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Home My WebLink AboutX2019-2330 - PermitsWIrJ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 ,k Permit Counter Phone (949)644-3288 �+# Inspection Requests Phone (949)644-3255 "wr1P v=' Combination Type - MFP COMB Permit: X2019-2330 Project No : 0686-2019 Issued Date 07/25/2019 Inspection Area 1 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. fc 6:00 p.m. No work on Sundays or Holidays Job Address:. 222 30TH ST NB Description: MFR *ADDITIONAL SCOPE* REPLACE DECK SHEATHING 252 SF ..Legal Desc.: Owner: SALHOTRA AJAY Contractor: OWNER/BLDR Architect: DENZER RICHARD Wj SPIEG •®� Address: PO BOX 19809 Address: DENZER RICHARD V YUCCA VALLEY CA 92286 Address: 4521 CAMPUS DR #23 Phone, IRVINE CA 92612 IRVINE CA 92612 •... Phone: 714-378-3950 Phone: 714-378-3950 State Lio:C018036 �•••.• Applicant: DENZER RICHARD Con State Lic: O/B. • ° .Address: 4521 CAMPUS DR #234 Engineer. • • • • • • • ° o .Lic Expire: . ° Bus Lic: Address: e° Phone: 714-378-3950 a • •.. ° ° ° Lic Exp Date: Phone: State Lic- Code EEdit, 2016. Worker's Compensation Insurance Type of Construction: Carrier. Designer ° ° ° ° • ° • o Occupancy Group: U o:Address: ° ° °• Policy N. ° • • - • ° ° o ° Added /New sq.ft. Bldg: 0 ° • ° ° Expire: Added /New sq. ft. Garage: p Phone: No of Stories: 0 • .°.•�° No of Units : 2 Building Setbacks Rear. / ° • ° ° o ° o Front: / Special Conditions: O/B FORM REFER TO o o Bldg Height: p X2019-0998 . • • o ° ®° ° ° Bldg Sprinklers: N Left: / ° . o o • • ° ° Flood Zone: , , _. Right: / .... __.....um. S4UU 90 oiro . ry Building Permit. Fee: $104.00 Excise Tax: $0.00 Plan Check Fee: $90.48 Additional Fee : $0.00 Planning Department - Fire Department Overtime Plan Ck: Investigation Fee: $0.00 $0.00 Grading Bonds Fee: $0.00 Plan check Fee Fair Share : $40.00 l Inspection: Record Management: $2.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 $0.00 re Fire Plan Rev n Energy Compliance: $0.00 Grading Permit Fee: Grading PC Fee: $0.00 In -lieu Housing Fee: $0.00 Demolition Fee Building Dept Adm CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 $0.00 Public Works Department- General Service Disabled Access : $0.00 Park Dedication : $0.00 Refund Deposit Hazardous Mat$0.00 - Electrical %.: $0.00 P/W Plan Check : $0.00 Grading Bond: Building Green Fee : $1.00 Mechanical %: $0.00 San Dist: $0,00 Plumbing %: $0.00 NMUSD Fee: $0.00 TOTAL FEE : $237.48 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $237.48 OWNER -BUILDER DECLARATION he the I hereby affirm under penalty of perjury that I am exempt from City that requiirres a peermit to construct, License Law alterf improve,ldemol demolish, ororepair tany structure, prior toV is issuance nce alsoced next to frequires the applicant for 'Section 7031.5, Business and Professions Code. Any Y the or counProfessions itto file a of that hastatement er she is exempt from s licensed ure and the basis forant to the Pthelalsgedsions fexe exemption. Any violationlo( Section 7031 btby any appl cant fora permit subjith Section ects th) ofe applicant toivision 3 of ta cihe ivvi penalty ousiness f 44, not more than five hundred dollars ($500). all of or onions of the work, and the structur+s is not intended or offered for sale (Section 70 that the ❑I, as o�e r of the property, or my employees with wages as their sole compensation, will do C.) U P Business IMProfessions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or jmprovef the property, provided improvemeri�s are not intended or offered for sale. If, however; the building or improvement is sold within one year of completion, the Owner -Builder will have theT7�iurden of proving that it was not built or I��m-+Iproved for the purpose of sale). apI as owner of ply to an owner the property who bunds exclusively contract! s thereon, and who contracts for the projects with a I censedlicensed Contractors to construct the project cContract r pursuant to the Contractors' 5ta License rLaw)s' State License Law doe fi- PP Y .'n ❑ I am exempt from licensure under the gall Contractors' State License Law for the following reason:a year By my signature below I ackt h nowledge that, except for ersona r at least o eq',,(dn Ited rel itsch l ntisety by cased ave real ad contractors. Iunderstand that a' copy of thepr(cable aw,tSection 70�by this Pe Businesermit, I naredsell a structure tW Lbave built as an owner-builde d ti d or at th ollowing Web site:http://www.leginfo.ca.gov/calaw.htmL Dat Professions CoOe is available upon request when t is p Signature of Propel{y Owner or Authorized Agent G(CENSED CDfy112ACTOR'S DECLARATI N I lyereW affirm Crider penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with SecDate7000j of Division 3 of tCo tractor Signature ofessions de, and my license is in u force fnd �f�eEt. Licen9e Class License No ,, , WORKERS' Q®MpP,NSATION DECLARATION �AaNyFt FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ 60,006), IN ADDITION TO THE OST OF CO FAILURE f T♦,ON.DAM WORGES KS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ph•Arebj4affirm und'ec penalty of perjury one of the following declarations: JMe and wilt maintain a Certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations asprovidedfor by Section 3700 of the Labor Code, far f ... pe rmr nce of.it" ..... for which this permit is issued. Policy No. l.h"S 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' compensatior itl:ly§gdis carriej9Rrq policy number are: Expiration Date Carrier • •" Policy Number phone # Name of Agent I certify that, in the o c for w ' h t is permit is issue all not employ any person in any manner so as to become subject to the workers' compensation of California, and agre that, if I should become sub' t ' C pe on provisi Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _Gl°`-J Da Signature of Applicant DECLARATION REGAR I ONSTRUCTIO ENDING AGENCY 1 hereby affirm under p ally of perjury that there is a construction lending agency forthe pa'rformance s Address of the work for which this permit is issued (Section 30 ,Civil Code). Len Lender's Name By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property o nets behalf. I have read this application and the inform af{'I n e r e rect. rfcn- '1 I agree to comply with all applicable os UV -Y city and coU t in red st pr elan for inspection purposeo building ls. ` i I authorize representatives of this city or county t r ( e -id p Y ri purposes. le Signature of Pro art Owner or Authorized Agent Print Property Owners or Authorized A ant's ame ACTION DATE BY DECLARATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED PERMITEXIkINUty PERMIT FINAL v, 3tkl� p, ASBESTO OTIFICATION ISN TAPPLICABLE TO CERTIFICATE OF E Y PROPOSED M LITIO DCCUPANCYISSUED SIGNATU r / I 8111/!