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Home My WebLink AboutX2020-1272 - Permitssr City of Newport Beach - Building Division ` 100 Civic Center Drive, Newport Beach, CA 92660 rl Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 eytrvnxr Combination Type - SFP ELEC MECH PLUM *X2020-1272* COMB Permit: X2020-1272 Project No : Issued Date : 06102/2020 Inspection Area: 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY O6/0312023 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: 119 38TH ST NB Description: SFR REMODEL KITCHEN AND BATHROOM "NO STRUC CHANGES" "CTY STD" (300 SF), PEX REPIPE, REPLACE MAIN DRAIN J g� , 1t..9^ �� Legal Desc.: RIVER SECTION BILK 38 LOT 22 1 f Owner: HALBURIAN GEORGE Address: 2207 RIM RD BRADBURY, CA 91008 Phone: Applicant: WELCH JASON Address: 419 E 19TH ST COSTA MESA CA 92627 Phone: 949-230-7946 Code Edit: 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: WELCH JASON Address: 419 E 19TH ST COSTA MESA CA 92627 Phone: 949-230.7945 Can State Lie: 904363 Lie Expire: 1013112015 Bus Lie: BT30061686 Lie Exp Date: 01131/2021 Workers Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Rear: / Front: / Left: I Right: / Use Zone: Parkina Sna Architect Address: Phone: ` j - , State Lie: Engineer: Address: Phone, e%V RU0;j0N NOISE Desif * p CONS 1 Address: Phone1S : SPIT OrN6i Special ConditionsoN : n BB:: 0000 Construction Valuation: $30,000.00 • v ° o• Building Permit Fee: $526.00 Excise Tax: $0.00 Planning Department- Fire Department ° Plan Check Fee: $457.62 Additional Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm :S(Fm ° Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.09 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.000 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: 0.®0 ° Hazardous Mat $0.00 Electrical %: $36.82 San Dist: $0.00 • Building Green Fee : $2.00 Mechanical %: $21.04 NMUSD Fee: $0.00 td.60 °° Plumbing %: $47.34 $ed'a • TOTAL FEE: $1,132.82 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,132.82 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: V 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, prior to 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). ❑ 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, 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). 111, 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). ❑ 1 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 legal) 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the fallowing Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pequfPthat I am licensed under provisions of C ter 9 (c glancing with on 7 0 bf D' ision 3 of the Busin and Profess' d my license is in full force and effect. License Class License Ni ate �� Contrac nature !' WORKERS' COMPENSATION ECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have 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 `ormance 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' compensa Hance carrier and policy number are: •.. • Policy Number Expiration Date ,Agent .... • Phone # y that, in Ie• ¢grfor ce o th work for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the works' compensabn laws of California, and agre, should tSecoTrre su ' Ct to th orkers' ce pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,Yf/..` of Aunt �------ - D e IATION RVGrgRDI - ONS N LEN G AGENCY affirm unadr'penalty of perjury that ffFere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Name • • • Lender's Address Sp my signaturd below, I certify to each of the followi ' -1-am the property owner or authorized to act on 1 lave re dthis.application and the informStron I •. d agree to eotnpl;with all applicable ci and cou • • J tuthori ze,mpraisentatives of this city pr county I 3ionature of Property Owner or P Gent ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED _ PERMITFINAL CERTIFICATE OF l OCCUPANCYISSUED laws relating to building construction. ad property for inspection purposes. DEQARATION OF COMPUAN� REGULATI TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO EPA qMD SBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMj36/)1 SIGNATURE: / /, ) 1 bi FOR OFFICE USE ONLY