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HomeMy WebLinkAboutX2020-0522 - Permitsvnot City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII'lllll� II COMB Permit: X2020-0522 �s vj 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 5 2 2 Project NO N Permit Counter Phone (949)644-3288 v-, Inspection Requests Phone (949)644-3255 Issued 2127/2020 Combination Type - SFP A Inspecttionion Area : 1 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: 619W BALBOA BLVD NB Description: SFR WATERPROOFING DECK CLASS A UES-ER5B6 488 SF Legal Desc.: EAST NEWPORT BILK 10 LOT 12 Owner: XAVIER FRANK E Contractor: CRANK WATERPROOFING Architect: Address: 519 W BALBOA BLVD Address: 134 COMMERCIAL WY Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 NO C(�t� STR gy- Phone: 714.482-4642 Phone: 949-646-9356 Phone: ^3t�d� l f7 �.A 6.a! TION NOISE Applicant: CRANK WATERPROOFING Con State Lie: 1038420 Engineer: •°•••o Address: 134 COMMERCIAL WY Lie Expire: 04/30/2020 Address: .... COSTA MESA CA 92627 Bus Lie: BT30063968 OO° Phone: 949-646-9356 Lie Exp Date: 06/30/2020 Phone: ON ATUR tAd�dr"'63 dr ° •� o Code Edit: 2019 Worker's Compensation Insurance Designer: °" ° Type of Construction: Carrier: FALLS LAKE Address: m. Occupancy Group: U Policy No: FLA01346000 ° °p ° ° ° Added /New sq.ft. Bldg: 0 Expire: 01/2612021 Phone: • ° ®� o ° ..... Added /New sq. ft. Garage: 0 C®^ , ° S I: CC No of Stories: 0 Building Setbacks Rear: / Special Conditions:® No of Units : 1 Front: / o° ° °..... Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6.000.00 $ W Building Permit Fee: $168.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 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 PMN 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 %: $0.00 $0.00 TOTAL FEE : $169.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $169.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 6iness 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 movements 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). 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 )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 Iegall 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.le info.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Late TENSED 00N4jZACTOR'S DECLARATION )reby affirm.uoder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Business and Pros Code, and my I cense is in full force ietfect. Lirensa Class License No Date Z 6 Contractor Signature DECLARATION I ft: FAILURETO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDPtD THOUSAND DOLLARS ($100,000), IN ADDITION TO THE jT,OF COMPENSATI%% DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :reby affirm ncrer Qenalty of perjury one of the following declarations: f have and will.mcintain 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, Wance-ottpQ 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' carrierand.policy number are: �..� Policy Number Expiration Date Agent iertify that, in'N pertor ante of the work f9 whI this permit is issued, I shall not employ any person in any manner so as to become subject to the if I should become su ect to the workers' ¢ )mpen ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant CLARATION REGA I G RUCTI L NDI A EN )reby affirm under p alt erjury that there construction le ing agency forthe performance of the work for which this permit is issued 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 cnty ordinances and state laws relating to building construction. I authorize representatives of this city or coun to enter the above -identified property for inspection purposes. 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