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Home My WebLink AboutX2021-0661 - Permits (3)City of Newport Beach - Building Division 5 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0661 Project No : 0599-2021 Issued Date : 05/0512021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0510512024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday7:00 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: 10 MORRO BAY DR NB Description: SFR 629 SF ATT NON -HABITABLE COVERED LIVING AREA (CALIFORNIA ROOM) W/ FIREPLACE Legal Desc.: N TR 7386 LOT 56 Owner: RALEIGH THOMAS Contractor: Address: 10 MORRO BAY DR Address: NEWPORT BEACH, CA 92625 Phone: Phone: Applicant: BISHOP ALEX Con State Lic: Address: 23183 LA CADENA DR #101 Lic Expire: LAGUNA HILLS CA 92653 Bus Lic: Phone: 714-612-6316 Lic Exp Date: Code Edit: 2019 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $1,453.00 Plan Check Fee: $1,264.11 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $34.00 Energy Compliance: $0.00 CA Seismic Safety: $0.50 Disabled Access, $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE : $3,036.34 PROCESSED BY: ZONING APPROVAL: MC KAY MIKE CONSTRUCTION INC 7092 FORD DRIVE HUNTINGTON BEACH CA 92647 714-936-5048 733743 03/3112023 BT30053585 01131/2022 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 1481929 Expire: 0410112022 Building Setbacks Rear: 6' 2nd front Front: 58-59' view Left: 5' Right: 5' Architect: Address: Phone: State Lic: Engineer: WILSON KALEN Address: 23152 VEROUGO DR #102 LAGUNA HILLS CA 92653 Phone: 714-576-6524 State Lic:C-083753 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical °/: $101.71 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $130.77 Plan Check Fee 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 $1,310.36 Fee Due at Permit Issuance : $1,725.98 PUBLIC WORKS 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) 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 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). ❑ 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). ❑ 1 am exempt from Iicensure 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 legalll 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 o7he 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 7 OO� f Div' ion 3 of the Business and Pro ession o nd y 4;fU once and effect. License Class License No Da Contractor Signatur INORKERS' COMPENSATION DECLARATION NARNING: 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 ADDITI N T 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: ❑ I 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 ne%ormance 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: I Policy of Agent Date ]I certify that, in the performance of heIrrrk o which is per it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I wS o 'California, and agre iat, if I should become subject to th wos' mpen lion p Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applican Dat IECLARATION REGARDING CO N LENDING AGENCY hereby affirm under penalty of perjury that there is a construction IS ing ncy for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners shelf. I have read this application and the information I have provide Is c r ct. I agree to comply with all applicable city and county ord ance and ate laws rel Ling o building construction. I authorize representatives of this city or county to ant he a ove-i entifdl,Ipro arty fo inspection purposes. lianature of PmDertv Owner or Authorized Aaent \� A / VY Print Property Owners or Authorized Agent's Name fML IL(.!'M"6" ` ACTION DATE BY v 'DECLARATION OF COMPLIANCE WITVCOCf OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OFTITLE 40 AOMD RULE TND 1403 PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO . PERMITCANCELLED PERMIT EXTENDED j�r LWOMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF �r OO ZI (./I PROPOSED DEMOLITION _ OCCUPANCY ISSUED QF I SIGNATURE: Date 7` 5t6f0 !'o(L IN5g=.r.0lt of f� om?