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Home My WebLink AboutX2022-0779 - Permits (3)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2022-0779 100 Civic Center Drive, New ort Beach, CA 92660 X 2 0 2 2 0 7 7 9 P Project No : 0690-2022 Permit Counter Phone (949)644-3288 (9) Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM Issued Date : 05/1812022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/16/2025 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: 4457 W COAST HWY NB Description: MFR INTERIOR REMODEL 1659 SF 1/0 Legal Desc.: TR 7530 LOT 1 UNIT 24 OF PROJECT LOCATED ON AP 423-031-01 TOGETHER on Owner: HENNON ROBERT D Contractor: BC HOME BUILDERS Address: 4457 W COAST HWY Address: 3202 W WARNER AVE NEWPORT BEACH, CA 92663 SANTA ANA CA 92704 Phone: Phone: 714-754-0709 Applicant: BITRAGO ALFANSO Can State Lic: 940362 Address: 3202 W WARNER AVE Lic Expire: 0513112023 SANTA ANA, CA 92704 Bus Lic: BT30075504 Phone: 714-754-0709 Lic Exp Date: 0613012022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-S Carrier: CYPRESS INS CO Occupancy Group: R2 Policy No: BCWC229369 Added /New sq.ft. Bldg: 0 Expire: 1212612022 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / No of Units : 8 Front: / Bldg Height: 0 Left: / Bldc Sprinklers: Right: / Architect: •�� Address: ey:: � Engine( Address: Phone: VV�+�jtiState Lic: I 11�t CZAJKOWSK,l�J W. ' 2 HARBOR BLVD MESA CA 92627 /��/�.' 71 )22�0y� State Liig-032946 Designer: "V�! Address: Phone: Special Conditions: NOISE FORM ON PLM}SNSe � ^-' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $132,720.00 Building Permit Fee: $1,435.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,248.45 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: $28.00 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $100.45 San Dist : $0.00 Building Green Fee : $6.00 Mechanical %: $57.40 NMUSD Fee: $0.00 $0.00 Plumbing %: $129.15 $0.00 TOTAL FEE : $3,056.45 Plan Check Fee : $3,056.45 Fee Due at Permit Issuance : $0.00 ........----. --- PI IRI IC WORKS APPROVAL: ' ZONING APPROVAL: LA PLAN CHECK BY: r� 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, 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 (_) 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 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). ❑ 1 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 Iegall� 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.ieginfo.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 7000) of Division 3 of the Business and Profession) s Code, and license is in full force and effect. License Class License No Date Xg)LS /!11, Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH SAND DOLLAR 1St 00,0001, 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: 111 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 eS (foLmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date ne of Agent rnone � certify 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 agre 1, if I should become subje t to the workers' co p sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 8 ,p nature of Applicant Dat J��2L CLARATION REG G ONSTRUCTI LENDING AGENCY :reby affirm under penal f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 count�tol' er�]te_r,,the� a�bove-id d gylopert�y for inspection purposes. ,r1 �(/� G / nature of Property Owner or Authorized Agent X / I(]4LFl� -/I 7 � Print Property Owner's or Authorized Agent's Name /AQ L t m )4i Date JI tt ' ' ACTION DATE BY tUtLARATION OF C�tiM PLIANCE 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 PERMITCANCELLED ETEPA PERMIT EXTENDED QMD PERMIT FINAL SBESTO`S NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OFJ I !/7 / OL�ON M / OCCUPANCY SUED S GNATURE.