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Home My WebLink AboutX2019-3547 - PermitsCity of Newport Beach - Building Division `X2019--3547* COMB Permit: X2019-3547 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2200-2019 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date : Area : 2020 c,yuv Inspection Area 6 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: 22 TROUVILLE N8 Description: SFR DELTAI, ADD STRUC. PLANS FOR NEW SHEARWALL *INCREASE SCOPE OF WORK �� Legal Desc.: Owner: REDDY SUJATA LALLA Contractor: GROUND TO GABLE INC Architect: Address: 22 TROUVILLE Address: 23151 ALCALDE STE C-8 Address: NEWPORT BEACH, CA 92657 LAGUNA HILLS, CA 92653 Phone: Phone: 949-395-8333 Phone: State Lic: ^ Applicant: MERDUS SAL Con State Lic: 888721 }� Engineer: ALSON KEN Address: 1744 MAPLE ST Lic Expire: 1213112020 Address: 9744 MAPLE ST#201 BELLFLOWER, CA 90705 Bus Lic: BT30069192 BELLFLOWER CA 90706 Phone: 562-866-3625 Lic Exp Date: 10/3112020 Phone: 562-866-3625 State Lic:C-041697 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Building Permit Fee: $120.00 Plan Check Fee: $104.40 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $265.40 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Workers Compensation Insurance Carrier: EVEREST Policy No: 760002047719 Expire: 0610112020 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 W Plumbing %: Rear: I Front: I Left: I Right: / 'arkina Soaces $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: Fire Hazard Zone : N 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 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $265.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 U 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 legally 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 following Web site:hftp://w .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o// f ivisQn, of the Business and Professio s ode, d-m license is in full force and effect. License CJRss License No Date -! �`� K Contractor Signature t� n WORKERS' CCrMPENSATION DECLARATION AA.I.Jidu: FAILURE TO SEr.PRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and wid mPiptain 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 -Arrmaice of the work for which this permit is issued. Policy No. and wi^ 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' carrier and policy number are: ie of Hgent =t'.`y that, in the of if I .should become Policy Number Date of the work Jor 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 the w kers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant IM WL Oft4, D�� / " /— DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby 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, Civil Code). Lender's Name Lender's Address By 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 county ordinances and st to laws elating to building construction. I authorize representatives of this city or count o ante above-i Ified operty for inspection purposes. l�l�, artOwner or Authorized A enL 1 N/L% Print Property Owners or Authorized Agent's Name Si nature of Proparty Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EMENDED qM D PERMITFINAL CERTOCCUI ! _ �O � 1)/_ , 1 BES SNOTIFI ION IS OTAPIaILICABLE TO OLI�I // PANCY 155SUED 7 SIGNATURZ� tlnn