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Home My WebLink AboutX2022-0141 - PermitsCity of Newport Beach - Building Division r x 100 Civic Center Drive, Newport Beach, CA 92660 i" Permit Counter Phone (949)644-3288 " Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC PLUM IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII II COMB Permit: X2022-0141 Project No : 0160-2022 Issued Date: 05103/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1937 PORT PROVENCE PL NB Description: SFR -256 SF BET PATIO COVER-GAS/ELEC BBQ Legal Desc.: N TR 6624 LOT 59 Owner: GIRARD ROBERT Contractor: INSTANT LANDSCAPES Architect: Address: 1937 PORT PROVENCE PL Address'. 833 DOVER DR STE7 Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 Phone: 949-795-4881 Phone: 949-347-0700 Phone: State Lic: Applicant: WRIGHT JC Con State Lic: 842586 Engineer: BIEDENBACH CHRISTOPHER Address: 833 DOVER DR #7 Lic Expire: 07131/2022 Address: 1201 N TUSTIN NEWPORT BEACH, CA 92663 Bus Lic: BT30072973 ANAHEIM CA 92807 Phone: 949-795-0648 Lic Exp Date: 09/30/2022 Phone: 714-630-6100 State Lic:C-074003 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: PREFERRED PROFESSIONAL INS COAddress: Occupancy Group: U Policy No: ON1166201 Added /New sq.ft. Bldg: 0 Expire: 08/16/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 10' Special Conditions: �,�, � N S � � � t No of Units : 1 Front: 21' _ Bldg Height: 0 Left: 5' Bldg Sprinklers: N Right: 5' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30,000.00 Building Permit Fee: $389.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $267.00 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: $0.00 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 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $27.23 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $35.01 $0.00 TOTAL FEE : $772.24 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $772.24 1 PROCESSED BY: `�71 ` PI. IBYICWORKS APPROVAL: 1/l/ OW PLAN CHECK BY: ZONING APPROVAL: fr'l GRADING APPROVAL: ADDQOVAL 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 ie 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 'rofessions 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 of 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 J portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 7 1, 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 pply 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). 7 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 legal ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 Rrisjicri.-efjhe Business and Professio ode nd effect. License Class License No Da Contractor Signature COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDA-0-PMO�sAN❑ DOLLARS ($100,0001, IN ADDITION TO 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: ain 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 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 of Agent Date certify that, in the performance of work for which this ermit i shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre t, if I should become subject t e workers' compensa' OVl ' Sect io de shall forthwith comply with those provisions. ////''' Z 2 nature of Applicant Gate— J CLARATION REGARDI G CONSTR NDING AGENCY - veby affirm under penalty of perju ere 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 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 provid t. I agree to comply with all applicable city and county o antes laws rgJaeng to building construction. I authorize representatives of this city or county t me above -id Ifie roperty for inspection purposes. Signature of Property Owner or Authorizi PRM Pfapetty6w>rer'"r Authorized Ag ACTION DATE BY D ATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION-TC PERMITCANCELLED DEPA PERMIT EXTENDED LJAQMD ' - PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED w Z /J7 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION " SIGNATURF- W zx%.VN-( Date 74�_ Sr-Z