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Home My WebLink AboutX2021-3138 - PermitsCity of Newport Beach - Building Division "X2021--3138` COMB permit: X2021-3138 r 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1492-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ki �-fi"i Issued Date : `:�<,y,.,aa•� Combination Type - SFP ELEC Inspection Arearea :2021 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111812024 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: 1816 E NEWPORT HILLS DR NB Description: *ADDITIONAL SCOPE* ADD & REVISE (9) CAN LIGHTS Legal Desc.: N TR 7031 LOT 71 Owner: CHU CLEMENT Y Contractor: DAUGHERTY CONSTRUCTION Architect: Address: 1816 NEWPORT HILLS DR E Address: 15593 GRAHAM ST Address: NEWPORT BEACH, CA 92660 HUNTINGTON BEACH CA 92649 Phone: 949-720-0918 Phone: 714-329-6354 Phone: State Lic: - Applicant: DAUGHTERTY MICHAEL Con State Lic: 566003 Engineer: PEREZ FELIPE J Address: 15593 GRAHAM ST Lic Expire: 11/30/2021 Address: 3801 WEST TEMPLE AVE HUNTINGTON BEACH, CA 92649 Bus Lic: BT30070753 POMONA, CA 91768 Phone: 714-329-6354 Lic Exp Date: 01/31/2021 Phone: 562-805-7209 State Lic:C-071106 Code Edit: 2019 Worker's Compensation Insurance Designer: CONTRERAS MARTHA Type of Construction: V-B-SPR Carrier: EXEMPT Address: 1880 LONGBEACH BLVD Occupancy Group: R3/U Policy No: LONG BEACH, CA _ , • , , Added /New sq.ft. Bldg: 0 Expire: Phone: 310-918-7952 Added /New sq. ft. Garage: 0 r1 - No of Stories: 2 Building Setbacks Rear: / Special Conditions: ge✓n-� .. - . No of Units : 1 Front: / - Bldg Height: 0 Left: / '- Rlrin Rnrinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4 500.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $140.07 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 : $2.00 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 %: $11.27 San Dist : $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $315.34 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $315.34 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: M; W 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 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 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). D I am exempt from licensure under the Contractors' State License Law for the fallowing 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 Iega11,, 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 O,vner or Authorized Agent Date .ICEN'S`,ED CONTRACTOR'S DECLARATION nereby 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 Profes ' o nd my tee se is in full force rid effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 14RIIING: FAILURE TO SECDRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ❑ RS ($10 ,000I, IN ADDITION TO THE JST nr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm under penalty of perjury one of the following declarations: I (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 a)fonr.ance of the work for which this permit is issued. Policy ND. 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' and carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre t, if I should become subject to the workers' comp provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date%// —1 a �Zoz( CLARATION REGARDING C STRUCTI LEND G AGENCY )reby affirm under penalty of perjury th re is a c truction 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 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 of this city or county to f�lldei- Ifi ro arty for inspection purposes. Signature of Property Owner or Authorized Agentrent Property Owner's or Authorized Ag ACTION DATE BY DECLARATIONKF COMPL NCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIJOS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED LJAQMD PERMITFINAL ! A �3 SLJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMO OCCUPANCY155UED SIGNATURE: V4� Name x Date