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Home My WebLink AboutX2019-2318 - Permits,ygW1+p City of. Newport Beach- .Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2318 '.. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 3 1 8 Project NO : H = Permit Counter Phone (949)644-3288 ... Inspection Requests Phone (949)644-3255 u 'r>~rsna`' " Combination Type - MFP Issued Date : 07/24/2019 Inspection Area : 3 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: 1728 BEDFORD LN NB Description: MFR WINDOW (25) DOOR (6) CHANGE OUT"LIKE FOR LIKE" Legal Desc.: TR 1893 LOTS 2122&23 , r (i ti, Owner: HCH FRONT WATERFORD DOVER NEW Contractor: EMERICON BUILDERS INC Architect: 't I Fn �; Address:: 130 NEWPORT CENTER DR#230 Address: 1045 W KATELLA AVE .Address: 6 4,f, NEWPORT BEACH CA 92660 ORANGE CA 92867 Phone:. Phone: 949466-2011 Phone: State Lie: .... Applicant: EMERICON BUILDERS INC Con State Lie: 931272 Engineer Address: 1045.W KATELLA AVE - Lie Expire: 04/30/2021 Address: ORANGE CA 92867 Bus Lie: BT30062512 .Phone: 949-466-2011 Lie Exp Date: 03131/2020 Phone: .State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction: VB Carrier: STATE FUND Address: Occupancy Group: R2/U Policy No: 9048345 Added /New sq.ft. Bldg: 0 Expire: 03/0112020 Phone: Added /New sq. ft. Garage: 0 ° No of Stories: 2 Building Setbacks Rear: / Special Conditions: UNITS 1.7 No of Units : 7 Front: I Bldg Height:. 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $9,500.00 Building. Permit Fee: $232.00 Excise Tax: $0.00. Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee : $0.00. 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 : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: - $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $233. Plan Check Fee: $0.00 Fee Due at Permit Issuance : $233.00 PROCESSED BY: 14 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) 1 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 appligant 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 Businegs 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 U all of or (_) 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 ap ly 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 legalh 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.htm]. Signature gfPgarty Owner or Authorized Agent Date LICENSE[It"NTRACTOR'S DECLARATION 1Mereby affirrrl OfIder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se tion 00) of Divisio 3 of the B as and Professions Code qgg gff.11eem'�7s in full force anrieffect.• license Class License No (Date Con ctor ignature WORKERS'COMPENSATION DECLARATION NARNING: FAILURFE�'nSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COSI OF COr1PJ,:d$ATIDN, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1+lereby afrllrp, ywder penalty of perjury one of the following declarations: l.have and•Witl•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 5ftrmance of the work for which this permit is issued. Policy No. of I i6intain 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' antl policy number are: •� Policy Number Expiration Date �.•• Phnna 36 certify that, in the performance of the work for whic is or ' ' issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire , if I should become subject to the worker ' n isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant _ �r / \I Date_ C-71 2-`t I 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 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 owners 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 so state laws relating to building construction. I authorize representatives of this city or county to enter led pro Fly for inspection purposes. �� nature of Prooertv Owner oPAD1 >�zed_Aaent— Print Propertv Owners or A- orized Agent's Nam BY - DECLARA7JBPo0CFf COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LII SUBMIT -FED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT FINAL CERTIFICATE OF 5 /ull OCCUPANCYISSUED TO , Civil Code). Snow