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Home My WebLink AboutX2020-0068 - Permits.cxa^a$ City of Newport Beach -"Building Division IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0068 t4. '* 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 0 6 8 p Project No :0067-2020 �' � Permit Counter Phone (949)644-3288 'a. _4 Inspection Requests Phone (949)644-3255 ,.,a»�* Combination Type - SFP ELEC Issued Date : 01/09/2020 Inspection Area : 5 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: 350 EVENING CANYON RD NB Description: SFR (1) TESLA BATTERY @ GARAGE Legal Desc.: N TR 1116 LOT 72 Owner: GERKEN ANDREW Contractor: BRIGHT LIFE REMODELING Architect: Address: 350 EVENING CANYON Address: 933 NEWHALL ST Address: - oeeo CORONA DEL MAR CA 92625 COSTA MESA CA 92627 ®e °VV4 Phone: Phone: 908-489-3911 Phone: State Lic: OBi eoE°Eo o Applicant: BRIGHT LIFE REMODELING Con State Lic: 1029267 Engineer: ° ° ° E Address: 933 NEWHALL ST Lic Expire: 07/31/2021 Address: COSTA MESA CA 92627 Bus Lic: BT30060662 ° Phone: 908-489-3911 Lic Exp Date: 0913012020 Phone: State Lic: o r Code Edit: 2019 Worker's Compensation Insurance Designer: - VIN BARBA o eo E Type of Construction: VB Carrier: STATE FUND Address: 933 NEWHALL ST Occupancy Group: R31U Policy No: 9053332 COSTA MESA CA 92627 Added /New sq.ft. Bldg: 0 Expire: 04119/2020 Phone: a° o Added /New sq. ft. Garage: 0 ° No of Stories: 2 Building Setbacks Rear: / Special Conditions: ooE000 No of Units : 1 Front: I OOOE 0000 Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: 910.000.00 Building Permit Fee: $232.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $201.84 Additional Fee : $0.00 Plan check Fee : $40.00 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 WO 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 %: $30.37 San Dist : $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $511.21 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $511.21 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: ,6- \ OA PLAN CHECK BY: ikLL GRADING APPROVAL: APPROVAL TO ISSUE: SI 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 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 (_) all of or L) 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). ❑ 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 ap Iy 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By my signaturebekm 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 structureigat4 tiave 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 Pj ofgss=ons Cod;., is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. �Ignature of Prop& y %wner or Authorized Agent Date LICERISED CONTRACTOR'S DECLARATION :Areqlaffirm under ppBratty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 o Div slon 3 of the Business and Professio C de, and my license is in full force ai♦d e*ct. Licollge`Cbss License No Date Contractor Signature wcail RS' C6IGIT3ENSATION DECLARATION !y' UV: FAILURF. TO SEARE 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 COST OF BOMPENSAINM!DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. IVelrej affirm under penalty of perjury one of the following declarations: V.a• .. hd and w11 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 oerforrrSajlce of th2WorR for which this permit is issued. Policy No. •••. aue and will mainl®in 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 sur ce carrier a'nd%licy number are: Policy Number Date me of Agent vnone s 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 become subject to the work compensation laws of California, and agre t, if I should become ct sto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant sub' I,<-q&D� CLARATION REGARPING<ONSTRUCTION LENDING AGENCY �reby affirm under pe alty of perjury that 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 countl ordinances and state laws relating to building construction. I authorize representatives of this city or county toh9or the above- entified property for inspection purposes. �'^ nature of Prooertv Owner or Authorized Aoent Y ri.utr.4r/� _ Print Property Owner's or Authorized Agent's Name . eat. `w 7� /ate ( 2'6 ACTION DATE BY (I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I LJ^UBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED UAQMD PERMITFINAL � SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF / � � SIGN DEMOLITJ�N '� OCCUPANCY ISSUED SIGNA7 RE: ��✓„_.