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Home My WebLink AboutX2021-2413 - Permits+,Ewr'ryr City of Newport Beach - Building Division .100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIN COMB Permit: X2021-2413 Project No : 2086-2021 Issued Date : 0910912021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/09/2024 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: 31 CAMBRIA DR NB Description: DEMO SFR W/ATT GAR (4) BDRMS 2646 SF W/SEWER CAP Legal Desc.: N TR 7844 LOT 106� Owner: DG NEWPORT LLC Contractor: NICHOLSON CONSTRUCTION CO Architect: TEALE MARK )� Address: 1 CORPORATE PLAZA DR #110 Address: 1 CORPORATE PLZ #110 Address: 2900 BRISTOL ST BLDG A203 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 COSTA MESA CA 92626 ff`� J Phone: 9491765-8393 Phone: 949-872-6637 Phone: 949-975-0123 State Lic:CO22162 f , �+ e Applicant: NICHOLSON CONSTRUCTION CO Con State Lic: 660295 Engineer: Address: 1 CORPORATE PLZ #110 Lic Expire: 12/31/2022 Address: NEWPORT BEACH CA 92660 Phone: 949-872-6637 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zane: Construction Valuation: Building Permit Fee: $122.00 Plan Check Fee: $223.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,444.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Bus Lic: BT98032850 Lic Exp Date: 04/3012022 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9074255 Expire: 1010112021 Building Setbacks Use 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: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.98 Phone: State Lic: ' Designer: , Address: Phone: Special Conditions: JD DEMO TO HAUL DEBRIS - o CERTIFIED MAIL RECEIPTS ' ATTACHED , Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $104.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: /1171 APPROVAL TO ISSUE: $0.00 $0.00 $27.00 $265.00 $1,692.00 $0.00 $0.00 $0.00 $2,444.98 11 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forth a reason(s) indicated below by the checkmark(s) I have placed next to the Sop Iicable'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 licensedpursuant 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 iot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 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 legall, 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 70 of ivision 3 of the Business and Profe ns Code an y license is in full force and effect. License Class License No Date Contractor Signatu�bs —I—) NORKcRS' COMPENSATION DECLARATION N..RNII.G: 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 :OST OF COMPENSA ION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uncer penalty of perjury one of the following declarations: 1 t, ave 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 thl rr;rrmance of the work for which this permit is issued. Policy No. Lj)imve 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' compensatioi ?r j.a.i3e carrier and policy number are: ..Inner _ Policy Number Expiration Date came of Agent Phone # 21 certify that, in the �eriormance 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 agre hat, if I should become sub t n��aatt+++pppn to the workers' comperovislons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q Signature of Applicant � G/Y� I i7 Date� )ECLARATION REGORDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work far which this permit is issued (Section 3097, Civil 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 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 county to note above-ide "e roperty for inspection purposes. N Cj ,f'.i� Date signature of Property Owner or Authorized Agent C�../�• Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED MD PERMITFINAL AQ ESTOS NQTIFI�CATION IS NOTAPPLICABLE TO CERTIFICATE OF Z° POSED DEM�LIyT19j7C OCCUPANCYISSUED SIGNATURE: i''�1-1