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Home My WebLink AboutX2017-0193 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 n Orr war Combination Type - BLDG ELEC Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New/TI sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: *X2017-0193* DAYS AFTER ISSUANCE OR LAST TRUEMARK INC 731 N MAIN STREET ORANGE CA 92868 714-204-0079 926653 12/31/2018 BT30056601 06/30/2017 Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No: 7600008388 Expire: 09/01/2017 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Parkins Spa COMB Permit: X2017-0193 Project No : 0137-2017 Issued Date : 01/26/2017 Inspection Area : 7 (ALID INSPECTION. PERMITS EXPIRE Job Address: 2043 WESTCLIFF DR NB Planning Department - Description: COMM .(3) MONUMENT SIGNS "THE WALK" Fire Department Legal Desc.: N TR 4225 LOT 2 $480.24 Owner: HANKEY INVESTMENT CO Contractor: Address: 190 NEWPORT CENTER DR Address: '45,_m°L+ et NEWPORT BEACH CA 92660 $0.00 Phone: $0.00 Phone: Applicant: KERBY DAVE Con State Lic: Address: 731 NORTH MAIN ST Lic Expire: o°eoey �. e ORANGE CA 92868 Bus Lic: Phone: 714-231.8293 Lic Exp Date: Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New/TI sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: *X2017-0193* DAYS AFTER ISSUANCE OR LAST TRUEMARK INC 731 N MAIN STREET ORANGE CA 92868 714-204-0079 926653 12/31/2018 BT30056601 06/30/2017 Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No: 7600008388 Expire: 09/01/2017 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Parkins Spa COMB Permit: X2017-0193 Project No : 0137-2017 Issued Date : 01/26/2017 Inspection Area : 7 (ALID INSPECTION. .,.r Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $480.24 Additional Fee : $0.00 Plan check Fee : $37.60 eeem e'8 '45,_m°L+ et Architect $0.00 Grading Bonds Fee: $0.00 Address: ° - $0.00 Investigation Fee: eo e o°eoey �. e Phone: State Lic: a e m O e � • oe000 00 0 Demolition Fee o ee e e n Engineer: JACOB TONY O°• °• Address: P.O. BOX 802050 $0.00 00 ° $56.00 SANTA CLARITA CA 91380 $0.00 Public Works Department - Phone: 661-259-0700 State Lio:C-059022 cee.°e $0.00 CA Seismic Safety: $0.00 0 e o 0 o°eoeo Designer: BETANCOURT HECTOR Refund Deposit Address: 731 N MAIN ST $0.00 ORANGE CA 92868 $76.00 Phone: 714-744-2300 Hazardous Mat $0.00 Special Conditions: $72.26 San Dist: Zone :N Building Permit Fee: $552.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $480.24 Additional Fee : $0.00 Plan check Fee : $37.60 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $12.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $56.00 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 : $76.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $72.26 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,288.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $551.36 Fee Due at Permit Issuance : $736.64 PUBLIC WORKS APPROVAL: �! T - PLAN CHECK BY: APPROVAL TO ISSUE: 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or �gved for tho %rpose of sale). I��.owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to�an owgyL ptgrbtperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). :,aLr$exemptfrom licensure under the Contractors' State License Law for the following reason: ' y�pignature bellow 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 Ca not legalli e l a stMlcture Iihat 191%ve 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 Busin s and Irtfee$ions Cola,+a available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. :iggJIltr& of Proppity ClWner or Authorized Agent t _ICEMSED COCMACTOR'S DECLARATION e er" affirm undgr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) o jDiyision 3 of the Business and Prof e, and ice in ful rce and effect. License Class License No Date 7�d '/ Contractor Signatur N9ftK4gRS' CgMPENSATION DECLARATION 'AIRNING.:GAILURE TQ S URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700, , N ADDITION TO THE AST OF COMPENS(I IS I MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm unaer'penalty of perjury one of the following declarations: 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 nce of the work for which this permit is issued. Policy No. Ove 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 rance carrier and policy number are: vierPo' y Number Expiration Date is of Agent Phone # certify that, in the pe IT o the f Ich Is permit is i Led, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre, if I should become sub' o e wo er ompen at' n provi ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Iature of Applicant Date �(� —�/ .1 ARATInN RPR rNNr: CflNSTRI NtTI I FNIIIN r Pmry I hereby affirm under penalty of perjury that there is a q5Wruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property n4er'sbehalf.I have read this application and the information I have pr d I agree to comply with all applicable city and county or a esws re ng to ding construction. 7authorize representatives of this city or county to abod pr arty inspection purposes. �� 1! Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Dat ACTION DATE BY DECLARATION OF COMPLIAN ITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AC MD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED UEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMITEXTENDED UAQMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMITFINAL \'1•CL V1 El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO life of the pool. CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNAT[IRF-