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Home My WebLink AboutX2019-0883 - Permits1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII ', COMB Permit: X2019-0883 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 8 8 3 Project No: 0601-2019 Permit Counter Phone (949)644-3288 �.0, �1 Inspection Requests Phone (949)644-3255 - �'rstrn Combination Type - BLDG 't Issued Date : 03/27/2019 r vl `C 4 Inspection Area : 7 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: 944 AVOCADO AVE NB Description: COMM FABRIC AWNING 304 SF"* rw, a Legal Desc.: P.M. 270-15 PAR 1 POR.PAR $ ,_ o- s� 4v .0 6 e ] r Owner: IRVINE CO Contractor: J MILLER CANVAS LLC Architect Address: 550 NEWPORT CENTER DR Address: 2429 S BIRCH ST Address: NEWPORT BEACH, CA 92660 SANTA ANA, CA 92707 Phone: Applicant: GUZMAN MIRIAM Address: 6870 SUVA ST Record Management: BELL GARDENS, CA 90201 Phone: 310-617-0222 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $120.00 Plan Check Feer $104.40 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: $334.40 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Phone: (714)641-0052 Con State Lie: 1043076 Lie Expire: 08/31/2020 Bus Lie: BT00008990 Lie Exp Date: 06/30/2019 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9235504 Expire: 04/01/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: i Right: I Parkins Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Phone: State Lie Engineer: MADRONA CERENICO GOZO Address: 7868 DE SOTO AVE Fair Share CANOGA PARK CA 91304 Phone: 661-259-0700 State Lic:C-072319 Designer: Building Dept Adm Address: Park Dedication : Phone: Special Conditions: NO EMP Fire Hazard Zone : N 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 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 m$000 $0.00 $0.00 $0.00 $0.00 $201.40 Fee Due at Permit Issuance : $133.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 00000 6 oomoo 000000 • o 0 m o 000000 0 0 omo0 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$000 $0.00 $0.00 $0.00 $0.00 $201.40 Fee Due at Permit Issuance : $133.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 00000 6 oomoo 000000 • o 0 m o 000000 0 0 omo0 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;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 rovements 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 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 ply 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 in 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 th appl 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seccbn 7000 _isios 3 of the Bu nese and nd effect. License Class License No D Z / Co ctorSigna nents covered by this permit, I cannot law, Section 7044 of the Business and Date and my license is in full force ?KERS' COMPENSATION DECLARATION V f , ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Iby affirm under penalty of perjury one of the following declarations: bayjiI,and wiilMaimlem 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 ce of thg %bik for which this permit is issued. Policy No. Lii�� land w��rumliam 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 i a carrier anddpolicy number are: • Policy Number Expiration Date of Agent • —� - work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Eby- TION REGARDINGJfjPIWSTRUCTION LENDING AGENCY eby affirm unaerpenalty q perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section IL?r%:Name _ _ _ Lenders Address 9y signature•be� ,,1 certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county es and state laws relating to building construction. I authorize representatives of t ' y or my to me b e -identified property for inspection purposes. or„ro of crnnad., n,.,nar nr A. f6nri7arl Anan Print Prooertv Owners or Authorized ADent' me DATE D YtA" r6N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE /S R GULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMIT EXTENDED 0AQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED DASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Civil Code). laws of California, and I --7,o[