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Home My WebLink AboutX2019-0395 - Permitsvrlo City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-0395 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0. 3 9 5 Y Project No: 2483-2017 Permit. Counter Phone (949)644-3288 ?t - Inspection Requests Phone (949)644-3255 Construction Valuation: $3.000.00 Fire Department Plan check Fee: Combination Type -: BLDG $412.00. Excise Tax: $0.00 Issued Date : 02/05/2019 Plan Check Fee: $365.00 Additional Fee : $0.00 Overtime Plan Ck: Inspection Area : 8 Grading Bonds Fee: - $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Investigation Fee: - $0.00. 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 Record Management: Job Address: 2407 BUCKEYE ST NB " Grading Permit Fee: $0.00 $0.00 Energy Compliance: $0.00 Description: .SFR BLOCK WALLS 6' HIGH X 12 LF INSIDE P/L *MARKERS ON SITE* CITY STANDARD $0.00 CA Seismic Safety : Legalbesc.: N TR 4893 LOT.101 WQ Insp. Fee: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 Owner: ZEHNER RICHARD/BARBARA Contractor: KESKY EDDIE GENERAL CONT INC Architect $0.00 Address: 2407 BUCKEYE ST - Address: 10841 BLOOMFIELD STREET Address: .. ° ""• `+�'"'• °,•ono • ° NEWPORT BEACH, CA 92660 '.LOS ALAMITOS CA 90720 u�� sc -'`"" • o Phone: Phone: - 662-795.5755 Phone: State Lia "'`� •. ° ° o Applicant:. ZEHNER RICHARD Con State Lie: 768265. Engineer:'«.-.• e • o ° ° Address: 2407 BUCKEYE ST Lie Expire:. 0913012019 Address: ,wxd ° ° • ° NEWPORT BEACH, CA 92660 Bus Lia BT30057336 fli 6i•o. Phone. 714,812-7153 ' Lie Exp Date: 11/30/2019 Phone: State Lia s • • • ° ° Code Edit: 2016 Worker's Compensation Insurance Designer: - . °..poo • • o Type of Construction: .Carrier. REDWOOD FIRE Address: ,,.. Occupancy Group: U Policy No: EDWC10567 °mmize o ° Added /New sq.ft. Bldg: 0 - Expire: 01101/2020 Phone: •,° ' ° ® ° Added /New sq. ft. Garage: 0, -..- No of Stories: D - Building Setbacks Rear: 6' Special Conditions: PLANS ATTACHED TO PERMIT so?" No of Units : 0 Front: 20' Bldg Height: 0 Left: 6' Bldg Sprinklers: Right: 6' Flood Zone:. Use Zone: Parkina Spaces: 0 Fire Hazard Zone, N IITOTAL FEE $820.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Planning Department - Construction Valuation: $3.000.00 Fire Department Plan check Fee: Building Permit Fee... $412.00. Excise Tax: $0.00 Plan Check Fee: $365.00 Additional Fee : $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: - $0.00 $0.00 Investigation Fee: - $0.00. Grading PC Consultant : $0.00 Park Dedication i.. Record Management: $2.00 Grading Permit Fee: $0.00 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 Plumbing %: $0.00 IITOTAL FEE $820.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Planning Department - Fire Department Plan check Fee: $40.00 Fire Inspection: Fair Share' $0.00 Fire Plan Rev SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee: - $0.00 Building Dept Adm Public Works Department - General Service Park Dedication i.. $0.00 Refund Deposit P/W Plan Check : $0.00 Grading Bond: San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $820.00 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 applica�LWtem(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 applicght 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 ($500). _ ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owgLM81%pperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exemptferorn licensure under the Contractors' State License Law for the following reason: M"? Jignatur#beIo%I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit. I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and. Pirofesaions Code* is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. SignVure of ProperigOwner or Authorized Agent Date �IQEN$ED CIQNIUACTOR'S DECLARATION ® I hereby affirm Vggerpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 60) of Divisiop 3 of the Business and Prof sio C €, a license is in full force Baal effect. Lioense Ciass .License No Date �t Contractor Signature UVORKERS' COJ,IAPENSATION DECLARATION NARMRO FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE FORT OFxOMPEIVJTJQr{ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' p%rel}y affirm under p9nalty of perjury one of the following declarations: �.I•have and -NIH 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 thi 3erformance of tRe work for which this permit is issued. Policy No. have 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' compensatior F carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # ]I certify that, in the pertgrmance of the w r whi this permit is issued, I shall not employ any person in any manner so as to become subject to the w/De compensation laws of California, and agre iat, if I should become subject tot w rs' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G� ignature of Applicant o -5 �IECLARATION REGA DING CO STRUC LENDING AGENCY hereby affirm under p nalty of perjury the ere is a construction lending agency for the performance of the work for which this permit is issued (Section 30l 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 owners behalf. I have read this application and the information I havei cq I agree to comply with all applicable city and cou ty or nc d s la I authorize representatives of this city or county o er th ov entifie( DATE I BY EXPIRED PERMITFINAL CERTIFICATE OF is relating to building construction. property for inspection purposes. OF COMPLIANCE WITH CODE OF FEDERA PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS SIGNATURE: TO FOR OFFICE USE ONLY o�'s�