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Home My WebLink AboutX2022-0810 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0810 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 8 1 0 Project No : 0734-2022 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : Area : 2oz2 rain Inspection Area 2 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: 836 HARBOR ISLAND DR NB Description: SFR INTERIOR REMODEL 3,091 SF, R/R ALL GYPSUM WALLBOARD, REROOF & STUCCO SIDING CHANGES "122.0352' Legal Desc.: N TR 3867 LOT 2 �� `v Owner: BAKER LINDA Contractor: M AND T CONSTRUCTION Architect: R Address: 836 HARBOR ISLAND DR Address: 1496 N STALLION ST Address: t%y NEWPORT BEACH, CA 92660 ORANGE, CA 92869 Phone: Phone: 714-454-6320 Phone: State Lie: Applicant: SERRANO ROLANDO Con State Lie: 1073831 Engineer: ' Address: 1041 W 18TH ST STE A-208 Lie Expire: 03/31/2023 Address: COSTA MESA, CA 92627 Bus Lie: BT30078655 , Phone: 323-508-6127 Lie Exp Date: 0513112023 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: SERRANO ROLANDO ' Type of Construction: V-B Carrier: EXEMPT Address: 1041 W 18TH ST STE A-208 Occupancy Group: R3/U Policy No: COSTA MESA, CA 92627 Added /New sq.ft. Bldg: 0 Expire: Phone: 323-508-6127 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: LIQUEFACTION No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $258,100.00 Building Permit Fee: $2,191.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,906.17 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: $2,191.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $34.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $180.67 Grading PC Fee: $0.00 Public Works Department - General Service $266.00 CA Seismic Safety : $0.00 WO Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 P/W Plan Check : $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $153.37 San Dist : $0.00 Building Green Fee : $11.00 Mechanical %: $87.64 NMUSD Fee: $0.00 $0.00 Plumbing %: $197.19 $0.00 TOTAL FEE : $7,910.79 Plan Check Fee : $1,730.99 Fee Due at Permit Issuance : $6,179.80 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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 reasons) 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 yras 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 Lic Be Law does not pply 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: Iy 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 is permit, I cannot I ell a structure the t ! 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 704 of the Busin nd 'rofessions Code Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignat_re of Property Owner or Authorized Agent Date .ICENSED COf:TR.5,CTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 Qf 1 is!r�of the Business and Pr a ions Cod nd my license is in full force nu effect. License Class License No Date Contractor Signatur ,IORKERS' f'OMPENSATION DECLARATION 'ARHINd: 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 I$100,0001, IN ADDITION TO THE DST OF COMPEN3., ICN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uncE. 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 th er.ormance of tl,e wjlk for which this permit is issued. Policy No. I I <v� and will maintain workers' compensation 1 urance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol lsurance carder and policy number are: 'ander Policy Number Expiration Date Jame of Agent Phone # 44.certify that, in the performance of the worKfIl t " 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 hat, if I should beco subject io the worke ' omp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, Signature of Applica Dat ^ �Z )ECLARATION RE AR ..CO STR N LENDING AGENCY hereby affirm under penalty of pe' t ere is a construction len g agency for the performance of the work for which this permit is issued (Section 3097, Ci 'I Code). .ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property o is behalf. I have read this application and the information I have provi s correct. I agree to comply with all applicable city and cou y ordina and at aws relating to building construction. I authorize representatives of this city or cou enter t bov ' entified property for inspection purposes. ,e. (4,72 Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DE RATION OF COMPLIAN WITH CODE OF FEDERAL FOR OFFICE USE ONLY E CATIONS PART 610E 71T E40 AND AQMD RULE 1 3 PERMIT EXPIRED I SUBMITTED ASBESTOS TIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED AQMD PERMIT FINAL �/ ,( w ASBESTOSN TIFICATI SNOT AP ICABLE TO CERTIFICATE OF g1I% Zl/�� ROPOSED 4EJ+IOLITION OCCUPANCYISSUED SIGNATURE: