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Home My WebLink AboutX2018-3580 - 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 et•rryu> Combination Type - CIP ELEC IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2018-3580 X 2 0 1 8 3 5 8 0 Project No : 1407-2018 Issued Date: 11/2712018 Inspection Area : 7 Applicant: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Con State Lie: 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: 2043 WESTCLIFF DR NB 144 N ORANGE ST Description: COMM INSTALL EXTERIOR SOFFIT 100 LF (450 SF) Address: Legal Desc.: N TR 4225 LOT 2 'DECTOR Bus Lie: Owner: HANKEY INVESTMENT CO Contractor: CAMINO REAL DEVELOPMENT Architect: INSI Phone: Address: 4751 WILSHIRE BLVD #110 Address: 1835 NEWPORT BLVD #A109-103 Address: Phone: LOS ANGELES CA 90010 COSTA MESA CA 92627 Phone: Phone: 949.873-5821 Phone: State Lie: Applicant: NGUYEN JAHN Con State Lie: 1011084 Engineer: SARKIS PETER Address: 144 N ORANGE ST Lie Expire:0212812020 $0.00 Address: 20381 LAKE FOREST DR, STE 815 Hazardous Mat ORANGE CA 92866 Bus Lie: BT30060577 $0.00 LAKE FOREST CA 92630 Phone: 714-639-9860 Lie Exp Date: 0 913 012 01 9 Phone: 949-331-8475 State Lic:S-005038 Code Edit: 2016 Type of Construction: VB Occupancy Group: BIM Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $392.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $20.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEP : $495.18 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 9217157 Expire: 0813012019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: / Parkina Spaces $0.00 $27.30 $0.00 $0.00 $0.00 $0.00 $0.00 $54.88 $0.00 $0.00 Plan Check Fee Designer: BUTTETI ROBERT Address: 144 N ORANGE ST Fair Share ORANGE CA 92866 Phone: 714-639.9860 Special Conditions Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 PUBLIC WORKS// PLAN CHECK BfY APPROVAL TO It R m 9 9 •m m ovum«o m $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $495.18 e o O.•YEO O O e••oo a soemo OOmm00 e o m o d0•l60 m ossa Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: R m 9 9 •m m ovum«o m $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $495.18 e o O.•YEO O O e••oo a soemo OOmm00 e o m o d0•l60 m ossa 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 item(s) ction 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 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 fessions 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 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, Iiness 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 )rovements 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 )roved 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 )ly 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: 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 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 �fessions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED CONiRirCTOR'S DECLARATION 'reb)# affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 'vi ion of the Business and Professi s d y license is in full force P 914,ct. LigpPse Gess License No Date Contractor Signature )RKERS' COMPENSATION DECLARATION Mind FAILURE TE SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T CH [SAND DOLLARS ($100,000), IN ADDITION TO THE IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. r, byaffirm under pmnalty of perjury one of the following declarations: 4have and. -will entAntain 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 (LyQ)eance of tRe work for which this permit is issued. Policy No. 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' carriar aV41icy number are: Policy Number Expiration Date ete.0 Agent. - . - - . rnane s certify that, in the performance of the work 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 agre I, if I should become subjactMijiters, compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. h0 p- natureofApplicmt ✓a .. Dat % l� CLARATION RERD TRUCTION LENDING AGENCY )reby affirm under pena y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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 and state laws relating to building construction. I authorize representatives of this city or county to eenter�(ia - ntified roperty for inspection purposes. __ ^^ f� nature of Procerty Owner or Authorized ADen /1 Print Property Owner's or Authorized Agents Name�J SQ } � )6(0 0 �0— DattvQ ACTION DATE BY .G9CLKR&TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY (/REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED ', vvvm N QMD PERMIT FINAL \.\3.\R 4Z;:� 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: