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Home My WebLink AboutX2019-2785 - PermitsIlli iiiiiiiiiiii II COMB Permit: X2019-2785 Project No : 2089-2019 Issued Date: 09119/2019 Inspection Area : 6 City of Newport Beach- Building Division Designer. 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 ". 100 Civic Center Drive, Newport Beach, CA 92660 t Permit Counter Phone (949)644-3288 ..: Inspection Requests Phone (949)644-3255. urt�,a Combination Type - MFP ELEC MECH PLUM Illi iiiiiiiiiiii II COMB Permit: X2019-2785 Project No : 2089-2019 Issued Date: 09119/2019 Inspection Area : 6 Code Edit : 2016 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Designer. 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: on: D 44 AUVERGNE NB FR MRA KITCHE INP ECTO R gall Delsc.: 14588N LOT 0 OF PRO ECT 936-46 LOCATED ON AP 461-201-61 TOGETHER WITH AN UND. 1124 INT. IN LOTS 10,11,12 & 13 Owner: DADA JANICE Contractor PROTEX CONSTRUCTION Architect: Address: 44 AVERGNE. Address: 13505 YORBA AVE #0 - Address: Added/New sq.ft. Bldg: 0 NEWPORT BEACH CA 92657 CHINO CA 91710 Phone: Phone: 714-743-7562 Phone: State Lic: Applicant: PROTEX CONSTRUCTION Con State Lic:. 943626 Engineer: BRUNMIER, DAVID WAYNE Address: 13505 YORBA AVE #0 Lic Expire: '02129/2020 Address: 18567 VALLEY BLVD Special Conditions: CHINO CA 91710 Bus Lic: BLOOMINGTON CA 92316 Phone: 714-743-7562 Lic Exp Date: tx Phone: State Lic:C-080545 ...... $0.00 Plan check Fee: Bldg Height: 0 Code Edit : 2016 Worker's Compensation Insurance Designer. Type of Construction: VB Carrier. STATE COMP Address: Occupancy Group: R3/U Policy No: 9015877 Added/New sq.ft. Bldg: 0 Expire: 06/22/2020 Phone: Added /New sq. ft. Garage: 0 Excise Tax: $0.00 Planning Department - No of Stories: 2 Building Setbacks Rear: / - Special Conditions: ` °••° ° No of Units: 6 Front: / Additional Fee : $0.00 Plan check Fee: Bldg Height: 0 - Left: Fire Inspection: ..S 0.00 Bldg Sprinklers[: : Right:I. Grading Bonds Fee: $0.00 Fair Share : Flood Zone: Use Zone: Parkino S o aces: 0 Fire Hazard Zone : N $0.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Construction Valuation: $31.000.00 Building Permit Fee: $537.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $467.19 Additional Fee : $0.00 Plan check Fee: $40.00 Fire Inspection: ..S 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 - RecordManagement:. $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 ` PNV Plan Check: $0.00 Grading Bond: $0.00. Hazardous Mat $0.00 ` Electrical %:. $37.59. San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $21.48 NMUSD Fee:. $0.00 $0.00 Plumbing %: $48.33 $0.00 - TOTAL FEE : $115 59b Plan Check Fee: $1,155.59 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 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' Stale 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 U 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,aale).: ; ❑ 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 rot 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 legall) 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 am licensed under provisions of Chapter 9 (commencing with Section 0 of ivisio 3 of the Business Prof cions-C>o a nd my license is in full force and effect. License Class License No Date Contractor Si na r NORKERS' C60ENSATION DECLARATION - MARNING.FAILURE fO?MURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNOR 11 THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ETOf' eOMPENSARION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rh.e7reby affirm undespenalty of perjury one of the following declarations: aJ 1 have and wilt 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 the i glance of JIle.Vjrlr for which this permit is issued. Policy No. Za 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' compensatiol r ace camigr atld pplicy number are: Ee6rie►*"' Policy Number Expiration Date Nelne.of Agent Phone # 01 cerfify that,l; tM4,formance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjectto th workers' compensation laws of California, and agre, ;ffat,51`10should become subject to/ the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (' /Date_ Sign re ofAp iears� lF _ AAATIr1N RAGAFJ711N0 Cr1 P11 N I FNDINr: An9NCV hereby affirm under penaltyjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) -ender's Name Lender's Address 3y 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 ap ' abl ' y -and county ordinances and state laws relating to building construction. 7 I authorize representative Is y or county Tjthe abov -Identified property for inspection purposes. signature of Property Owner or Authorized Agentrin Print Property Owner's or Authorized ent's Name 'JC ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE - REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED i 1 1 LJISUBMITTED ASBESTOS NOTIFICATIONTO PERMITCANCELLED EPA PERMIT FINAOF �I Of SI OR EIDI S NOTION ISN LE TO CERTIFICATE OF (e"rW`''^,',-r' OCCUPANCYISSUED