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Home My WebLink AboutX2021-1386 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1386 a h 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 8 6 Project No : 1583-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 06/01/2021 Combination Type - MFP Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED SY 0610112024 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: 916 W BALBOA BLVD NB Description: MFR ADDITION & REMODEL, CONVERT TO DUPLEX ADD 60 SF, ADD 548 SF GARAGE, REMODEL 3325 "CHANGE OF CONTRACTOR' Legal Desc.: Owner: MRE INVESTMENT LLC Contractor: OWNER/BLDR Architect: NGUYEN DUC Address: 726 W 31ST ST Address: VELASCO PEDRO FOR OWNER Address: 17565 HASTINGS AVE LONG BEACH CA 90806 IRVINE CA 92614 Phone: Phone____ 310-749-3374 Phone: 714-546-9100 043,,. 4Ly Applicant: VELASCO PEDRO State i IB Engineer: VO TUNG THANH Address: Date. _ Li _ Aclff Nopli=� NS NOVALLEY CA 92708 1 Phone: 310-749-3374 Lic Exp Date: Phoon�ne:�o ! State Lic:C-0 54 f Code Edit. 2016 orkCE, en In n DeSgne :0% or ❑ 100% refund r` TION NOISE Type of Construction: V-15 sl Address: NO GONST Occupancy Group: R3/U }(� L, Added /New sq.ft. Bldg: 0��''' hBde:W' 1�m' Added /New sq. ft. Garage: 0 No of Stories: 2 r7:mm, uildi F Special Conditions: change e of contra yt N S TORDAY No of Units : 2 i,JIV Cl Bldg Height: 0 ;2 (x2020-1705) Bldg Sprinklers: N : R to 3 Flood Zone: 0.2PCT "-" - -'Use one: Par ing Spaces: 0 - Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 WGra ise Tax $0.00 Planning.Department- Fire Department - Plan Check Fee: $0.00 itional Fee $37.00 Plan check Fee : $0.00 Fire: Inspection: 1 $0.00 Overtime Plan Ck: $0.00 ding Bonds Fee $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 PC Consultant . $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $0.00 Grading Permit Fee _ $0.00 In -lieu Housing Fee - $0.00 "` Building Dept Adm $0.00 Energy Compliance: $0.00 _ Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PfW Plan Check : $0.00 Gradi _ d: _ = $0.00 Hazardous Mat $0.00 Electrical %: $0.00 - San Dist:-$0.00 _ Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 - $0.00 Plumbing %i $0.00 $0.00 TOTAL FEE : $37.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $37.00 PROCESSED BY: PUD'_IC WORKS A7'P'f0'IAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: :.PrROVAL TO ISSJE: 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 fc- 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 ar.. Professions Code) or that he or she is exempt from Iicensure 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). 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 ap y 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). am exempt from Iicensure under the Contractors' State License Law for the following reason: By y 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 legal 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 is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw. ri Signature of Property Owner or Authorized lent Dat� / I Z� LICENSED CONTRACTOR'S DECLA TI /7 I hereby affirm under penalty of perjury that am Itl Oder provi io pr C I5a t 9'fr7Jmm ng with Section 7000 `o e6&&Business and Professions Code, and my license is in full force and effect. License Class License L ,Ci Date Contractor Signature VORKERS' COMPENSATION DECL RA7',HtQ'N _ ` 1{rP'�} 1/`�W6 IARNING: FAILURE TO SECURE WORKERS' COMP SATIA COVERAGE IS UNLAWFUL, AND SHALL SUEHECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML G FO SINE HUNDRED THOUSAND DC DST OF COMPENSATION, DAMAGES AS PROVIDE IFOR IN SECTION 3706 OF THE LABOR CODE, INTEREST ANDA,TTO,RNEWS, FEES. „ hereby affirm under penalty of penury onf. of the following declarations 0 !1 r-pp�� I have and will maintain a certificate 'of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations ras❑provdeeddOfSr by BddtiSd erformance of the work for which this permit is Issued. Policy No. to w{�nryt TYRE 4 &W_f.... I, 11 have and will maintain workers compensation i su rice, asrequhert-by Section 3700 of the Labor Code, for the performance o � Ich this permit is is Isurance carrier and policy number are :arrier �:,P licv Number Expiration Date e of Agent :ertify that, in the performance of if I should become su lect to the ature of Applicant :reby affirm under penalty of perj ider's Name my signature below, I certify to e I am the property owner or auth I have read this application and I agree to comply with all applic I authorize representatives of tt ACTION PERMIT EXPIRED work for which this permit is issued, I shall not empley;any person -in -any manner so as to become subject to the workers' 'keraVorripensatiQQn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e W Nl7�N�3rAGENCY there is a construction lending agency for, thce,�3e formance of Al, Lenders Address &�jq din the property owner's behalf. nt'oIp((TIon-have rovided is correct. city and county ordinances e-la elating to building construction. y-eccoitiltyt9 enter the above -identified property for Ins coon-putpase„L DATE I BY REGULATIONS PART 61 OF TITLE 40 AND AaRIEFRULE.. 1403 SUBMITTEIi ASBE.,T65 NOT.FICATION TO PERMIT EXTENDED UAQMD PERMIT FINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION ,. .. OCCUPANCY ISSUED SIGNATURE: IN ADDITION TO THE oftheLabor Code, for My workers' compensa of California, and Dat� Z 97, Ci it Code). ry . -tea 2 1 Of') uvt�iK JtGlt�.'{,j11 USE ONLY Date