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Home My WebLink AboutX2019-3512 - Permitsttiwpow City of Newport Beach - Building Division i , r 100 Civic Center Drive, Newport Beach, CA 92660 !, Permit Counter Phone (949)644-3288 'v 9 Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3512 x 2 0 1 9 3 5 1 2 Project No : 2426-2019 Issued Date: 11121/2019 Inspection Area : 8 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: 4250 PARK NEWPORT DR NB St: 1 Ft: 4 Unit: 411 Description: MFR- FIRE DAMAGE APARTMENT 689 SF Legal Desc.: N TR 6947 LOT 2 Owner: PARK NEWPORT LAND LTD Contractor: RAVCO CONSTRUCTION INC Architect: GRISAFE MARK Address: 1 PARK NEWPORT Address: 1340 W COLLINS AVE Address: 5618 E. CONANT ST NEWPORT BEACH CA 92660 ORANGE CA 92867 LONG BEACH CA 90808 Phone: 949-734-2379 Phone: 714-730-4917 Phone: 562-480-1035 State Lic:CO28845 Applicant: GRISAFE MARK Con State Lie: 390464 Engineer: Address: 5618 E. CONANT ST Lie Expire: 05131/2020 Address: LONG BEACH CA 90808 Bus Lie: BT30036853 Phone: 562-480-1035 Lie Exp Date: 09/30/2020 Phone: State Lie: Code Edit: 2016 Type of Construction: VB Occupancy Group: R2/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $603.00 Plan Check Fee: $524.61 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 : $2.00 TOTAL FEJ : $1,330.36 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: EVEREST PREMIER INS CO Policy No: 7600015392181 Expire: 08122/2020 Building Setbacks 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: / Left: I Right: / larking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $84.42 $66.33 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: FUELMODIHARARD REDUCT ZONE Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 IrN Nlz 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 $564.61 Fee Due at Permit Issuance : $765.75 PUBLIC WORKS APPROVAL: \ ire! 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 reasons) 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 he 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 lot 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, 3usiness 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 mprovements 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 Tlproved 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 Ipply 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: 3y 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:http://www.leginfo.ca.gov/calaw.html. >ignature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty o perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Di jon13Af the Business and Prof ss R o e d my license is in full force Ind effect. License Class W P x License No '� C( b 4 to 4 Date 1 `/ Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 thI erFQ e(rce of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date me of Agent Phone # 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 agree t, if I should become ubject to IS, pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 42iA Date's% 21 `Ze CLARATION REG TIO LE ING AGENCY i7�— ;reby affirm under penalty of perjury that there is/d construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder'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 ordinan pid state laws relating to building construction. I authorize representatives of this city or county to ant a ve-Identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Ag ACTION I DATE I BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 0EPA PERMITEXTENDED ❑AQMD PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED q S / ?,3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: ! {J 'td+ /Z(yAi (L Date (2