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Home My WebLink AboutX2018-3351 - Permitsw1 $� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r.1 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 rriRP>` Combination Type - BLDG PLUM IIIIIII�III�III�II��IIIIIII�IIIIIII�IIIIIII II COMB Permit: X2018-3351 x 2 0 1 8 3 3 5 1 Project No: 1708-2018 Issued Date : 11/0512018 Inspection 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: 1801 E BALBOA BLVD NB + + Description: DEMO (E)SFR WIATT GARAGE (3 BEDROOM) 1,036 SF a ° ° iec",.�.-•:moo Legal Desc.: N TR 518 BLK L LOT 22 e � mmeeao Owner: 1801 BALBOA LLC Address: 1101 QUAIL ST Record Management: NEWPORT BEACH, CA 92660 Phone: 949-204-7272 Applicant: RAMIREZ ERNEST Address: 12188 CENTRAL AVE #269 Hazardous Mat CHINO CA 91710 Phone: 949.246-2923 Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 0.2 Building Permit Fee: $103.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,041.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: K L P M INC Address: 12188 CENTRAL AVE #269 CHINO CA 91710 Phone: 949.246-2923 Con State Lie: 831751 Lie Expire: 02/29/2020 Bus Lic: BT30066030 Lie Exp Date: 1113012019 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lie: Special Conditions: LIQUEFACTION AREA 0 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 PM Plan Check: $0.00 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 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $2,041.27 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: Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $2,041.27 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 (_) 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 p nose of sale). • •6 I; asowner of the pl�perty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Lytta en owneLofgoperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I agi exempt from licensure under the Contractors' State License Law for the following reason: may sgnature 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[, a structure thilr% ave 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 fesSigns Co ft jr6iftlable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date, nature of Property Owner or Authorized Agent ONSED CI Me ACTOR'S DECLARATION sabij affirm under penally of pe ' that I am licensed under provisions of Cha ter 9 (commencing with Section p f 's' of the Business and Pro s o and sic, is in full force ,effBpt. Licens2 Class I1 License No F� j l h'' % Dat OBJ Contractor Signature 72 ` AiK9RS' GdMPJIEN8ATION DECLARATION 'f1146•FAILURE TO SECGRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE T OF eOMPENSARION►DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm undenpenalty of perjury one of the following declarations: 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 by Section 3700 of the Labor Code, for th ormance of the 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' compensatioi Trance carrier and policy number are: Number Date 7a of Agent rmone if certify that, in the perfor an a of a rk fo which t 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 iat, if I should become au ' Ct t th wo ers' m e ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l signature of Applicant Date )ECLARATION REG D G CONST TIONILENDIPP AGENCY hereby affirm under penalty of perjury that there is a con truction lending agency for the performance of the work for which this permit is issued (Section 30 Civil 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 owner s b 1 have read this application and the information I have ro ded is rrect. 1 agree to comply with all applicable city and co my o i nces state s relating to building construction. I authorize representatives of this city or count o the o Ide led property for inspection purposes. Signature of Property Owner or Ar ACTION DATE PERMITC4NCELLED PERMIT EMENDED PERMITFINAL �� CERTIFIC4TEOF .F'•I'� OCCUPANCYISSUED sL DECLARfif1BIGOF LOMPLINNCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE NOTIFICATION TO TO FOR OFFICE USE ONLY Name M