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Home My WebLink AboutX2021-2958 - PermitsCity of Newport Beach - Building Division r1;+& 100 Civic Center Drive, Newport Beach, CA 92660 r~ �, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC *X2021-2958* COMB Permit: X2021-2958 Project No : 2065-2021 Issued Date : 11/01/2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110112024 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: 5 CYPRESS POINT LN NB Description: SFR *ADDITIONAL SCOPE* CHANGE LAYOUT @ 1ST & 2ND FLOOR. AND STRUCTURAL REPAIR Legal Desc.: N TR 7223 LOT 15 Owner: MARKHAM CHERYL & JIM Address: 5 CYPRESS POINT LN NEWPORT BEACH, CA 92660 Phone: Applicant: GRAVES HOLLY Address: 18 MULHOLLAND CT MISSION VIEJO CA 92692 Phone: 949-697-9401 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $11,000.00 Building Permit Fee: $263.00 Plan Check Fee: $228.81 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $34.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $597.22 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: MADISON J L CO Address: 24682 DEL PRADO #230 DAN APOINT CA 92629 Phone: 949.212-6922 Con State Lic: 672668 Lic Expire: 06/30/2023 Bus Lic: BT96000532 Lic Exp Date: 12/31/2021 Worker's Compensation Insurance Carrier: OHIO SECURITY INS Policy No: XWS60277669 Expire: 1010112022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $18.41 $0.00 $0.00 Plan Check Fee 0 Architect: Address: Phone: State Lic Engineer: BURKE LEO Address: 34167 PACIFIC COAST HWY #D DANA POINT CA 92629 Phone: 949-226-7130 State Lic:C-067404 Designer: GRAVES HOLLY Address: 18 MULHOLLAND CT MISSION VIEJO, CA 92592 Phone: 949-697-9401 Special Conditions: REV21-1702 Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $280.81 Fee Due at Permit Issuance : $316.41 PUBLIC WORKS APPROVAL: 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 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 :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 ?rofessions 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 (_) 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 ;rom Iicensure under the Contractors' State License Law for the following reason: By my signature below' 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 t is permit, I cannot legal Fell a Ftructure that I hive 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 action 7044 f the Business and Professions Cone, 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm Crider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) o Ivisi f the Business and Pro s' s Code, an license' in full force rnd effect. License Glass License No Date' Contractor Signature ^PY.ERS' C('PT°SNSATION DECLARATION f I / / uC 'PRNIN,;: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LL RS I$100, Oo N ADDITION TO THE DST OF COMPENSAT:DN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heceby�affirm un.ier fcaalty of perjury one of the following declarations: I hm,e 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 arformance of tha work for which this permit is issued. Policy No. sII have and will 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' compensatiol Iranee carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # I certify that, in the performanc the work f r w ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensati laws f California, and agre iat, if I should become subject to a workersensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ''// lignature of Applicant DatKivl A ZQ 2 IECLARATION REGA STR LENDIN AGENCY hereby affirm under penalty of perjury a her is a con ruction lending agency for the performance of the work for which this permit is issued (Section 3097,ode . ender's Name Lender's Address ly my signature below, I certify to each of the following: ) /�h�T I am the property owner or authorized to act on the property owner'sL / �, D �7 y l r I have read this application and the information I have ovided is cof--rI agree to comply with all applicable city and county or i antes andating to building construction. I authorize representatives of this city or cou o e t the above-idarty for inspection purposes. signature of Property Owner or Authorized A ent Print Property Owner's or Authorized A ent's NameLDat L ACTION DATE BY LARAT MPLI CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATI SP RT 610E TLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED IKI ATION IS N T/�P PLICABLE TO "OSEDM OjJ�f/'� A.../