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Home My WebLink AboutX2019-0794 - PermitsCity of Newport Beach - Building Division .4 100 Civic Center Drive, Newport Beach, CA 92660 ti Perm" Counter Phone (949)644-3288 u 'An Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM COMB Permit: X201 Project No : 0533-2019 Issued Date : 03112/2019 Inspection Area : 5 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: 2201 WATERFRONT DR NB Description: SFR REMODEL 400 SF (KITCHEN, MST. BATH & LAUNDRY RM) Legal Desc.: TR 682 LOT 42 POR OF LOT Owner: IWB HOMES LLC Contractor: OWNER/BLDR Architect: Address: 3419 VIA LIDO #627 Address: BULONG IRVING Address: NEWPORT BEACH CA 92663 Phone: 949-230-0601 Phone: 949-230-0601 Phone: State Lie: Applicant: BUDLONG IRVING Con State Lie: Ole Engineer: Address: 3419 VIA LIDO #627 Lie Expire: Address: NEWPORT BEACH CA 92663 Bus Lic: Phone: 949-230-0601 Lie Exp Date: Phone: State Lie: Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $833.00 Plan Check Fee: $724.71 Overtime Plan Ck: Won 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 : $3.00 TOTAL FEE : $1,777.31 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Use 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: I Left: I Right: I 3arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $58.31 $33.32 $74.97 Plan Check Fee Designer: MICHAEL DAVID Address: 712 CENTER ST COSTA MESA CA 92627 Phone: 949-701-9539 Special Conditions Fire Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,777.31 PUBLIC WORKS APPRO"JA-: _ ,- 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, ='ao requires the applicant for Is 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 Dt 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, usiness 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 frovements 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 prod for the purpose of sale). 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 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). exempt from licensure under the Contractors' State License Law for the following reason: y 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, all 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 044 of the Business and rofessions Code, is available upon request when i a lication is s mitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Dat ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under rovisions of C apter 9 (commencing with Section 7000) of Division 3 of the Business and Professions de, and my license is in full force nd effect. License Class Lic nsa No Date Contractor Signature NORKERS' COMPENSATION DECLARATION VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUMECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS S100,0001, 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: 1 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 Ierformance of the work for which this permit is issued. Policy No. :1I 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' compensatior nsurance carrier and policy number are: ;arrier Policy Number Expiration Date Jame of Agent Phone # I 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 h , if I should becomkenalty the workers' co pensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican )ECLARATION REGN Iththere TIO LENDING AGENC hereby affirm underrjury is a construction 1 nding 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 9t 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 ordinances and state laws relating to building construction. 1 authorize representatives of this city or cou ty t ter the ab-identifi d property for inspection purposes. 3i nature of Property Owner or Authorized Agent Print Pro ert Owners or Authorized Agent's Nam ACTION DATE BY DEC ATION OF COMP ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG Ti PART 6 OF TITLE 40 AND AQMD RULE 14 PERMITEXPIRED IS'JBlvlll-iEIr A58E5TO5 NOTIFICATION TO - PERMIT CANCELLED -EPA PERMIT EMENDED QM D PERMITFINAL f V� (J. ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF I P ,OP07.0 DEM ION OCCUPANCYISSUED CIGNATPR .