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Home My WebLink AboutX2021-1734 - PermitsCity of Newport Beach - Building Division *X2021-1734* COMB Permit: X2021-1734 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1521-2021 at Z - h34 Permit Counter Phone (949)644-3288)644 �� X20 l � Inspection Requests Phone (949)644-3255 ��^ � ��'� Combination Type - MFP `6�� Issued Date : 0710612021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710612024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a: B: to 6:00 p.m. No work on Sundays or Holidays Job Address: 849 W 15TH ST NB Description: MFR REPAIR EXTERIOR WALL Legal Desc.: ...... Code Edit: 2019 Type of Construction: V -B Occupancy Group: R2/U Added /New sq.ft. Bldg: 12 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 16 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: Building Permit Fee: $195.00 Plan Check Fee: $169.65 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $10.00 gimme Owner: PELICAN INVESTMENTS NUMBER 8 LLC Contractor: ELITE RESTORATION Architect: Hazardous Mat $0.00 Address: 849 W 15TH ST Address: 701 CHESHAM AVENUE Address: NEWPORT BEACH, CA 92660 LA HABRA, CA 90631 Phone: Phone: 714-232-5088 Phone: State Lie: eee• Applicant: REYES THOMAS Con State Lie: 990590 Engineer: YALA ADAM ABBES ...... •• e Address: 601 CHESHAWN AVE Lie Expire: 02/28/2022 Address: 41619 MARGARITA RD STE 200 eee e LA HABRA, CA 90631 Bus Lie: ST30075804 TEMECULA, CA 92591 • o e e o Phone: 562-318-8884 Lie Exp Date: 07/30/2022 Phone: 951-719-3223 State Lic:C-083632 Code Edit: 2019 Type of Construction: V -B Occupancy Group: R2/U Added /New sq.ft. Bldg: 12 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 16 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: Building Permit Fee: $195.00 Plan Check Fee: $169.65 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $427.65 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WPL505973800 Expire: 02/28/2022 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: I Right: / larking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: 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 oe • m e e mm o m mmooem 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $427.65 PUBLIC WORKS APPROVAL: h A PLAN CHECK BY: APPROVAL TO ISSUE: �1y e o o•omoo 0 0 eeeon e eeeon emmmoo m o n o � nommen 0 0 eooc Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: oe • m e e mm o m mmooem 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $427.65 PUBLIC WORKS APPROVAL: h A PLAN CHECK BY: APPROVAL TO ISSUE: �1y e o o•omoo 0 0 eeeon e eeeon emmmoo m o n o � nommen 0 0 eooc 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 is 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 Irofessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 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 pply to an ovrpAM property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I avi exempt from licensure under the Contractors' State License Law for the following reason: If MR Dignatu(e 4AM 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) 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 Irafessions Codal is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. igd2lure of Prgpesly Owner or Authorized Agent Date !IPE%SED COyJjYACTOR'S DECLARATION hereby affirm yjr�lgr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) ggf D' isi 3 of the Business and Profe o G tle, and y -I cense is in full force nd.effect. Lieenee Olass License No Date O G Contractor Signature /�v+.✓ L dEkZKERS' COf hNSATION DECLARATION ARMIN& FAILURE TO S URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE OST OF:COMPEtIrSATIp TAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. pgrgpy affirm uflder p@nalty of perjury one of the following declarations: ••I•Mave and•wi9 maintain acertificate of consent to self -insure for workers' egormance of the work for which this permit is issued. Policy No. compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 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' Hmce carrier and policy number are: Policy Number Expiration Date of Agent I 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 workers' compensation laws of California, and agre It, if I should beco a ub'e a worker/,✓rompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q - z 71 )nature of Applicant ��u 7tiG%� �„( Date :CLARATION REGAADKG CONSTRUCTIOWLENDING AGENCY areby 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 3097,iv 1 Code). nder'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 cou ty ordi ces ands to laws relating to building construction. I authorize representatives of this city or cou he above-' a Itified property for inspection purposes. .,/ref,,., �/ mature of Prooertv Owner or Authorized Agent - pci_ �t � Print Prooertv Owner's or Authorized Agent's Name u./ f'iGrlF�(i 5 `l.�.i YDS DJe P D ACTION DATE DECLARATION OF IREGULATIONS PART0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND QMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CAN CELLED EPA PERMIT EXTENDED L AOMD PERMITFINAL IEI 11 LER FICATE OF I Iq I �J/�'I / IGOP NATURE. EN TI�� IVINOTApPLI' TO OCCUPANCY ISSUED I //� %i l III /!—yd')