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HomeMy WebLinkAboutX2019-0998 - Permitsn14 City of Newport Beach - Building Division "`X20190998" 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .Inspection Requests Phone (949)644-3255 COMB Permit: X2019-0998 Project No : 0686-2019 c"�tOnas " Combination Type - MFP Issued Date: 04/30/2019 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. to 6:00 p.m. No work on Sundays or Holidays Job Address: 22230TH ST NB Description: MFR- INSTALL STACKING DOOR SYSTEM & REPL GUARDRAIL ,r, , Legal Desc.: LAKE TR BLK 129 LOT 10 a �` r""°' f5a-, Owner: SALHOTRA AJAY Address: PO BOX 19809, YUCCA VALLEY CA 92286 Phone: Applicant:. DENZER RICHARD Address: 4521 CAMPUS DR #234 IRVINE CA 92612 'Phone: 714-378-3950 9de.Edit 2016 Type of Construction: VB Occupancy;Group: R31U Added /New.sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units: 2 Bldg Height: Record Management: $28.00 Bldg Sprinklers: - 'N Flood Zone: t Building Permit Fee:. $691.00 Plan Check Fee: $601.17 IITOTAL FEE: $1 PROCESSED BY: ' ZONING APPROVAL: GRADING APPROVAL: Contractor: Overtime Plan Ck: $0.00 Architect: Investigation Fee: $0.00 DENZER RICHARD Record Management: $28.00 Phone: Energy Compliance: $56.00 Phone: CA Seismic Safety: $0.00 O/B Disabled Access: $0.00 Lie Expire: Hazardous Mat $0.00 Address: Building Green Fee : $2.00 IITOTAL FEE: $1 PROCESSED BY: ' ZONING APPROVAL: GRADING APPROVAL: Contractor: OWNER/BLDR Architect: Address: DENZER RICHARD Address: Phone: Demolition Fee Phone: Con State Lic: O/B Engineer: Lie Expire: PM Plan Check: Address: Bus Lie: $0.00 NMUSD Fee: Lie Exp Date: Phone: Worker's Compensation Insurance Carrier: Policy No: _ Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %m: Rear: / Front: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: DENZER RICHARD W 4521 CAMPUS DR #234 { IRVINE CA 92612 714-378-3950 State Lic:C018036 YAGHI SHUCRI I 112 E. CHAPMAN #D .... ORANGE CA 92866 mmmmmm 714-997-9120 State LiaC-043205 .... Special Conditions: OWNER/BLDR ATTACHED 0 Planning Department - Fire Department - Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public. Works Department - ParkDedication: $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 m mmeo m o m o m o mo mm oomm 0 Doom mm �000cm m 0 o omoo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $641.17 Fee Due at Permit Issuance: $777.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m o mmo mm o e0000 mmmmoo c oomoo m m c 0 0 oomo Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: m mmeo m o m o m o mo mm oomm 0 Doom mm �000cm m 0 o omoo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $641.17 Fee Due at Permit Issuance: $777.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m o mmo mm o e0000 mmmmoo c oomoo m m c 0 0 oomo OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law forthe 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 apNICant for he 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 Irofessions 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 mor han five hundred dollars ($500). 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, i iness 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 Tlprovements 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 m roved 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 Ipply to an owner of property who builds or impr res thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License LaJf). 1 am exempt from licensure under the Con actors' State License Law for the following reason: 1 3y my signature below I acknowledge that, �.0 ept for my person I residence in I must have resided for at least one year prior to completion of the improvements co red by this permit, I cannot legalh ,ell a structure that I have built as an owneril 'f 't s n construc in its entirety by licensed contractors. I understand that a copy of the applicable law, Sect n ,.rO�A,4�of the Business�andd� // 'rofessions Code, is available upon re a hen i I i d or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Da A?'/ / W IIT Signature of Property Owner or Authori It , -ICENSED CONTRACTOR'S DE ARATIO gg hereby affirm urpigf penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 7 Isi n 3 of the BUsi ss nd Prof �j b an y licens full force Ind effect. License Class License No Q Con Cono .. VPJJJJRS' C4j.?`ENSATION DECLARATION FARNINGPFAILURE TO ItRE 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 :OFST OF COMPENSATIU , MAGES AS PROVIDED FOR IN SECTION 9708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reft?pylaffirm and€r penalty of perjury one of the following declarations: II have and will•rV1*ihtain 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 ti-formence of the work for which this permit is issued. Policy No. •. AaVeyand wAl•,rpeaipt9in 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' compensatioi rmosince carrier and policy number are: )ander• • Policy Number Expiration Date �7...:, ....,.....T...~...: Phone # for which this per Is Issued, I shall not employ any person in any manner so as to become subject to the work rs' compensation laws of California, and cD_mpensat' rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ _ iECLARATION REGA"I"CONSTRl1C'fION 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 'vjl 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 in mpfiq n hWh ed is correct. I agree to comply with all applicable ity a d u n state I re sting to building construction. 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