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Home My WebLink AboutX2019-0835 - Permits°by City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllQ COMB Permit: X2019-0835 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 8 3 5 Project No: 0564-2019 Permit Counter Phone (949)644-3288 "v` $ Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM _ Issued Date: 0411812019 Ilk, d l Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.:.e�r 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 dal days or Holidays Job Address: 1025 W BALBOA BLVD NB . Description: DEMO (3) BDRM, 2000 SF SFR " INCLDS SEWER CAP" _ Legal Desc.:/®" ropy` .Owner: METRO CALIFORNIA LLC Contractor Address: 227 20TH ST #100 Address: GONTERMAN 1842 PARK ST CONSTRUCTION Architect: Address: - NEWPORT BEACH, CA 92663 - Phone: NEWPORT BEACH CA 92648 949-697-0746 Phone: Phone: �® Applicant GONTERMAN CONSTRUCTION Con State Lic: 858073 Engineer. Address: 1842 PARK ST Lic Expire: - 04/30/2021 Address: NEWPORT BEACH CA 92648 Bus Lic BT30048414 Phone: 949-697-0746 Lic Exp Date:. 09130/2019 Phone:. State Lic: Code Edit 2016 Worker's Compensation Insurance- Designer: GUIDERO BILL Type of Construction VB Carrier: STATE COMP Address:. 425 30TH #23 Occupancy Group: R3 Policy No: 9116891 NEWPORT BEACH CA 92663. Added /New sq.ft. Bldg: 0 Expire:: 07/01/2019 Phone: - --- Added/New sq. ft. Garage:. 0 No of Stories:- 2 - Building Setbacks Rear I Special Conditions: LIQUEFACTION, .2% FLOOD No of Units : 1 Front: Bldg Height: 0 Left: 1 '. - Bldg Sprinklers: Right:. / - Flood Zone: Use Zone: Parking Spaces: 0 : Fire Hazard Zone-: N Construction Valuation:' .$7.000.00 Building Permit Fee: $103.00 - Excise Tax:. $0.00 Planning Department - Fire Department Plan Check Fee: -$208.00 Additional Fee : $0.00 Plan check Fee : $90.00 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: $4.00 .' Grading Permit Fee. $0.00 1n-lieu Housing Fee $0.00 Building Dept Adm $26.00. Energy Compliance: $0.00 Grading PC fee:- $0.00 Public Works Department - General Service $210.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund. Deposit $1,127.00 ' 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%: ,$9.27.. $0.00.. TOTAL FEE : $1,778.27 Plan Check Fee: $1,778.27 Fee Due at Permit Issuance : ` $0.00 006 U1 BU BY: i' w � �� PlIBLIE VYt)RKS / PPROVAL: PROCESSED o . ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: - m -�+- �,.°.APPP,OtrAL' TJfl,9SUE: f v 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 i�e,'�"'�', 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 applica¢�� ,. 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). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). 1 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). 7 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 legal'. 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 704 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.ieginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Datez .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) of,Qlvi n 3 of the Business and Pro(e�^sions ' ode,++ license is In full force nd effect. License Class License No Date V ` �� Contractor Signature 5 —' ✓ORKERS' COMPENSATION DECLARATION f— / / <__ 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 DOLLARS ($100,000), IN ADDITION TO THE ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: /1 j 7 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 Wy. Section 3700 of the Labor Code, for th e ormance of the work for which this permit is issued. Policy No. I have and will ma'rrt in 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 Isurance carrier and I oli number :arrier o I umber Expiration Date lame of Agent _ r � Phone # 11 certify that, in the performance of th ork�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 tat, if I should become subject to the orkers com " n rovisions of the Labor Code, I shall forthwith comply with those provisions. _._..__._� �l .__.. Da ignature of Applicant r ._---_ _ _.– Breby affirm under penalty of perfy,that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). - lder's Name Lender's Address my signature below, I certify ach of the following: I am the property owner or authorized to act on the merdqI s behalf. I have read this application and the information I haorrect. I agree to comply with all applicable city and county state I -ret I e to building construction. r I authorize representatives of this city or county tp a jed pro for inspection purposes. ACTION DATE BY ` DytPRAT10N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R ULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1 03 . u• ••• •.• • ••• PERMITEXPIRED ,SUBMI EDASBE40SNO11FICATIONTO • � • •• PERMIT CANCELLED~ EPA • • •• •• •• • PERMIT EXTENDED QM PERMITFINAL 11 �9�« 0 ASBES SNOTIFICATION NOT APPLICABLE TO CERTIFICATE OF PROP DQEIyOLITION • ••• OCCUPANCYISSUED NATURE: : :