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HomeMy WebLinkAboutX2021-1884 - Permitsr>� City of Newport Bea_rth - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 4' Permit Counter Phone (949)644-3288 v. T Inspection Requests Phone (949)644-3255 Combination Type - MFP IIIIIIIIIIIIIIIIIIIIIIIIIIiII COMB Permit: X2021-1884 Project No : Issued Date: 0711912021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711912024 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: 209 32ND ST NB Description: MFR -REPLACE WOOD SIDING W/NEW WOOD SIDING Legal Desc.: LAKE TR LOT 20 BLK 132(AND SWLY 10 FT LOT 19 BLK 132 Owner: STEINHOFF WALTER Contractor: OWNER/BLDR Architect: � Address: 333 MAGNOLIA ST Address: STEINHOFF WALTER Address: y^� COSTA MESA CA 92627 O/B AUTH ATT E` ! Phone: 949/903-6130 Phone: Phone: State Lie: O.d' Applicant: STEINHOFF WALTER Address: 333 MAGNOLIA ST COSTA MESA CA 92627 Phone: 949/903-6130 Code Edit : 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: N Construction Building Permit Fee: $416.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $417.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: O/B Lie Expire: Bus Lic: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: / Right: I ?arkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Engineer: Address: Phone: Designer: Address: Phone: 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 State Lie, Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: e ®330 • • s c• • a • • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $417.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: c••am• • e 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 Division 3 of the Business and ssions 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 of ritre than five hundred dollars ($500). 1 "a owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions lot the work, and the structure is not intended or offered for sale (Section 7044, Wass 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 nlproved for the purpose of sale). J 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). I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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) 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,9p lication ubmitted or at the followi eb site:http://www.leginfo.ca.gov/calaw.html. J signature of Property Owner or Authorized Agent . A 4. AAJ Date 1, - / q' Z i .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature . VORKERS' CO"' MPENSATION DECLARATION IARNING? 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 �J*00t-VOMPEN1A1J0 dAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES h.ereb,y affirm drfder penalty of perjury one of the following declarations: j I Cleve 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 thI a formance ofih%wQrJ for which this permit is issued. Policy No. 3I ITa've and wi(j tnairltain 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 IsBmnce carrier ndPolicy number are: :3di21' Policy Number Expiration Date 71 certify that,inihe performance of the work forwhich this permit is issued, I shall not employ any person in any mE ia1,1f (Should becom%subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall foi signature of Applicant IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for .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 owner's behalf. I have read this application and the information I have provided is correct. d' so as to become subject to the workers' compensation laws of California, and i comply with those provisions. this permit is issued (Section 3097, Civil Code). I agree to comply with all applicable city and county ordinances and state laws relating to bull Ing construction. I authorize representatives of this city or county t entert e abo�-iden ifi pro erty for inspection purposes. !, kV*&7.4/Z >ignature of Progertv Owner or Authorized Agent /4ki , Gt/� Y Print Property Owner's or Authorized Agent's Name S"UckvND,4X 7- 0-21 ACTION DATE BYE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ` REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED QMD PERMIT FINAL 'S (�`Z J BESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PRO NIOL{fiI NM , OCCUPANCY ISSUED TURF ATURE: \ �� ff �AJ2�, �fAJI