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Home My WebLink AboutX2019-2220 - Permitsw F, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Building Permit Fee: COMB Permit: X2019-2220 a} 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 2 2 0 Project No: 1434-2019 $0.00 F 9 Permit Counter Phone (949)644-3288 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Inspection Requests Phone(949)644-3255 $0.00 Hazardous Mat $0.00 ��rr,r `' '' Combination Type - MFP ELEC MECH PLUM Issued Date : 0 7/1 612 01 9 Demolition Fee $0.00 In -lieu Housing Fee: Inspection Area : 3 $0.00 Building Dept. Adm PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 Public Works Department - 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 $0.00 Job Address: 1728 BEDFORD LN NB $0.00 Refund Deposit Description:. MFR- (UNITS 1 -7) APPLICANCE AND LIGHT FIXTURE UPGRADE, ADD WASHERIDRYER PAN Plan Check: $0.00 - Legal Desc.: N TR 1893 LOT 13 $109.04 San Dist: $0.00 Owner: CHRISTIAN PHIL Contractor: EMERICON BUILDERS INC Architect: NEVILLE, SCOTT EDWARD NMUSD Fee: Address:.. 130 NEWPORT CENTER DR Address: 1045 W KATELLA AVE Address: 3621 W MACARTHUR BLVD $140.18 NEWPORT BEACH CA 92660 ORANGE CA 92867 SANTA ANA CA 92704 $0.00 Phone: Phone: 949-466-2011 Phone: 714-617-5035 State Lic:C031228 Applicant: NGUYEN GIANO Con State Lic: 931272 Engineer: ff�� V, .Address:. 3621 W MACARTHUR. BLVD Lic Expire: 0413012021. Address: SANTA ANA CA 92704 Phone: 714.617-5035 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R2IU Added /New sq.ft.Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 6 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $60.000.00 Building Permit Fee: $833.00 Plan Check Fee: $724.71 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 : $3.00 TOTAL FEE: $1,912.25 PROCESSED BY: ZONING APPROVAL: Bus Lic: BT30062512 Lic Exp Date: 03/3112020 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9048345 Expire: 0310112020 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: I Right: I larking Spay 0 Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N State Lic:. $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept. Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $109.04 San Dist: $0.00 $62.31 NMUSD Fee: $0.00 $0.00 $140.18 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,912.25 F • •® PL('BLIC.AORKS APPROVAL: fO P 4 4 6 PLAN CNECK BY: GRADING APPROVAL: - .APPROVAL TO ISSUE: <_ c .,o GL v c c u cc 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 applica4le 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 applicapt 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). 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 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). ❑ I 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 legall! 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.govlcalaw.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) of�Di. vision 3 of the Business and Professions Cod _ Iu is in full force and effect. License Class License No Date 2Z Contractor Signature WORKERS' 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby arm under penalty of perjury one of the following declarations: ❑ 1 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 oerfformance of the work for which this permit is issued. Policy No. 1,61 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 insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I 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 that, if I should become subject to the workers' c gerrsati 'sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant )k i Date 0-111r. / 1i DECLARATION REGARDING @ CTION LMUNG AGENCY - I 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, 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 laws relating to building construction. I authorize representatives of this city or county to enter the abDatiiiePT-df'gDerty for inspection purposes. )6 c,..,.,r,,.a ..f D.,. ,, n,.,.,o.— n,.e.,t \/ Print Pmnartv Owner's or Authorized Agent's Name A Date OTI(61(-I DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATIf) TO •�• •:• PERMIT CANCELLED UEPA •• : �•. PERMIT EXTENDED NO ' • : • • • • • • •' PERMITFINAL //.�/ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF S�/N�y) L J PROPOSED DE17LITION OCCUPANCYISSUED SIGNATURE: • ••• •� •�• �•• s