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Home My WebLink AboutX2020-0080 - PermitsCity of Newport Beach - Building Division e 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ,3,,.' ✓a Inspection Requests Phone (949)644-3255 Combination Type - MFP IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-0080 X 2 0 2 0 0 0 8 0 Project NO : 0074-2020 Issued Date : 01110/2020 Inspection Area : 3 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: 880 IRVINE AVE NB Description: MFR -DRYWALL REPAIR (FIRE DAMAGE IN LAUNDRY ROOM) Legal Desc.: P BK 15 PG 36 PAR 1 Owner: UDR NEWPORT BEACH NORTH L Contractor: RESTORATION MANAGEMENT CO Architect: Address: PO BOX 06408 Address: 25172 ARCTIC OCEAN DR Address: CHICAGO, IL 60606 LAKE FOREST CA 90630 Phone: State Lic: Phone: Phone: 800-400-6058 Applicant: BORLAND SCOTT Con State Lic: 765595 Engineer: CHRISTIAN DALE Address: 1744 W KATELLA AVE #107 Address: 4142 POINT EDEN WY Lic Expire: Bus Lic: 07131/2021 BT30055216 ORANGE CA 92667 HAYWARD CA 94545-3703 Lic Exp Date: 03/3112020 Phone: 714-997.1145 State Lic:S-002705 Phone: 949-355-5087 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: ZURICH AMERICAN INS CO Address: Occupancy Group: R2 Policy No: WCO29739602 r ^ R Phone: Added /New sq.ft. Bldg: 0 Expire: 06/01/2020 ' N S P y.� t- e _�®1-d iJ Added /New sq. ft. Garage: 0 1 Building Setbacks Rear: / Special Conditions: No of Stories: Front: I No of Units : 0 Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Flood Zone: Construction Valuation: $500.00 Building Permit Fee: $104.00 Excise Tax: $0.00 Planning Department- Fire Department $40.00 Fire Inspection: $0.00 Plan Check Fee: $90.48 Additional Fee : $0.00 $0.00 Plan check Fee: Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 $0.00 Grading Bonds Fee: Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Investigation Fee: Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm General Service $0.00 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE : $237.48 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $237.48 PU$L'C'\4ORKS A?PRDV-AL: PROCESSED BY: �J t "" - PLAN CHECK BY: ZONING APPROVAL: APPROVAL TO ISSIiG:� GRADING APPROVAL: 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 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 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 (_) 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-Builderwill 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 legall, 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 7 00) of,Divisi n of the Business and fessions Code, and "tense is in full force and effect. License Class License No Date 10 0 Contractor Signat Ir WORKERS' COMPENSATION DECLARATION MARRING: 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 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: J" 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, forth ormance of the work for which this, permit is issued. Policy No. ave 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 nsurlance carrier and policy number are: Policy Number Expiration Date of Agent 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 agm t, if I should become su ject to the ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (nature of Applicant Date I/ A O CLARATION REGARDING CONSTRUCTIC'N LENDING AGENCY 6reby 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, CI i1 Code). ider's Name Lender's Address 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. SG Olt- I-�1. O" Z I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county enter led property for inspection purposes. ` /( /Zv nature of Property Owner or Authorized Agen - Print Property Owner's or Authorized Agent's Name Date DATE BY v \I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY } REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL /Iej/Zo j L ,PON CERTIFICATEOF w J OCCUPANCYISSUED I SUBMITifD ASBESTOS NOI191CATION TO ASBESTOS NOTIFICATION IS NOT APPLICABLE TO )POSED DEMOJTION