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Home My WebLink AboutX2020-0935 - PermitsCity of Newport Beach - Building Division 111p111111111p11111111p11111111p111111p1111111pl1COMB Permit: X2020-0935 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 9 3 51 Project No (G) Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM Issued Date: Inspection Area : 5 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: 1641 BAYSIDE DR NB Description: SFR REMODEL 500 SF (KITCHEN, MASTER BATH, POWDER ROOM) REMOVE/REPLACE WATER DAMAGE DRYWALL Legal Desc.: N TR 6927 LOT 5 Owner: ILER Contractor: MICHAEL A EVANS INC Architect: Address: 1107 BUENA VIS #5 Address: 9197 NADINE RIVER Address: SAN CLEMENTE CA 92672 FOUNTAIN VALLEY CA 92708 Phone: Phone: 714-963-9809 Phone: State Lie: Applicant: MICHAEL A EVANS INC Con State Lie: 498867 Engineer: Address: 9197 NADINE RIVER Lie Expire: 0913012020 Address: FOUNTAIN VALLEY CA 92708 Bus Lie: BT00007441 Phone: 714.963.9809 Lie Exp Date: 1213112020 Phone: State Lie: Code Edit : 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $636.00 Plan Check Fee: $553.32 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,360.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Workers Compensation Insurance Carrier: EXEMPT Policy No: Expire: Building Setbacks Rear: I Front: I Left: I Right: I Designer: Address: Phone: Special Conditions: LIQUEFACTION AREA Zone : N M 0 Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check, $0.00 Grading Bond: $0.00 Electrical %: $44.62 San Dist: $0.00 Mechanical %: $25.44 NMUSD Fee: $0.00 $0.00 Plumbing %: $57.24 $0.00 Plan Check Fee : $1,360.52 Fee Due at Permit Issuance : $0.00 PUB' le 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 ie 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 nprovements 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 nproved 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 Iegallt ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of 0,4�si?n 3 of the Business and Pr r� s de, apd my)7�fise�a-faIFforce nd effect. License Class License No Date' Contractor Signatur 7 VORKERS' COMPENSATION DECLARATION ° L' 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 OST 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 th erformance of the work for which this permit is issued. Policy No. It 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' compensatiol Isurance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the wo b t for w his p It is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre tha , if I should becomespbject-tffVTp;aork cor/ry¢I}I do visions of Section 3700 a -Labor Code, I shall forthwith comply with those provisions. ��,yjjj Signature of Applicant)(/� ' " " -� C)t (_ v � DECLARATION REG6R'NWG CONSTRUCTI DIN GENCY 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 fallowing: I am the property owner or authorized to act on the property owners 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 state II ws hating to building_ Construction. �y I authorize representatives of this city or coLKtylo ant ertryebovedenOfikd)p opert action purposes.Li�r�.—? inrinturp of Prooertv owner or Authorizerl Merit- / Print Propertv Owners or Authorized Agent's Nam 7K4 om ACTION DATE BY( I DECLARATION I REGULATIONS OFOOPARTNT E CE I TH AND AOMCODE F FEDRULERAL I FOR OFFICE USE ONLY 1 OFT PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 1403 _ I - SUBMITTED ASBESTOS NOTIFI( TO