Aoent .[ , _ Print Property Owner's or Authorized Agent's NameV ATny _ Daja��jjq ACTION DATE BY RE(13'- ONN DART MP TNTCE E WITH CODE OF FED ERAL FOR OFFICE USE ONLY PERMITEXPIRED U I SUBMITTEJ ASBESTOS NO-ICI_A.TION TO PERMITC4NCELLED LIEPA _ PERMIT EXTENDED QMD PERMIT FINAL PkSBEST NOTIFICATION IS NOT APPLICABL TO CERTIFICATE OF J PROP05 DE� OL�I N "�"�99 OCCUPANCY ISSUED 51G URE: 'Y rAAiX %iF y.�