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Home My WebLink AboutX2021-1399 - Permits- %Joo�r City of Newport Beach - Building Division IIIIIIIIIII IIII II IIIIIIIIIIIIII II IIIIII II COMB Permit: X2021-1399 ' ! 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 9 9 Project No e Permit Counter Phone (949)644-3288 F Inspection Requests Phone (949)644-3255 Issued Date : 06/02/2021 Combination Type - SFP ELEC MECH PLUM Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0610212024 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: 1724 PORT BARMOUTH PL NS Description: SFR KITCHEN REMODEL 400 SF (CITY STANDARD) Legal Desc.: N TR 6622 LOT 77 Owner: HUTCHINSON BROOKE Contractor: DOCTOR REMODEL Architect: Address: 1724 PORT BARMOUTH PL Address: 27171 SOLEDAD Address: NEWPORT BEACH, CA 92660 MISSION VIEJO CA 92691 State Lic: Phone: 925-577-0968 Phone: 949-584-5919 Phone: Applicant: ANGELL BILL Con State Lic: 406279 Engineer: Address: 27171 SOLEDAD Lic Expire: 03/3112023 Address: MISSION VIEJO CA 92691 Bus Lic: BT30034884 Phone: State Lic: Phone: 949-584-5919 Lic Exp Date: 03/31/2022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: WC EXEMPT Occupancy Group: R3/U Policy No: (NO EMPLOYEES) Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Designer: ANGELL BILL Address: 27171 SOLEDAD MISSION VIEJO CA 92691 Phone: 949-584-5919 Special Conditions: A 1iNSP 0Y Construction valuation: $32 000.00 Building Permit Fee: $583.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $507.21 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : PAN Plan Check: $0.00 Disabled Access : Hazardous Mat $0.00 $0.00 Electrical %: $40.81 San Dist : $0.00 Building Green Fee : $2.00 Mechanical %: $23.32 NMUSD Fee: $0.00 Plumbing %: $52.47 TOTAL FEE: $1,255.06 PROCESSED BY: ZONING APPROVAL: Fire Department" - $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,255.06 PUBLIC WORKS APPROVAL: m PLAN CHECK BY: V ! k 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 U all of or C_) 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 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). ❑ 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 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Divisio 3 of the Business and Pr s' ns ,and my lic se is rce and effect. License Class License No Date -:32 Contractor Signatu NORKERS' COMPENSATION DECLARATION VARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 )ertormance of the work for which this permit is issued. Policy No. :11 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 nsurance carrier and policy number are: Policy Number Expiration Date of Agent ertify that, in the performance of work for which this permit is issueeeeee�� I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre , if I should become sub' ct to the rkers' compensprovlslons yf $fiction 3700 of the Labor Code, I shall forthwith comply with those provisions. 1' nature of Applican,L, 1 : V \\`�"\SJ D� Q(o'j�L CLARATION REGIQROING CONSTRUCTION LENDING AGENC ereby 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, ivil 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 ordina ces and state laws relating to building construction. I authorize representatives of this city or county t e ter th bove-identi i prop or inspection purposes. � / ``. nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized ADent'.c Nn. W iu-1 DATEI DECLARATION OF BY V 0610 OF WITH 40 AN AQMD RULECODE OF RAL FOR OFFICE USE ONLY V REGULATIONS ART PERMIT EXPIRED ❑ISUBM ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED co n PERMIT EXTENDED I I QMD PERMITFINALCERTIFIC4TEO/f7/Zz DL'�o�^ J ASBESTOS��yyppO__1TIFIC NIS NOT APP ABLE OCCUPANCYISF PROPOSED DEryIvyTIQ 1 OCCUPANCYISSUED urvnmo AA ��ii r 1� 1_ dd..��