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Home My WebLink AboutX2019-2515 - Permitsw1+ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIII'lllllllllll II COMB Permit: X2019-2515 b' 100 Civic 0<nter. Drive, Newport Beach, CA 92660 x 2 0 1 9 2 5 1 5 Project No: 1793-2019 F rf Permit Counter Phone (949)644-3288 cam$, at Inspection Requests Phone (949)644-3255 Issued Date : 0810812019 Combination Type - MFP MECH ELEC PLUM NO CONSTRUCTION NOISE Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m, and Saturday from 8:00 a.m. to 8:00 p.m. No work on Sundays or Holidays Job Address: 116 CORAL AVE NB �/Cp� Description: MFR REMODEL KITCHEN & BATHROOM 160 SF, INFILL CLOSET WALL ON THE WEEKEND Legal Desc.: BALBOA ISLAND SEC 2 BLK 5 LOT 22 TOTAL FEE: $1,096.82 ,`a Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,096.82 :tl PROCESSED BY:. c e ` a z. FUELQC VIO$KS APPROVAL:. - ZONING APPROVAL: o PLAN CHECK BY: 20 GRADING APPROVAL:"APPROt/, LJO ISSUE: y Y O 4 N C gyp_ 00N EFS u!1 O W C1. .. •4U Owner: HIMES RONALD F Address: 1364 GARTHWICK CT Contractor:. Address: G N S CONSTRUCTION P O BOX 141 Architect: Address: GARCIA JOHN M PO BOX 9942 Z LOS ALTOS, CA 94024 BALBOA ISLAND CA 92662 NEWPORT BEACH CA 92658 Phone. Phone: 949-370-7200 Phone: 949-683-8858 State Lic:C016755 V Applicant: GARCIA JOHN. Con State Lie: 486187 Engineer: Address: PO BOX 9942 Lie Expire: 01/3112020 Address: : J NEWPORT BEACH CA 92658 Bus Lie: BT30054739 J Phone: 949-683-8858. Lie Exp Date: 0413012020 Phone: State Lie: -1 Code Edit: - - 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EVEREST NATIONAL INS CO Address: Occupancy Group: R31U Policy No: 7600014956 •�J Added /New sq.ft. Bldg: 0 Expire: 0513112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: LIQUEFACRION AREA No of Units : 2 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I - Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30,000.00 Building Permit Feer $526.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $457.62 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 : $6.00 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 %: $36.82 San Dist: $0.00. Building Green Fee: $2.00 Mechanical %: $21.04 NMUSD Fee: $0.00 $0.00 Plumbing %: $47.34 $0.00 TOTAL FEE: $1,096.82 ,`a Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,096.82 :tl PROCESSED BY:. c e ` a z. FUELQC VIO$KS APPROVAL:. - ZONING APPROVAL: o PLAN CHECK BY: 20 GRADING APPROVAL:"APPROt/, LJO ISSUE: y Y O 4 N C gyp_ 00N EFS u!1 O W C1. .. •4U 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 ea 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 El:isiness 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 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 improved for the purpose of sale). ❑ 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 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 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 legalll 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:http://www.leginfo.ca.gov/calaw.htmi. 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 Diviis of the Business and Professi s , and�rryii ee-ie-iw#ufL4 e and effect. License Class License No Date / Contractor Signal it WORKERS' COMPENSATION DECLARATION Ir NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA DOLLARS ($10D,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 th Srmance of the work for which this permit is issued. Policy No. have and will Nintarn 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 rance carrier a �Qlicy number are: ter V Policy r Expiration Date is of Agent Phone # certify that, in the erformance 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 agre , if I should become subj o the w ers' compensation pro ISlons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / IatureofApplicant �� ate - � 7— / •i A=ArInu o=nAonl•�nn•ivl i�inu i eVinmer-Anckinv naby affirm under penalty of perjury4at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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 of this city or county tofenter the above -identified Dior inspection purposes. 1117 of Property Owner or Authorized Agent Print Property Owner's or Authorized A DATE BY DECLA4RAIWN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS Nd=IFICA VON TO • • • . . . PERMIT CANCELLED EPA + . : • ' • ` • . 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