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Home My WebLink AboutX2022-1689 - PermitsCity of Newport Beach - Building Division *X2022-1689* COMB Permit: X2022-1689 G, 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1536-2022 Permit Counter Phone (949)644-3288 s� C Inspection Requests Phone (949)644-3255 Issued Date : 0710112022 Combination Type - MFP ELEC Inspection Area : 2;. ._ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WIL E 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 o/' ays Job Address: 117 COLLINS AVE NS s Description: MFR REBUILD EXTERIOR STAIRS W/ELECTRICAL s A Legal Desc.:.�. Owner: CAMILLE LYNN BURKE TRUST Contractor: OWNER/BLDR Architect: CHIU PATRICK 4 Address: 117 COLLINS AVE Address: BURKE CAMILLE LYNN Address: 320 W CLARY AVE NEWPORT BEACH, CA 92660 018 AUTH ATT SAN GABRIEL CA 91776 r Phone: Phone: Phone: State Lic:C61.2852 Applicant: CAMILLE LYNN BURKE TRUST Con State Lic: O/B Engineer: ZHANG JIEFU- Ag& Address: 117 COLLINS AVE Lic Expire: Address: 1205 SOUTH 4TH ST NEWPORT BEACH, CA 92660 Bus Lic: ALHAMBRA CA 91801 Phone: 949-375-4235 Lic Exp Date: Phone: 626-379-2307 State Lic:S-005270 Code Edit : 2019 Worker's Compensation Insurance Designer: , Type of Construction: V-B Carrier: Address: Occupancy Group: R31U Policy No: ' Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 ' No of Stories: 2 Building Setbacks Rear: 5 Special Conditions: LIQUEFACTION No of Units : 2 Front: 5 FLOOD ZONE . Bldg Height: 0 Left: 3 Bldg Sprinklers: Right: 3 , Flood Zone: A01 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10 000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 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: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $16.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PIN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $17.22 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $546.24 Plan Check Fee : $266.02 Fee Due at Permit Issuance : $280.22 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 reason(s) indicated below by the checkmark(s) 1 hays placed.aext 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 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 rovements 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 roved 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). Lj I am exempt from Iicensure under the Contractors' State Licenses Law for the following reason: By my signature below I acknowledge that, except for my person dl residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, sell a structure that have built as an owner -builder if it has not been to 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 a pficati/. ubmi he following Web site:http://www.leginfo.ca.gov/calaw.html. / Signature of Property Owner or Authorized Agent - Date ✓ LICENSED CONTRACTOR'S DECLARAT164 I hereby affirm under penalty of perjury that I am license under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION ✓✓ARNIN3: FAILUJE O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,D00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ( Lareby affirm under penalty of perjury one of the following declarations: n I have and will mdintain 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 thI oeifnrmance of the work for which this permit is issued. Policy No. 'i�ve and wId maihtain 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' recce carrier and policy number are: r.i�. oG Agent - _ Policy Number Expiration Date detti•y that, in the -performance of the work 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 should bennme, subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty 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). ender's Name Lender's Address y 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 hav o Ided is correct. I agree to comply with all applicable city and cou Ord' n tate ws relating to building construction. I authorize representatives of this city or COLD to ant ab a ied property for inspection purposes. ACTION DATE B:72 DECLARATIOYOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIREO I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED L Qmo PERMITFINAL % SBESTOS NOTIFI PLI LE TO CERTIFICATE OF 3//s/ / POSED DEM OCCUPANCY ISSUED SIGNATURE: