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Home My WebLink AboutX2021-1854 - Permits; HPrf City of Newport Beach - Building Division II IIII IIIII IIIIII IIIIII IIII IIII III II COMB Permit: X2021-1854 JrS� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 8 5 4 Project No : 1598-2021 w J ; Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 issued Date : 07/15/2021 Combination Type - SFP ELEC Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED 8Y 0711512024 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 NB Description: SFR DELTA 1, ADD NON- BEARING WALL & FILL IN DOOR @ KITCHEN (REV21-1096) Legal Desc.: N TR 6622 LOT 77 Owner: GILMOUR DONALD Address: 12 RUE CHANTILLY NEWPORT BEACH, CA 92660 Phone: Applicant: DOCTOR REMODEL Address: 27171 SOLEDAD MISSION VIEJO CA 92691 Phone: 949-584.5919 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $268.40 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: DOCTOR REMODEL Address: 27171 SOLEDAD MISSION VIEJO CA 92691 Phone: 949-584-5919 Con State Lic: 406279 Lic Expire: 03/31/2023 Bus Lic: BT30034884 Lic Exp Date: 0313112022 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: 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 Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.70 $0.00 $0.00 Plan Check Fee Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: ANGEL WILLIAM Address: 27171 SOLEDAD MISSION VIEJO CA 92691 Phone: 949-584-5919 Special Conditions 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: LZ 0 F- LU�9 CL cr) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $268.40 PiURLIS 4`01RKS APPROVAL: PLAN CHECK BY: APPRO`.'A!. 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 L) 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). ❑ 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 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.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 Sectio 0 f Divi iC 3 of the Business and Pr ios ode, y I' s is in full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UPI ONE HUNDR O THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST 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 the )erformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number Expiration Date of Agent certify that, in the performance f e 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 v lat, I should becomes 1 ct o th orkers' compen 'on provis of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ig nature of Applicant ECLARATION ;JRDING CONSTRUCTION LENDING AG^CY hereby affirm under45enaity of perjury that there is a ccnstructi ending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ander's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have prov' ed is correct. I agree to comply with all applicable city and coun Dina c s and sta laws relating to building construction. I authorize representatives of this city or coun r ove-iden " d prop or inspection purposes. Signature of Property Owner or Authorized Agent +ti Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIA E H CODE OF FEDERAL FOR OFFICE USE ONLY LeWULATIONS PART 61 OF TI 40 AND AQMD RULE PERMITEXPIRED Ll SU ITTED ASBESTOS NOTIFICATION TO " _ _ PERMITCANCELLED UEPA PERMITEXTENDED Q PERMITFINAL 021171ZZ DL f ASSES T S T ICAT ISNOTAPPLICAE TO CERTIFICATE OF PROPOS E L I OCCUPANCYISSUED WJ SIGN RE. ) LU