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Home My WebLink AboutX2019-2129 - Permits't4 City of Newport Beach - Building Division A.0 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 II0IIIII - Inspection Requests Phone (949)644-3255 /n _ efWrvru`� Combination Type - MFP ELEC. MECH PLUM 13� V2MVl COMB Permit: X2019-2129 Project No : Issued Date: 07/0912019 Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUAIVCE 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: 1380 PARK NEWPORT DR NB Description: MFRI INSTALL WASHERIDRYER Legal Desc.: Owner PARK NEWPORT LAND LTD Contractor: RAVCO CONSTRUCTION INC Address: 201 FILBERT #700 Address: 1340 W COLLINS AVE SAN FRANCISCO CA 92867 $0.00 ORANGE CA 92867 Phone: Phone: 714.730-4917 Applicant: RAVCO CONSTRUCTION INC Con State Lic: 390464 Address:. 1340 W COLLINS AVE Lic Expire: 05/31/2020 ORANGE CA 92867 Bus Lic: BT30036853 Phone: 714-730-4917. Lic Exp Date: 09/3012019 Code Edit 2016 Worker's Compensation Insurance Type of Construction: VB Carrier: EVEREST NATL INS CO Occupancy Group: R31U Policy No: 7600015392181 Added /New sq.ft. Bldg: 0 Expire: 0812212019 Added /New sq. ft. Garage: 0 Address: mmoe ° No of Stories: 2 - Building Setbacks Rear: / No of Units : 2 - Phone: Front: / Bldg Height: 0 Special Conditions: Left: / Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parkina Snares 0 Building Permit Fee: $136.00 Plan Check Fee:. $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $1.00 Energy Compliance:. $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE `. $165.20 PROCESSED BY:. ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Planning Department - Architect: Additional Fee : $0.00 Address: /1 • ° Grading Bonds Fee: $0.00 Fair Share .Phone: State Lic ��66Ao•0000 o Engineer. Grading Permit Fee: � ® Address: Refund Deposit _iRPs ° ° $0.00 ooe• ° � $0.00 0 • m C Phone: State Lic .... • o o $0.00 o mo em o Designer. • ° • • m ° ° ° Address: mmoe ° m • .... Plumbing %: $12.24 mmmoco Phone: ° • mmmm•m m m m n m o Special Conditions: ° ° e 000moo m • ° m oomo m•oc Excise Tax: $0.00 Planning Department - $0.00 Additional Fee : $0.00 Plan check Fee Fire Plan Rev Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee: Refund Deposit Grading PC Fee: $0.00 Public Works Department - WO Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 Electrical %: $9.52 San Dist; $0.00 Mechanical %: $5.44 NMUSD Fee:. $0.00 Plumbing %: $12.24 Plan Check Fee $0.00 Fee Due at Permit Issuance : $165.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVALTO ISS UE Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $165.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVALTO ISS UE OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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, ainess 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 Movements 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). 1, 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 fly 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: my signatureppVkv 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 legal) a structurethat 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 �fessjons Cod%,'i1 available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of PrQp%rVOwner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION rebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f Division 3 of the Business and Pr sr� an 'iy license is in full force I dffect. Licew&%Glass License No Date . Contractor Sign IRRERS' 6010 NSATION DECLARATION ININS: FAILURE 11OSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IfO COMPENSITIFNLI'AMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :raby affirm undgr penalty of perjury one of the following declarations: I Moue and will 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 the form2nce of fh W&C for which this permit is issued. Policy No. hav& and will•mainlain 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' compensation )R'ce carrie? arx&pollicy number are: Policy Number Date '.ame of Agent rl:oue» I certify that, in the pert rmance of a or 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 agree lat. if I should become bject a worker compe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Dat iECLARATION REG G C I N ENDING GENCY hereby affirm under nalt"fperjury that there is a constfuction lending agency for the performance of the work for which this permit is issued (Section 30 Civil Code). ender's Name Lender's Address y 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 cZyte�=ove-identified y no state laws relating to building construction. I authorize representatives of this city or counproperty for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na`� ACTION DATE I BYRECCWdTIONS POA T061 O TIITLE 40 AND AC MD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY EXPIRED I I / I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL CER FICATE OF �i /7 R, �/I 9 GNA7URE S MOLITI A IS TAPPLICABLE TO OCCUPANCY ISSUED