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Home My WebLink AboutX2019-2816 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X201 -2816 ` 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 8 1 6 Project No :2001-2019 a Permit Counter Phone (949)644-3288 INSPECTOR Inspection Requests Phone (949)644-3255i l�/, 1 ®� Combination Type- MFP ELEC MECH PLUM IVV__ Issued Date: 10/04/2019 : 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: 122 36TH ST NB - Description: MFR -NEW BALCONY 57 SF, INTERIOR ALTERATION 2 UNITS 2054 SF (KITCHEN/BATHS. WINDOWS, SLIDERS. RIR SIDING WI STUCCO) WI DRAINAGE Legal`Desc.: NEWPORT BEACH CITY BLK 35 LOT 14 - - LU Owner: WATERMAN SCOTT Contractor: PREMIER BUILDERS Architect: $0.00 Planning Department - Fire Department Address: 122 36TH ST Address:. 8832 LA GRAND AVE Address: Additional Fee ®m Plan check Fee: $40.00 NEWPORT BEACH, CA 92663 $0.00 GARDEN GROVE, CA 92841 Overtime Plan Ck: $0.00 ° $0.00 Phone: .Phone: 714-653-8019 Phone: - State Lie: 000moe Z m Z $0.00 Applicant. 'NGUYEN HA Con State Lie: .995068 ` Engineer. PHAM DUC H z m • W o 0 Address .13172 SANDRA PL Lie Expire: 07/31/2020 Address: 16691 MYTINGER LN ® Y_ $24.00 GARDEN GROVE CA 92843 Bus Lie:BT30062843 Energy Compliance: $116.20 HUNTINGTON BEACH CA 92647 $312.00 ° LLI Phone 714-326-3124 Lie Exp Date:. 04130/2020 Phone: 714.846-7824 State. Lic:C-033818 e 0..-.W WQ Insp. Fee: Code Edit, 2016 Workers Compensation Insurance Designer. Refund Deposit $564.00 oommo °°0° c Type of Construction V -B Carrier: STATE COMP INS FUND Address: PAN Plan Check: $41.25 Grading Bond: $0.00 Occupancy Group: R3IU Policy No: 9214301_ - $0.00 Electrical %: $109.48 San Dist: $0.00 -Added /New sq.ft. Bldg: 0 Expire: 07/13/2020 Phone: Building Green Fee : W Mechanical %: $62.56 Added /New sq. ft. Garage: 0 $0.00 Z No of Stories: 2 Building Setbacks Rear: 5 Special Conditions: LIQUEFACTION o ° - ...... No of Units: 2 TOTAL FEE: $4,870.93 Front: 5 Plan Check Fee NOISE FORM ATTACHED $3,470.25 PROCESSED BY: Bldg Height: 0 C Left: 3 PUBLIC WORKS APPROVAL: TO PLANS I CRBiR TO HAUL ZONING APPROVAL Bldg Sprinklers: - Right: 3 GRADING APPROVAL: Flood Zone. _. Use Zone: Parkinq Spaces: 0 Fire Hazard Zone : N Building Permit Fee: $1,564.00 Excise Tax: - $0.00 Planning Department - Fire Department Plan Check Fee: $1,360.68 Additional Fee $0.00 Plan check Fee: $40.00 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: $20.00 Grading Permit Fee: $312.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 Energy Compliance: $116.20 Grading PC Fee: $312.00 Public Works Department - General Service $197.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access: $0.00 PAN Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $109.48 San Dist: $0.00 Building Green Fee : $7.00 Mechanical %: $62.56 NMUSD Fee: $0.00 $0.00 Plumbing %: $140.76 $0.00 TOTAL FEE: $4,870.93 Plan Check Fee : $1,400.68 Fee Due at Permit Issuance : $3,470.25 PROCESSED BY: C 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 items) 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 ie 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 'rofessions 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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: ly 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 legall) ell a structure t4at 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 'rofessions Cotletie eyailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. &"Ufe of Property Owner or Authorized Agent Date .ICENSED GOATMCTOR'S DECLARATION +nerabyy affirm dFltlel• enaltyy of��gqeeryypp''}� ,�e��{II ��ppJ�II�sed under provisions of Chapter 9 (commencingwith Sectio/701'Off ivi¢If the Business and Proles on , an my A' is in full force od.Nct. License Class.�2rlJyTMtC 7J License No p Dal Contractor Signature �- YORKERS'1MMID.ENSATION DECLARATION IARNiNG: FAILURE td 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 91T.OF COMPBNBYTJON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. bgr. by affirm uac1q penalty of perjury one of the following declarations: 2.1.4ave and *ill 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 erf ante ofthe work for which this permit is issued. Policy No. IaA,ve and will mSintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thV7is�permit is issued. My workers' compensatiol A%ii cajfTaybTT :arrierPolicy Number Expiration Date lame of Agent Phone # 11 certify that, in the perlormance of the work for whit this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws f California, and agre tat, if I should become bj he workers' co en anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. O I signature of Applicant Date IECLARATION REG DING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code). Ender's Name Lender's Address ly 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 coup ordinances and state laws relating to building construction. I authorize representatives of this city or county k t boy = tentif d ro erty for inspection purposes. /(�^,r �,,I ^„ Iidnature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Agent's Name '(�1JVC(JVy,�(�( V l�Y� ale l TION DATEI 9Y REGULATIONS PARTDtCLARATION OF 0MPLIANCE WITH CODE OF 610 TTLE 40AND AQMD RULE RAL I FOR OFFICE USE ONLY PERMIT NOTIFICATION TO PERMIT EXTENDED QM D PERMIT FINAL A TOS ?NOICATION IS NOT APPL A E TO CERTIFICATEOF �'��' POSEDD OCCUPANCYISSUED IGNATI \ ■■ ■ / \ < E / \ \ / \ e 0o d \ ■■ ■ / \ < E 0 } �\ <ma §)C:\Cl) »!y}k \t ^a. eo \ $ \?� ( ( � - )%"D }kms \) /C2. - ® \\E _\ \/ -eg � \\\ 0 E Li . . 7 L <§ \\ \ 0 0 //\ )ƒa-: