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Home My WebLink AboutX2020-1452 - PermitsI• City of Newport Beach - Building Division a e1 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM COMB Permit: X2020-1452 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII�IIIIIIIIII II Project No: 1434-2019 Issued Date : 06/2412020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0612512023 OR PERMIT WILL BE INVALID 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: 1630 BEDFORD LN NB Description: MFR -(UNITS E - F) APPLICANCE AND LIGHT FIXTURE UPGRADE, ADD WASHER/DRYER Legal Desc.: N TR 1893 LOT 25 Owner: CHRISTIAN PHIL Address: 130 NEWPORT CENTER DR Overtime Plan Ck: NEWPORT BEACH CA 92660 Phone: $0.00 Applicant: NGUYEN GIANO Address: 3621 W MACARTHUR BLVD CA Seismic Safety: SANTA ANA CA 92704 Phone: 714-617-5035 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R21U 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: Flood Zone: X Construction Valuation Building Permit Fee: $0.00 Plan Check Fee: $0.00 1045 W KATELLA AVE 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 : $0.00 TOTAL FEE: $35.00 PROCESSED BY: ZONING APPROVAL: " GRADING APPROVAL: Contractor: EMERICON BUILDERS INC Address: 1045 W KATELLA AVE Fire Department ORANGE CA 92867 Phone: 949-466-2011 Con State Lie: 931272 Lie Expire: 04130/2021 Bus Lie: BT30062512 Lie Exp Date: 03/31/2021 Worker's Compensation Insurance Carrier: NOVA CASUALTY Policy No: SISWK1000066300 Expire: 01/3112021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: mss Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: NEVILLE, SCOTT EDWARD 3621 W MACARTHUR BLVD SANTA ANA CA 92704 714-617-5035 State Lic:C031228 Rear: I Special Conditions: Front: I Left: / Right: / king Spaces: 0 Fire Hazard Zone : N State Lie: $0.00 Planning Department - Fire Department $35.00 Plan check Fee : $0.00 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 c $0.00 Public Works Department - General Service ac° oou Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: NEVILLE, SCOTT EDWARD 3621 W MACARTHUR BLVD SANTA ANA CA 92704 714-617-5035 State Lic:C031228 Rear: I Special Conditions: Front: I Left: / Right: / king Spaces: 0 Fire Hazard Zone : N State Lie: $0.00 Planning Department - Fire Department $35.00 Plan check Fee : $0.00 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 PNV Plan Check : $0.00 Grading Bond 3 q -y fi �±,$-600 $0.00 San Dist: $0.00 ^ v {t.. $0.00 NMUSD Fee: $0.00 [, "'' "-"`+ $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: /� APPROVAL TO ISSUE: SO\/V\ `� \ 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 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 Busines3 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). 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 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, 1 cannot legall) ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION /1 p hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f isi 3 of the Business and Prof s or $�a1y is 'nforce nd effect. License Class License No Dale Contractor Signatur VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty 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 eyformance of the 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' carrier and policy number are: Policy Number Date Tie of Agent vnone s 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 aws of California, and agre I, if I should become sub' ct to the wor a s' o nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / n� nature of Applicant Dat Il GiJ CLARATION REGA ING coitisTMCTION LENDING AGENCY Ireby 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). 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to ter the above -identified property for inspection purposes. /,, p ) /f(%✓�J /, n /�%� f nature of Prooertv Owner or Authorized AGent _ Print Property Owner's or Authorized Agent's Names // \ v —�I—' DS lL/ 12, ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I / /6tn PART 61 OF TITLE 40 AND AOMD RULE (3vQREGULATIONS V 14 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO : : : • • • • • : i. • e •: • • + • •• • s • ••• PERMITCANCELLED LIEPA PERMIT EXTENDED qMD PERMIT FINAL OF ////1111 A IL • -t. „'- �L BE OS TIFICATI N IS N APPLICABLE TO CERTIFICATE OCCUPANCYISSUED {�' 1 (/i/"(L�I PROP D OL N SIGNATOR • + . •+• •• + • • • e_��`!