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Home My WebLink AboutX2022-0470 - PermitsOG'.' City of Newport Beach - Building Division *X2022-0470* COMB Permit: X2022-0470 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0411-2022 Permit Counter Phone (949)644-3288_Inspection Requests Phone (949)644-3255 1 S �t y Combination Type - MFP Issued Date : Area :12022 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0211612025 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: 1819 W BAY AVE NB Z_ r^� Description: MFR R/R (3) GLASS SLIDER DOORS AT (E) OPENINGS SAME SIZE. `STOP WORK 121.2904* 0 Legal Desc.: P M 183-24 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 47-181-17 TOGETHER Owner: JANIK LOIS Address: 1819 W BAY AVE #B NEWPORT BEACH, CA 92663 Phone: Applicant: JANIK LOIS: CIO BARTHOLOME ROGER Address: 1819 W BAY AVE #B NEWPORT BEACH, CA 92663 Phone: 951-318-1310 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 3 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Contractor Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: OWNER/BLDR JANIK LOIS- CIO ROGERB 951-318-1310 OIB 2019 Worker's Compensation Insurance V-B Carrier: R31U Policy No: 0 Expire: 0 Building Setbacks Rear: I Front: I Left: / Right: / -ioua gone: A-o.arw Construction Valuation: $9,000.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: State Lic: Special Conditions: HIGH DESNITY ZONE LIQEUFACTION ZONE crp M' M°e �.° �t ae°o- me r T o5 °r.of� l^^�,., , m Building Permit Fee: $229.00 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: $229.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $459.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $459.00 PROCESSED BY: ZONING APPROVAL: 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 constmct, 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 IIm roved for the purpose of sale). KLI, 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 flbiTi licensure under the Contractors' State License Law for the following reason: By my signature ba:3,v 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 sil: - 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 applic submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. �/' Smnaiure of Property Owner or Authorized Agent x �� Date /� LIC2ASED CONTRACTOR'S DECLARATIONS Iiereby affirm undcr 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 and effect. License Class License No Date Contractor Signature YJ3RKERS' -_CMPENSATION DECLARATION AAXIIAG: 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 I$100,0001, IN ADDITION TO THE COST OFF COMPENSA nON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :I herebv affirm wider penalty of perjury one of the following declarations: !❑ ::lave 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 PS4vrmance of 1ne work for which this permit is issued. Policy No. I 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' compensatiol insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # certify that, in the performance of 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 hat, if I should become sub e t to 1compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q(' Signature of Applicant / Date/ 7 �E, • LZ- DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the fallowing: 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. I authorize representatives of this city or county to ve-ide tified property for inspection purposes. en Signature of Property Owner or Authorized Agent 'nt Property Owner's or Authorized Agent's Name Date y�b-L2 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED LIAQMD PERMITFINAL It IL ? 1 R ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF J ✓ PROPOSED DEMOLI OCCUPANCYISSUED SIGNATURE: -1 /