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Home My WebLink AboutX2021-2194 - Permitsywru� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIII II COMB Permit: X2021-2194 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 1 9 4 Project No : 1895-2021 Permit Counter Phone (949)644-3288 .� Inspection Requests Phone (949)644-3255 Issued Date : 08/23/2021 Combination Type - BLDG Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/23/2024 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: 1083 NEWPORT CENTER DR NB Description: COMM AWNINGS (2) FOR'FABLETICS' TI Legal Desc.: P BK 221 PG 30 PAR 6 Owner: IRVINE CO Contractor: J MILLER CANVAS LLC Architect: Address: 550 NEWPORT CENTER DR Address: 2429 S BIRCH ST Address: NEWPORT BEACH, CA 922660 SANTA ANA, CA 92707 Phone: Phone: (714) 641-0052 Phone: State Lic: Applicant: GUZMAN MIRIAM Con State Lic: 1043076 Engineer: MADRONA CERENICO GOZO Address: 11818 RAMONA AV Lic Expire: 0813112022 Address: 7868 DE SOTO AVE HAWTHORNE CA 90250 Bus Lic: BT30068296 CANOGA PARK CA 91304 Phone: 310-617-0222 Lic Exp Date: 07/31/2022 Phone: 661-259-0700 State Lic:C-072319 Code Edit : 2019 Worker's Compensation Insurance Designer: BERGANIO JUN Type of Construction: Carrier: PREFERRED PROFESSIONAL INS COAddress: 2429 BIRCH AV Occupancy Group: U Policy No: ON889303 SANTA ANA CA Added /New sq.ft. Bldg: 0 Expire: 0410112022 Phone: Added /New sq. ft. Garage: 0 1 Y-CT R No of Stories: 0 Building Setbacks Rear: / Special Conditions: i ..a No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6,500.00 Building Permit Fee: $1 B1.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $157.47 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $48.50 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $443.97 Plan Check Fee : $257.97 Fee Due at Permit Issuance : $186.00 PROCESSED BY: Yi' 1 TT PUBLIC WORKS APPROVAL: ZONING APPROVAL:w PLAN CHECK BY:i y GRADING APPROVAL: 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 :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 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 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). ❑ 1 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 legally 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.leginfo.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 70 ) of Division 3 f the Business and Professions 6o d my license is in full force and effect. License Class License No D Z�' Z- Contractor Signatur /ems � WORKERS' COMPENSATION DECLARATION L�1 NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100,0001, IN ADDITION TO THE COST 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 the ggr(grmance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 370C of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent ]I certify that, in the performanI 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 lat, if I should become subjecttrkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant / DateiL(-/��i�� iECLARATION REGAG CONSTRUCTION LENDING AGENCY (V 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, i it Code). Ender's Name Lender's Address y my signature below, I certify to each of 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 oInd i c s and state laws relating to building construction. I authorize representatives of this city or county to ant ve-identified property for inspection purposes. - / icnature of Prooertv Owner or Authorized Acent /� Print Property Owner's or Authorized Agent's Name V CJ- �J - � 7 / Date Z3'� DATE BY \DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED Z -Lbl LJAQMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED BESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: 0 ) �. \LU§ \O�k 0 Z /e §00 XZ LLI< kd0 ■§�L/ )eEWO - LLzDo °°$§ !/LL$ƒ j/q� !�®z CO m�<w bk./ ao\< x/k2 azx� B�/E \LE& e®/< k§)k