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Home My WebLink AboutX2017-1325 - PermitsCity of Newport Beach - Building Division 11111111111p111111111p1111111111111111111p 11 100 Civic Center Drive, Newport Beach: CA 92660 X 2 0 1 7 1 3 2 5 rA. Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 nyr Combination Type - MFP COMB Permit: X2017-1325 Project No : Date : 04/25/2017 Lion Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAS1.--.VWE1D INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m, and Saturday frnwi a.m. to,6:00 p.m. No work on days or Holidays INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DET�E%iiRS /PLUMB(N�RES TO BE Y 44 Job Address: 102 SCHOLZ PLZ NB St: 1 Ft: 1 Unit: 141 -'• 6 aY�. J''•1" O 1n or.3 `"u� Description: MFR DRYWALL REPAIR, FIRE RATED SYSTEM 160 SF !t rrr' v Legal Desc.: TR 10587 LOT 1 UNIT 242 OF PROJECT LOCATED ON AP 43-3c041.21 TOGETHER G Owner: VARGAS ANTONIO r tractor: ALP GIONAL I Architect: Address: 102 SCHOLZ PLZ #141 "`� Ad s: 2 WALNUT, UNIT C /1i• `� '. NEWPORT BEACH CA 92663 ,.+�^"` TUSTIN CA. 1 ��•: to W PhonePhone: State Li�L,:�r�', Applicant: PLAT T LAWREN _,.", Con State Lc• 783526 .'i Engineer: ERDELYI PETER T Address: 2822 WALNUT A NUEIDIL ? r �, is Expire 08/31/2018Address: 9681 W PICO BLVD, STE 8 . TUSTIN CA 92780 Bus Lic, BT30058896 LOS ANGELES, CA 90035 Phone: 949-630-8191 % Lic Exp Date: 04/30/2018.,,. ft Phone: 3101553-9339 State Lic:C- 6962 arCode Edit: 201E Worker's Compensation Insurance Designer: Type of Construction: V-B CarrierINSURANCE STATE COMPENSATION F A Occupancy Group: R2 'V Policy No: 9054103 Added /New[TI sq.ft. Bldg: 0 "Expire. 04/01/2018 � C'� a�edl Added /New sq. ft. Garage: 0 VVV,,��(r��(K No of Stories: 3 `°:Building Setbacks Rear. / �SoGiM'riditions: PLANS ATTA No of Units : 43 Front / Bldg Height: 0 Deft: L- k. i arm, Bldg Sprinklers: RI " °/ Flood Zone: VkXPIrkinSpqces: 0 azard Z' Construction Valuation: $3,000.00 Star Building Permit Fee: $112.00 EV ax: ��OC� $0.00 mm�g Depart Fire Department Plan Check Fee: $97.44 Additional Fee : $0.00 Plan ch e : $37.50 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: ar $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consults $0.00 ns : $0.00 Demolition Fee Record Management : $12.00 rad"n,9�{m' $0. n-lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00ly�L` Fee: .0 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 Insp. Fee . 0 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Ele rical ° $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mac cal %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $259.94 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $259.94 PROCESSED BY: If PUBLIC WORKS APPROVAL: ZONING APPROVAL: Nk�PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE:1`� \ '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 t marks) I vie placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or, any structure, prior 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,hapter 9 (commencing with S ion 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 violatio - coon 7031.5 by any applicant for a per it subjects the applicant to a civil penalty of not more than five hundred dollars ($500). -sue' _ b\P,. f'',,�d ❑ I, as owner of the property, or my employees with wages as their sole compensation, will d of or U po Io ork, and th��,,yy!![( I� �Tt inten d or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply caner of property who` employeeR" fr I effort, builds or I proves the property, provided that the improvements are not intended or offered for sale. If, however, the buildingr' - vement is sold within one year of corgp�t�r( ner-Builder will have t b den of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contr ctii ice sed Contractors to rudSf the proje (Section 7044, Business and P Ions Code: The Con actors' State License Law does not apply to an owner of property who builds or 1mpr ereo:i ar o contra the projects�i ad Contractor {y{r�l�it•t a Contractors' State License aw). I So exerrtor from licensure underlhe.Coritract rs L forth followir - O ust have res'Ided fv t one year prior to completion of the improvements vered by this permit, I cannot legal) 'By my signature below I acknpwledge that, except f al residence;whe+ 6 ,,' Is=11 a structure that have bu'I as an own pp{{nnlde snot een stru�Et>ln "its rety by Ileencontractors. understand that a copy of the applicable law, Se ion 7044 of the Business and li is following Web �Prufessions Code, is availabl on ��dFien this a n nted'or'tthe site:http://www.leginfo.ca.gov/calaw.html. (Signature of Property Jwner o uthI ¢ed Agent x '-- D ' LICENSED CCNTRACTOR� DEC l - I hereby affirm J.T.er penalty of ` ury I am II sed v ons of Chapter 9 (commencing c 7 ),of ivisio 3 of the Business and Profs s Cod license is in full force ,` Licensr` ;lass nse No i 11 y / Contractor Si rlbt anu erfPcE .. , WORKERS COMPENSATION -� EC •VAr NINC. FAILURE TO SECURE WORKERS' OMP ION COV RAGE tfi UNLAWFUL AND SHALL SUBJEWN EMPLOYER TO CRIMIN L PENALTIES AND f�jDIfFISEi l� ON HUNDRE HOUSA D DOL RS (E100,000), IN ADDITION TO THE ;DST OF COMPENSAI ION,;OAMAGES AS PR IDED FOR IN BE 3706 0E I HE LABOR CODE 1,%EREST, AND ATTORNEY'S FEES. `� d Leru6y affirm under oenalty of per)u ne declarations. e 4tact I have and •A cl maintain a cert16ca of ns t If inl* f r workers' compensation, issued by t e D' o of Indus�Io� 6lafions as provided for 70 of the Labor Code, for th erfor ante of the work for which this P. mit i .ss Icy No. lr0 ave and will maintain workers' co nsa insurance, as required by Se� a Labor Code, for the performance of the r whith{ tfy er Issu y workers' compensatio urn carrier and number are: '• policy �ti�a`5' Exqi�1D Carrier icy Name of Agent P+ he # certify that, in the perfo ance of the wo or perml{�.�p,J I shall not employ an n in any manne s to subject to the workers' compensation laws of California, and agre Section 3700 Code, those that, if I should be ject to thew a mp tion provlJlons of of a or sh with with provisions. Signature of Applicant Da DECLARATION REG DING T 10 E ING gGENIC I hereby affirm under enalty perjury that there I ending agent a pe ce of the work for which this permit is issued (Section 30 Civil Code). Lender's Name s Address _ By my signature below, I certify to each of the folio ng: I am the property owner or authorized to act on a erty ehalf. I have read this application and the information 1 Ided is cor I agree to comply with all applicable city and coon y ordinances laws relating to building construction. I authorize representatives of this city or county to t the - e d property for inspection purposes. Signature of Property Owner or Authorized Agent Lint Property Owner's or Authorized Agent's Name a /V Z' 4�z ACTION DATE BY ON 0 MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GU LATIONS PART 61 OF TITLE 40 AND AQMD RULE 03 PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool. PERMITCANCELLED JJEPA PERMITEXTENDED QMp laoz PERMITFINAL ASBESTOS TIFICA OT APPLICABLE TO CERTIFICATE OF RO EDD OLI OCCUPANCVISSUED SIGNAT P 11 /f/ G'