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Home My WebLink AboutX2019-1761 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ii Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM IIIIXI�� III0IIIIIIII�II��III1IIIIIIII�6 �I1 II COMB Permit: X2019-1761 Project No : 1267-2019 Issued Date: 0610412019 Inspection Area : 4 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: 2828 LIGHTHOUSE LN NIS Description:. SFR REMODEL (E) BATHROOM 60 SF Legal Desc.: N TR 6385 LOT 1 Owner: ABAD-SANTOS GREGORIO Contractor: AMERICAN HOME REMODELING INC Architect: Address: 2828 LIGHTHOUSE Address: 4375 PRADO RD STE 108 - Address: CORONA DEL MAR, CA 92625 CORONA CA 92880 Phone: Phone: 9091520-0654 Phone: State Lic: Applicant: MILLS MIKE Con State Lic: 807029 Engineer: Address: 6611 LONGFELLOW DR Lic Expire: 03/3112020 Address: BUENA PARK CA 90620. Bus Lic: BT30062988 Phone:. 714-336-5519 Lic Exp Date: 04/30/2020 Phone: State Lia Code Edit: 2016 Worker's Compensation Insurance Designer: MILLS MIKE Type of Construction: VB Carrier: FALLS LAKE FIRE Address: 6611 LONGFELLOW DR Occupancy Group: R31U Policy No: FLA00797701 BUENA PARK CA 90620 Added /New sq.ft. Bldg: 0 Expire: 01/01/2020 Phone: 714-336-5519 Added /New sq. ft. Garage:. 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4.800.00 Building. Permit Fee: $152.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Feer $132.24 Additional Fee: $0.00 Plan check Fee: $40.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $10.64 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $6.08 NMUSD Fee: $0.00 Plumbing %: $13.68 TOTAL FEE: $357.64 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $357.64 Ac •i UB1.14 WORKS APPROVAL: e Wo e w a u PLAN CHECK BY: o `AP&ROVAL TO ISSUE: ° coc c�. c� c c cw act 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 items) 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 ie 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). 3 1, 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, 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 Aroved for the purpose of sale). 1, 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 .only 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 legally 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. signature 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 70 ) 1of the Biness and Pr fes 'ons d , al '� S ull force nd effect. License Class License No Date Contrausctor Signa VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL S (,'100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 o formance of the work for which this permit is issued. Policy No. have and willIn�ain 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' ranee carriers deity numbefaFV: Date lame of Agent � r'y U 1 L/� rnone s T � ]I certify that, in the performance of the wor or hich this p it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation la S of California, and agree tat, if I should become su ct to t mpe tic visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Datk IECLARATION REGAADIZ CONST U ION LENDING AGENCY hereby affirm under penalty of perjury there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 ordinances a tate laws relat' g to building construction. I authorize representatives of this cit or count t ter a en�tifi�ee��/ho r inspection purposes. �.j�,�- )) ��t fir+ ianature of ProDertv Owner or Authorized ADent y - 5i Pmt Property Owner's or Authorized Agent's NamEf 6�' L svm e"n7a(e'�C�a' ACTION DATE BY ( DECLARA IO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGULATIONS PART61 OF TITLE 40AND AQMD RULE 1403 s• •ea " • PERMIT EXPIRED El I SUBMITTED ASBESTOS NOTIFIC4 ION TO a • • i — • • •• EPA • " •" " •• " qMD NOTIFICATION IS PPLICABL TO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL 6BESTOS CERTIFICATE OF �7�q � 10PRiOOSED M ITION ••' " ` t • • •`• `;• OCCUPANCYISSUED t SIGNATURE: • + • e e