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HomeMy WebLinkAboutX2020-0714 - PermitsgH'Pr}4,A City of Newport Beach - Building Division COMB Permit: X2020-0714 sk ' 100 Civic Center Drive, Newport Beach, CA 92660 11111111111111p11111111p1111111111111111111111111 X 2 0 2 0 0 7 1 4 11 Project No 0534-2020 r. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 c�ts,�u+`' Combination Type - MFP MECH ELEC PLUM Issued Date : 05/2812020 a Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1628 W OCEAN FRONT NB Description: MFR REMODEL 464 SF APT #5 Legal Desc.: NEWPORT BEACH SEC B BLK 16 LOT 13 A Owner: AMERICAN ENTERPRISE ELITE Contractor: OWNER/BLDR Architect: 18403 VILLA CLARA ST - - Address: 17700 CASTLETON ST #266 Address: AUTH AGENT: Address: ROWLAND CA 91748 CITY OF INDUSTURY CA 91748 ROGER JEN ' " Phone: Phone: Phone: 626-912-3289 State Lic:CO26703 �� Applicant: 18403 VILLA CLARA ST Con State Lic: OIB Engineer: -� Address: ROWLAND CA 91748 Lic Expire: Address: NO Bus Lic: CONSTRUCTION NC;:' Phone: 626-912-3289 Lic Exp Date: Phone: State Lic: Code Edit: 2019 Type of Construction: VB Occupancy Group: R2 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 9 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $40,000.00 Building Permit Fee: $636.00 Plan Check Fee: $553.32 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,366.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: 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: I 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $44.52 $25.44 $57.24 Plan Check Fee Designer: Address: Phone: ON THE WEEKEND Special Conditions: HIGH DENSITY LIQUEFACTION AREA Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $40.00 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 $593.32 Fee Due at Permit Issuance : $773.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVALTOISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 be 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 iot 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 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 im 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 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 o 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 fioin Iicensure under the Contractors' State License Law for the following reason: BY my signature bala,a 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 legally Sol' C ctCcture U-s" hvve built as an owner -builder if it h snot been constructed in its tirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the Business and Professions Code, is a,,ailable upon request when this #lication is submitt or following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Da Z� L;CEiJSED CONTRACTOR'S DECLARATIO I hLreb; affirm under pe:lalty of perjury that I am lit nsed under provisio Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force and effect. License Class License No Date Contractor Signature N'O.RXERS' C61VANSATION DECLARATION NAM ir'c: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. oelaby dffinn under pa,,alty of perjury one of the following declarations: 711 1-Fvi and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi performance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Dance carrier and policy number are: Policy Number Date ne of Agent rnone o certify that, in the pert ante of the�forris permit is issuedall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agreI, if I should becomes ject to the won pr action 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat &/v$/20Z0 CLARATION REGA ING CONSTRUCTI ENDING AGENCY aeby affirm under pe alty of perjury that re is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). ider'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 countyj'6rdinances and state laws relating to building construction. 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