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HomeMy WebLinkAboutX2020-2857 - PermitsCity of Newport Beach - Building Division *X20202857* COMB Permit: X2020-2857 a 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2050-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 .acreau'.'' Combination Type - GRAD Issued Date: 12108/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210912023 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: 1311 ANTIGUA WAY NB Description: DRAINAGE ALTERATION Legal Desc.: N TR 3852 LOT 21 Owner: CHEN EDDIE Address: 1311 ANTIGUA WAY Contractor: Address: ARM CONSTRUCTION SOLUTIONS 1157 E ARROW HWY Architect: Address: NEWPORT BEACH, CA 92660 GLENDORA CA 91740 Phone: Phone: 626.905-3049 Phone: State Lic Applicant: SAGGINARIO ANTHONY Con State Lic: 561575 Engineer: Address: 1157 E ARROW HWY STE 1 Lic Expire: 05/31/2022 Address: <..... GLENDORA CA 91740 Bus Lic: BT30072568 ° Phone: 626-905-3049 Lic Exp Date: 07/3112021 Phone: State Lic: •. . m ° ° ° ° o J ° • 0 Code Edit : 2016 Worker's Compensation Insurance Designer: ° V0 • Type of Construction: Carrier: FALLS LAKE Address: Occupancy Group: U Policy No: FLA004120 ° Added /New sq.ft. Bldg: 0 Expire: 03/0112021 Phone: ® Added /New sq. ft. Garage: 0 00 ° No of Stories: 0 Building Setbacks Rear: I Special Conditions: °„ `,, ...... No of Units : 0 Front: I° Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 • ° „, ° •mea Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee : $0.00 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: $232.00 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 %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing W $0.00 $0.00 TOTAL FEE: $232.00 PROCESSED BY:. ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $232.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 1e 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 Divisio?: 3-of)he, Business and 'rofessions 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 got more than five hundred dollars ($500). 7 1, 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, 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). 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 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). I am exempt from licensure 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 legally 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.html. Iignature 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 700 of Division 3 of the Business and Prof si ode, and In license is in full force nd effect. LiCOds@'Glass License No Date L, ^8 i7o Contractor Signatu VP"%ERS' CDMPENSATION DECLARATION IARNINC: FAILUFfF.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 DST QF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h2r O affirm underpenalty of perjury one of the following declarations: I [T ve and%I4 Raintain 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 ermance of V $rgrk for which this permit is issued. Policy No. 2b� and Alk 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' compensatior s I1ce carrier acid policy number are: Y3(li@I' _ .. Policy Number Expiration Date 'lame o;Agent o ..' . Phone # it, certify that, 01fid bprformance 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 egret .hat,*ii tshould become subject th orkers' compensation provisions�f_SectioO,3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date�J )ECLARATION REGARDING CONSTRUG AY hereby affirm under penalty of perjury that a csns ructiE- on lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _ender'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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction.2, I authorize representatives of this city or county to e r a-� e -identified property for inspection purposes. (�?Kor✓� c Z� Signature of Property Owner or Authorized Agent t Property Owner's or Authorized Agent's Name SR refi a Date ACTION DATE BY DECLARATION OF CO WA H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND At fWB'RNLE 1403 PERMIT EXPIRED L1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMITEXTENDED OAQMD PERMITFINAL TTASBESTOS NOTIFICATION IS NOT APPLICABLE TO - CERTIFICATEOF I2- ( PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: