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Home My WebLink AboutX2020-0040 - PermitsCity of Newport Beach - Building Division COMB Permit: X2020-0040 �swrr IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII 2 II �@. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 0 0 0 4 09 Project No : 0041-2020 E '4 Permit Counter Phone (949)644-3288 e5 Inspection Requests Phone (949)644-3255 `''<r,erv.�"� Combination Type - BLDG PLUM Issued Date 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 5:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1752 PLAZA DEL NORTE NB Description: DEMO 1 STORY SFR. 1012 SF (LIVABLE). 2 BEDROOM. SEWER CAP INCLUDE Legal Desc.: N TR 518 BLK L LOT 13 � � � ° • ° ° • Fnm ° Owner: BISHIP TOM Contractor: SOUTHERN CALIFORNIA BUILDERS CO Architect: ° FITZGERALD MICHAEL R o•s•o o • ° Address: 1752 PLAZA DEL NORTE Address: 1121 ORANGE AVENUE Address: 165 E 24TH ST UNIT D • • ° ° o NEWPORT BEACH, CA 92661 MONROVIA CA 91016 UPLAND CA 91784 • e • • ,• 0 Phone: Phone: Phone: 909.985.2552 State Lic:26951 0 • •° o 0 e••o •o 0 Applicant: BISHOP TOM Con State Lic: 497422 Engineer: • ° • ° e e o 0 0 Address: 1752 PLAZA DEL NORTE Lic Expire: 0813112020 Address: ° • ° ° o 0 0 0 0 NEWPORT BEACH CA 92663 Bus Lic: BT30070537 • •00000 Phone: Lic Exp Date: 0113112021 Phone: State Lic: o • o ° ° • Code Edit: 2019 Worker's Compensation Insurance Designer: o Type of Construction: V -B Carrier: EXEMPT Address: Occupancy Group: R31U Policy No: NO EMPLOYEES g�' pp��aa��++ @@fi�gg @@�+-g' 9^�I�e°r °Qfb N O CONSTR�UC8I4�N Added/New sq.ft. Bldg: 0 Expire: Phone: - Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units: 1 Front: I Bldg Height: 0 Bldg Sprinklers: Left: 1 Right: I - ON THE WEEK�$.^' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $11.500.00 Building Permit Fee: - $103.00 Excise Tax: $0.00 Planning Department - - Fire Department. Plan Check Fee: $208.00 Additional Fee : $0.00 Plan check Fee: $90.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $210.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access: $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: _ $0.00 - Building Green Fee : $1.00 - Mechanical %: $0.00 NMUSD Fee: - $0.00 $0.00 Plumbing %: $9.27 $0.00 TOTAL FEE: $2,339.27 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,339.27 / PROCESSED BY: C P`--� ' PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: i 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, priorto its issuance, also requires the applicant for 1e 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 'rofessions 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 of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness 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 nprovements 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 nproved for the purpose of sale). 7 I, as owner o6 ft property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply t oan owrQroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3' P2r(l %gj exemptfrom Ucensure under the Contractors' State License Law for the following reason: V m% slgnaturbbblov1 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 legalh ell 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 ro2Ssions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. yneture of Pcdfkftq Owner or Authorized Agent Date oriASED CONTRACTOR'S DECLARATION p Hereby affirrll underpenalty of pe rju hat I am licensed under provisions of Cha er 9 commencing with Section 7900) f (vision 3 of the Business and Prof Bs i t Code, a 6 m license is Lill force ad effect. luiwnse Class License No � �ZZ Date 2l3 Contractor Signat fOWERS' COMPENSATION DECLARATION / ARN'WG: FAI%L1tE TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARS ($100,000), IN ADDITION TO THE OAST OF COMPE$I�ARIO�1, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirrr6W*r penalty of perjury one of the following declarations: I have and"A maintain a certificateofconsent 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 arformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number Expiration Date Agent bFertify that, in the perform6nce 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 It, if I should become sub( to the worker ' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature ofA plicant / Date :'_'7ZiOZ1er1" CLARATION REGARDING W1111STRUCTIDN LENDING AGENCY L treby 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 30974(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 rdinances and state laws relating to building construction. / I authorize representatives of this city or county_tVjP _the above -id tifie party for inspection purposes. ! / ,,..,,� �/ nature of Prnncrhi rlwnar nr Ai ifhnri7arl Anont / �I?nnt Prnnerty T)Wner'S nr Authorized Agent's Name �i ofl .) ' /6_'AfJ /'�/ DateJ/J a ACTION DATE BY r' DECLARATION OF IREGLHATIONS PA PART TIITLE 40 AND QMD RULECE WITH CODE OF FOR OFFICE USE ONLY PERMIT EXPIRED' LJ I SUBMITTED ASBESTOS PERMIT CANCELLED n PA PERMITEXTENDED %ILIAOMD _ PERMITFINAL .LD,4LJ ASBESTOS N6TIFICA NISANOT/A/P,PLI®C�gLE TO OCCUPANCY ISSUED 'SIGNATURE:E �/ 5