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Home My WebLink AboutX2020-1681 - Permits1vrY City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�II�IIIIIIIIIIIjIIIIIII II COMB Permit: X2020-1681 4. 100 Civic Center Drive, Newport Beach, CA 92660 I' Project No :1322-2020 e. Y Permit Counter Phone (949)644-3288 S - Inspection Requests Phone (949)644-3265 na%xeoul8 Combination Type - MFP ELEC MECH PLUM Issued Date: 08110/2020 0 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 08111/2023 OR PERMIT WILL BE INVALID 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: 6 LUCERNE NB Description: MFR REMODEL 1ST FLOOR BATHROOM 120 SF Legal Desc.: TR 9859 LOT 1 UNIT 23 OF PROJECT LOCATED ON AP 461-121.07 TOGETHER Owner:- JOHN PICCOLO Address: 6 LUCERNE Occupancy Group: NEWPORT BEACH, CA 92660 Phone: $0.00 Applicant: TARDIFF ANDRE Address: 21587 LOST RIVER CT No of Units : LAKE FOREST, CA 92630 Phone: 714412-0371 Code Edit: 2019 Type of Construction: V -B Occupancy Group: R21U Added /New sq.ft. Bldg: $0.00 Added /New sq. ft. Garage: $0.00 No of Stories: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $20.000.00 Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $920.37 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: HOMEKEEP PLUS LLC Address: 2324 SAN JOAQUIN PLZ Fair Share NEWPORT BEACH CA 92660 Phone: 9491945-0621 Con State Lie: 1053406 Lie Expire:..06131/2021 Park Dedication : Bus Lit: �BT30072162 Lie Exp Date: 06/3012021 Worker's Compensation Insurance Carrier: EXEMPT Policy No: no employees Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / 'arkina SDaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29.12 $16.64 $37.44 Plan Check Fee Architect: Address: Phone: Engineer: Address: Phone: State Lie: State Lic: Designer: TARDIF ANDRE Address: 21587 LOST RIVER COURT LAKE FOREST, CA 92630 Phone: 714-412-0371 Special Conditions 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 - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 0000 �� 0 0 000a ° 00 0 0 0 o c 0 0o n 00000 0 0 o o n n 00 ° 0000 o � 00000 °000 °0no(po 0 0000isw no 0� n o a 0 0 0 0 0 000000 noon o u 0 000a 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $920.37 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0000 �� 0 0 000a ° 00 0 0 0 o c 0 0o n 00000 0 0 o o n n 00 ° 0000 o � 00000 °000 °0no(po 0 0000isw no 0� n o a 0 0 0 0 0 000000 noon o u 0 000a 0000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $920.37 Fee Due at Permit Issuance : $0.00 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' 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 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 (_) 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 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). I 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 7044goJ-thq Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw.html. Signature of Propejty Owner or Authorized Agent WVOL _ LICENSED CON gACTOR'S DECLARATION �ferebraffifm urider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section l) of "Main 3 of the Business and Pli Ice's in full force an(ief%t. 11cp& Class License No Date Contractor Signatu WORKERS' CBM1PIENSATION DECLARATION IUARNIMI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND0, 001, IN ADDITION TO THE CVT OF' COMPENSATI ON6RAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I�hcY1 Iy-affirm under penally of perjury one of the following declarations: Jhave and 11NIli maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as providedthe Labor Code, for th Fr "'Ance of ttTddPBrk for which this permit is issued. PolicyNo. e and willmaintain 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 & carrier and policy number are: Genian -,--Por?v Number Expiration Date :1I certify that, in the perrormance of t e w frc or ich 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 hal, if I should becom ject to th wor r ompe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /p�� Signature of Applicant Date �l )ECLARATION REGA ING CONST NB G AGENCY hereby affirm under penalty of pe;} ha there is a co ruction 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 cer y to Yach of tl fo Ing: I am the property owns r\/bora horized ct on the properly owner's f. I have read this applicatl n.a formation I have provided Re I agree to comply with all apple a le city and co ordinanc s to laws relating to building construction. I authorize representatives of this city or counter the b = entified property for inspection purposes. "UA -ii nature of Property OwnerorAuthorized Agent nt ePrint Prc ert Owner's or Authorized Agent's Name ACTION DATE By k5?�OF�PLIANCLEEWITH LODE OF FEDERAL FOR OFFICE USE ONLY OTIT40 AND AQMD RULE PERMITEXPIRED I SUBMITTED ASBESTOSN IFI TION TO PERMITCANCELLEDk PERMIT EXTENDED PERMITFINAL h OSN TIFI AT IS NOTAPPLICABLE TO CERTIFICATE OF 7" ®'� �i LIT OCCUPANCYISSUED SIGNATURE: -