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Home My WebLink AboutX2018-2507 - Permits1r6 City of Newport Beach- Building Division 400 Civic Center Drive, Newport Beach, CA 92660 i~ M'ti Permit Counter Phone (949)644-3288 c7 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII II COMB Permit: X2018-2507 x 2 9 1 8 2 5 9 7 Project No: 0068-2018 Issued Date: 0812212018 Inspection Area : 2 PERMITS EXPIRE 980 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: 608 S BAY FRONT NB Description: DELTA 1 -ADD'L SCOPE (REV18-1503) RIR ALL WINDOWS, ADD'L ELECTRICAL 8 PLUMBING, REVISE BATHROOMS Legal Desc.: BALBOA ISLAND SEC 2 LOT 5 BLK 1(AND LOT 6 BILK 1 Owner: HANSEN ROBERT Address: 841 APOLLO ST #450 Bus Lie: EL SEGUNDO, CA 90245 Phone: 1213112018 Applicant: FABER MARK Address: PO BOX 10771 $0.00 NEWPORT BEACH CA 92658 Phone: 949.838-5028 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height 0 Bldg Sprinklers: Contractor: FABERWEST CONSTRUCTION Address: P.O. BOX 10771 NEWPORT BCEACH CA 92658 Phone: 530-277-7502 Con State Lie: 592260 Lie Expire: 0212912020 Bus Lie: BT30030099 Lie Exp Date: 1213112018 2016 Worker's Compensation Insurance Phone: 714-225.7056 State Lic:C-074715 Carrier: STATE FUND R31U Policy No: 905085318 0 Expire: 04101/2019 0 $0.00 DtsaVIVAI.4ccess : o $0.00 Building Setbacks Rear: I Bpiijdir @reen Fes%.- $1.00 Front: I $0.00 Grading PC Consultant: Left: I Yl (/ Use Zone: Right: I Parkino Snaces: Building hermit F3P*..`.$367.00 PI3oaCh 6:k Fee: ° $O.OD Phone: 714-225.7056 State Lic:C-074715 0yeginp Plan Ck: ° $0.00 Irv6otoption Fee��. o $0.00 Record Management. $0.00 Eeergoyy bempliana;o o $0.00 C9Sei?mic Safely,: ° o o $0.00 DtsaVIVAI.4ccess : o $0.00 Ha4ard6us Mat o $0.00 Bpiijdir @reen Fes%.- $1.00 oomm 0 0 TOTAL FEE: $426.72 PROCESSED BY: ZONING APPROVAL: Architect: Address: Phone: State Lie: Engineer: ARMSTRONG SCOTT DANIEL Address: 25068 VIA LAS LOMAS MURRIETA CA 92562 $0.00 Phone: 714-225.7056 State Lic:C-074715 Designer: Address: Phone: $0.00 Special Conditions: $0.00 7r $0.00 z T R Fire NagaM 7nnc - N I 9 ��■ N3H Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $25.69 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $33.03 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $426.72 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION w 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 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 of 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, lusiness 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 nprovements 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 nproved 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legalq ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of ivisiioonn`,3` of the Business and P f ssio de, and r9 .I ,nse is in full force nd effect. License Class License No DatV% n — Contractor Signat re c/ YORKERS' COMPENSATION DECLARATION (/71�1 171/ ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANW OLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm under penalty of perjury one of the following declarations: II —hereby P 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 th once of the work for which this permit is issued. Policy No. NNE ve 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. "sur My workers' compensatiol ` ce carrier and policy number are: -arner Policy Number Expiration Date Namg of Agent Phone # :11 certify that, in the performance of the work for which ' 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 a re :hat, if I should become subject to th✓e y/y�rrkee a' com do visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant G'!/lI Date DECLARATION REGA ING CONSTRUCT( LENDING AGENCY ...... hereby affirm under penalty of perjury tha ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ivi ode). _ender's Name Lender's Address ...... ' • ° 3y my signature below, I certify to each J 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 sta aws relating to building construction. • • , • ° I authorize representatives of this city or count to enter the bov ' -property for inspection purposes. j� Signature of Property Owner or Authorized Age "( Print Property Owner's or Authorized Agent's Nam L . . . . o • • Date ...... •°•°° ACTION DATE BY DECLARAXON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY •' REG TIONS PART 61 OF TITLE 40 AND AQMD RULE I • " PERM/TEXPIREO I I I U I SUBMITTED ASBESTOS NOTIFICATION TO CERTIFICATE OF /'� PROPOSED D SPRI IGNA7URE:EMOLITIONIONIS NOT APPLICABLE TO OCCUPANCYISSUED �I /�