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Home My WebLink AboutX2021-1543 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1543 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 5 4 3 Project No : 1359-2021 H Mtn Permit Counter Phone (949)644-3288 1, a Tnspection RequesAs F,t6ne'(949)644-3255 Combination Type - BLDG Issued Date : 11/23/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112312024 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: 1700 16TH ST NB Description: MFR -. PERGOLA (WEST - 320 SF) Legal Desc.: P SK 15 PG 36 PAR i Owner: UDR NEWPORT BEACH NORTH L Address: 1745 SHEA CENTER DR STE 200 HIGHLANDS RANCH CO 80129 Phone: Applicant: HAMMERLUND ERIC Address: 1102 STEARNS DR LA CA 90035 Phone: 310-497-1331 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 11 Construction Valuation: $1 Building Permit Fee: $331.00 Plan Check Fee: $287.97 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: $619.97 PROCESSED BY: ZONING APPROVAL: Contractor: RANSCAPES INC Address: P.O, BOX 50580 IRVINE CA 92619 Phone: 866-883-9297 Con State Lic: 949437 Lic Expire: 06/30/2022 Bus Lic: BT30076593 Lic Exp Date: 0913012022 Workers Compensation Insurance Carrier: ARCH INS CO Policy No: MST5000832 Expire: 03/15/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 3arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Architect: Address: Phone: Engineer: NAM YOUNG-KEUN Address: 17 SANTA EUGENIA IRVINE CA 92606 Phone: State Lic: State Lic:C-004029 „ Designer: NUSSBAUM ARON Address: 8549 WILSHIRE BLVD #136 BEVERLY HILLS CA 90211 Phone: 805-305-3470 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 4 PJ $b°gr $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $287.97 Fee Due at Permit Issuance : $332.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: Sir1 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, priorgo its issuance, also requirec R,,e 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 7bOC) 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 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 L) 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 mproved 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 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). ❑ I 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 legall) 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. Ieginfo.ca.gov/calaw.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) f Division 3 of the Bu in and Pr 10 C de, and my lice is in full force and effect. License Class License No / 2 z Contra r Signature TV.t INORKERS' COMPENSATION DECLARATION NARNING: 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 I$100,0001, IN ADDITION TO THE JOST OF aOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm unda, penalty of perjury one of the following declarations: -1 I 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 th uerfanlance of the work for which this permit is issued. Policy No. Yand wili maictain 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' compensatioi n urance carrier and policy number are: ;arrier Policy Number Expiration Date Jame of Agent Phone # :1I certrt y that, Iri thq`p4rf ce of ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I WE of California, and agre hat. if I should become u e to a work rs' co pen tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ig,,tUWre of Ap a.l:_ �[16te /� �3 ZD2 )ECLARATIOXEGARDING CONSTRUCTION LENDING AGENCY 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). _ender's Name Lender's Address 3y my signature below, I certify to each of the following;�;Cl�� 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 Mncedstate laws relating to building construction. I authorize representatives of this city or cou to a -id tified property for inspection purposes. to Z� �` Signature of Property Owner or Authorized A Print Property Owner's or Authorized Agent's e ACTION DATE Y ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY HE DILATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED or L JAQMD PERMITFINAL nLJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF j�J'n PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: