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Home My WebLink AboutX2019-3953 - Permits�wno City of Newport Beach - Building Division c�` r 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 rEin�* Combination Type - MFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-3953 X 2 0 1 9 3 9 5 3 Project No : Issued Date : 1 211 112 01 9 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 8:00 p.m. No work on Sundays or Holidays /� Job Address: MF 36TH ST NB f IN or 1_Z %.J I V t Description: MFR -WINDOW (21) &DOOR (1) C/O LIKE FOR LIKE �"� Legal Desc.: NEWPORT BEACH CITY BLK 35 LOT 14 Owner: WATERMAN SCOTT Address: 122 36TH ST Record Management: NEWPORT BEACH, CA 92663 Phone: $0.00 Applicant: VERDUZCO AMERICA Address: 8832 LA GRAND AVE Hazardous Mat GARDEN GROVE, CA 92841 Phone: 714-653-8019 Code Edit: 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $264.00 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 11 TOTAL PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: PREMIER BUILDERS Architect: Address: 8832 LA GRAND AVE Address: SJH Trans : GARDEN GROVE, CA 92841 In -lieu Housing Fee: Phone: 714-653-8019 Phone: Con State Lie: 995068 Engineer: Lie Expire: 07/3112020 Address: Bus Lie: BT30062843 Lie Exp Date: 04130/2020 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP INS FUND Address: Policy No: 9214301 Expire: 07113/2020 Phone: 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: / Front: / Left: / Right: I 3arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee NO CONState Lie: STRUCTION NOISE State Lie: ON THE WEEKEN mo Special Conditions: NOISE REDUCTION ZONE 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 hI $0.00 Fee Due at Permit Issuance : PUBLIC WORKWAPPROVAL: PLAN CHECK APPROVALTO a m omom_° 0 0 0 oomoco cac000 0 o v • $0.00 a.°°... °e$O.DS ammo° $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $265.00 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: $0.00 Fee Due at Permit Issuance : PUBLIC WORKWAPPROVAL: PLAN CHECK APPROVALTO a m omom_° 0 0 0 oomoco cac000 0 o v • $0.00 a.°°... °e$O.DS ammo° $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $265.00 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) (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 applicant 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 (_) 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 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Di i@io 34 the Business and Prof ss Cade, nd my^lice. e i full force and effect. License Class License No Date 1� "1 Contractor Signature INORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPEMWKM)N,-DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm underp�enalty of perjury one of the following declarations: gave andh w 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 tht OQrfp once of th%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' carr& A5%licy number are: Policy Number %Agent" Date that, in Me performance of the work for which this per it 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 couldI TeVubjec ke pensatio 'sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date ,TION 1 4" INr CC1 RTRIICTIr1N 117hinmr. ArFNCV I hereby affirm und"Enalty 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). Lender's Name Lender's Address By 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 ]so relating to building construction. 1 authorize representatives of this city or count bove-identifie o arty for inspection purposes.. /1 Signature of Property Owner or Authorized, Print Property Owners or Authorized Agent's Name V� a (I(( ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QM D PERMITFINAL T� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF yl�-{'l• PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: