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Home My WebLink AboutX2021-0799 - Permitsrw'wri City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0799 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 7 9 9 Project No: Permit Counter Phone (949)644-3288 IC Inspection Requests Phone (949)644-3255 p� Issued Date Combination Type -MFP NO CONSTRUCTION NOISE Inspection Area :5 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: 709 NARCISSUS AVE NB ON SATURDAYS Description: MFR TIO (E) 10 SQ, INSTALL COMP. SHINGLE, CLASS'B'MIN. Legal Desc.: CORONA DEL MAR LOT 9 BLK 740 SWLY 25 FT Owner: PERLMUTTER MARK Address: 709 NARCISSUS AVE CORONA DEL MAR, CA 92625 Phone: Applicant: MCCLAIN BRENT Address: 12812 VALLEY VIEW ST#33 GARDEN GROVE CA 92845 Phone: 714-897-1780 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/1.1 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units: 2 Bldg Height: 0 Bldg Sprinklers: N Flnnd 7nne X Construction Valuation: $6 500.00 Building Permit Fee: $343.00 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: $344.00 PROCESSED BY: ZONING APPROVAL: Contractor: MC CLAIN ROOFING INC Address: 12812 VALLEY VIEW ST #33 GARDEN GROVE CA 92845 Phone: 714-897-1780 Con State Lic: 625013 Lic Expire: 08131/2021 Bus Lic: BT30066478 Lic Exp Date: 05/30/2021 Worker's Compensation Insurance Carrier: STATE COMP INS Policy No: 1713760 Expire: 04130/2021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I Architect Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Af , I\�J Phone: Special Conditions: $0.00 Planning Department - Fire Department $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $344.00 PU3LFC WCiRKS 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 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 (_) all of or L) 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 roved for the purpose of sale). L.1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not ap ly 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: 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 legally 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 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://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 0 of Ivi ion 3 of the Business and Nfes tons Code, and my I' enseris in full force and effect. License Class License No Date Contractor Signatures WORKERS' 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 ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 thi )erfprmance of the work for which this permit is issued. Policy No. have and will 1 ainI 'I workers�e�pensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier a olicy numb f re ter 01i er r . �/1 Expiration Date ie of Agent Phone # JI certify that, in the performance of t4work 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 iat, if I should become suu act to the worker co co en n prrQyiissiionnssyPSection 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant X /1/f�—/��'+�, �' Dat IECLARATION REGA DI CONSTROCTION LENDING AGENCY 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 30 Civil Code). ender's Name Lender's Address y 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. I authorize representatives A this city or gcouent yffo enter th = en' i�¢'propprt for inspection purposes. my n ,r A /� f r mature of Property Owner or Authorized Agent �J� �(/� Print Property Owner's or Authorized Apent's Na �7J�Lfi .�i/�Gj,'(.GLt 3U DATE RY j [DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ASBESTOS PERMITCANCELLED PERMITEXTENDED I I UAQD PERMITFINAL DA,ti 14ASB9TOS NOTIFICATION 15 NOhAPPLICABLE TO CERTIFICATE OF-,i/�21 �epa.. R S�EMOLI�/fly_ /J /':J OCCUPANCYISSUED i NATU �FJ Yj/�lli{'i✓XJ9.