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HomeMy WebLinkAboutX2020-2881 - Permits&wtr, h City of Newport Beach - Building Division ' L 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 7 rr Inspection Requests Phone (949)644-3255 ,irrnny°' Combination Type - SFP ELEC *X2020-2881 * COMB Permit: X2020-2881 Project No: 2292-2020 Issued Date : 02/0312021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210412024 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: ,. 4101 HAMPDEN RD NB Description: SFR (1) LG BACKUP BATTERY Legal Desc.: N TR 3357 LOT 25 Owner: CHUNG YOON & SHINHYE Address: 608 HIGHLAND BLUFF WAY LAS VEGAS NV 8913E Phone: Applicant: ESPINOZA LAUREN Address: 17150 NEWHOPE ST #403 FOUNTIAN VALLEY CA 92708 Phone: 714-968.8845 Contractor: VASCO SOLAR ENERGY CONSTRUCTION Address: 17160 NEWHOPE STf1403 Address: FOUNTAIN VALLEY CA 92708 Phone: 714-968-8845 Phone: Con State Lie: 608260 Engineer: Lie Expire: 11/3012021 Address: Bus Lie: BT30068273 Lie Exp Date: 03131/2021 Phone: Architect: v State Lie: ° meow ESMAILIOMID •e o eom�o� 79 CLOUDCREST m mm ALISO VIEJO CA 92656 m State Lic:C-087027 m°oo Code Edit: _ 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE FUND Address: m Occupancy Group: R3IU Policy No: 1667166 Added /New sq.ft. Bldg: - 0 Expire: 07101/2021 Phone: Added /New sq. ft. Garage: - - 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units: I Front: I Bldg Height: 0 - Left: I Bldg Sprinklers: Right: / .... oeo<c, ooc<� Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $140.07 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: $34.00 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 WQ Insp. Fee: $0.00 Park Dedication: $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $21.07 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 : $357.14 Plan Check Fee: $149.87 Fee Due at Permit Issuance : $207.27 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: I hereby affrm under penally of perjury that Lam exempt from file Contractors' Slate License Law for the reasons) Indicated below by the chuckmark(s) I have placed next to file applicable itemfe) (Section 7031.5, Business slid Professions Code: Any city or county that requires a pemnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires llle applicant for the pamril 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 of she is exempt from leensure and the basis for file 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the walk, 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 am not intended or offered for vain. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have (he burden of proving mat it was not built or improved for the purpose of sale)_ ❑ I, as owner of the property, am exclusively conlracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' Slate License Lawdoes not "Poly to an owner of propeller who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LJ 1 am exempt from licensors 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 poor to completion of the Improvements covered by thispemat. I cannot legalt • • s•ej,1 a atmctu'a that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of (Ire Business and • . • Firofessions Code, is available upon request when this application is submitted or at the following Web site.hltp:f/w.tw.loginfo.ca.gov/calaw.html. • %iinatoe of Property (honer of Authorized Agent Data • • • If • If 0.0 LICENSED CONTRACTOR'S DECLARATION • • 1 hT feby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes tons Code, and my licence is in full force • • • and effect. 1 • • •�) �, �^, (mil-H� Z. Z' Contractor Sl na • • • • • Incense Class i License No Datl>v g lure i-. • . ••• `JORKERS' COMPENSATION DECLARATION 'r • • • wARNING:rAI[URF.TO. SECURE WORKERS' CONIPTUSATON COVERAGE 19 UNIAWFUL. AND efIAIL aUNECT AN E1aPL0 TO CNfdINAL PENALTIES A1IDGML RNES UP TO ONE HUNDRED THOUSAND ODLLAR9PIDa,6o6k IN ADDITION TO Tf1E • •• • COST OF UUIlP@d5PTl0N, DAMGES AS PROVIDED FOR M SECTION=6 OR T11E LABOR CODE. INTEREST, AND ATTORNEV'a FEES, - • • • • • . � • •i pereby affirm under penally 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 lh •.... • p�iionnance of the work far which this permit is issued. Policy No. • • • . ' ,have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued M1iy workers' compensatio ...... In urance carrier an5� pehey number are: 11 t 2 1 •....• .• .,.oriel C-l-st EC. ea0 IlliuYQi'ILi QW70 Policy Number t_51to Expiration Date_( Name of Agent Phone e I certify that, in the performance: of the work fonvhlch this permit is issued, I shalt not employ any parson in any manner so as to become subject to the wokers' compensation laws of California, and Sore, that, if I should become subject lq the workers' compensatloq provisions of SeCline 3700 of the Labor Code, I shall forthwith comply With those provisions. n -7 Da BiynaturP of Appiitant_�i L ��--- DECLARATION REGARL7}Tlf'CO�STRUCTION LENDING AGENCY I hereby acorn under pemilty of perjury that there is a construction lending agency forthe pedomnance of the work forwhich this permit is Issued (Section 3097, Civil Code), Lenders Name Lenders Address, By my signature below, I Carl to each of the following: - i am the property owner or authorized to act an 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 and state laws totaling to building construction. oses I authorize representatives of this city or c only fq enter (heabove-identified properly for In&pectionlputy Own g * /' L�.(< -,S `71 bI QZf Dahl ,SiL —"- ( -' Print Pro end Owner's or Authorized A ear's Na Signature of Property Ovrner or Authorized Age -a(-- �✓ GATE f FE—CLARADERAL EG OFCOMPLIANCE1OF IR-CODEOP FOR OFFlOE 115E ONLY ACRON Ify FC-'DERAL REGULATIONS PART Gf OF TI7LE-0O AND AOMD RULE 1,107. pawri-SPIRED ❑ IS(lBhf1TTEDASPES705NO77FICATIONTO: ❑ CPA PERMITCA ❑ AOMD 5Efi1VI7EX7EN0E5❑ ASBESTOS N01117G1RONIS NOT APPLICAIAE TO — PROPOSED DEMOLITION. pERMlT FINAL 2 - CERRFICATEOF SIGNATURE: OCCUY4r1C'ffSSUED,---