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Home My WebLink AboutX2021-1656 - PermitsCity of Newport Beach - Building Division *X2021-1656* 100 Civic Center Drive, Newport Beach, CA 92660 t �, pt Q ns __ ate,@-g Permit Counter Phone (949)644-3288 =y %D Inspection Requests Phone (949)644-3255 Combination Type - MFP PLUM ELEC COMB Permit: X2021-1656 Project No: 1789-2020 Issued Date : 06124/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06124(2024 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: 601 LIDO PARK DR NB Description: MFR REMODEL OF (E) RESTROOMS 340 SF Legal Desc.: TR 7695 LOT 1 UNIT 7E G-1-28 OF PROJ LOCTD ON AP 47.021-29 Owner: 601 LIDO HOME OWNERS ASSOC Contractor: GEOSCAPE LANDSCAPE CONSTR INC Architect: eoq GUINA RICHARDO Address: 2472 CHAMBERS RD STE 250 Address: 9261 IRVINE BLVD Address: 17985 SKY PARK CIR #G .0°° °O¢ TUSTIN, CA 92614 IRVINE CA' 92618 IRVINE CA 92614 O Phone: 714-486-3318 Phone: 949-903-2766 Phone: 714-486-3318 State Lic:C030161 ° Applicant: LOOK HANNA Con State Lic: 632334 Engineer: ; •'„' Address: 17985 SKY PARK CIR STE G Lic Expire: 05/31/2023 Address: IRVINE, CA 92614 Bus Lic: BT30023383 .... Phone: 714-486-3318 Lic Exp Date: 0513112022 Phone: State Lic: aa°o Code Edit: 2019 Worker's Compensation Insurance Designer: • 3 Type of Construction: Carrier: STATE FUND Address: Occupancy Group: U Policy No: 9027912 Added /New sq.ft. Bldg: 0 Expire: 06/01/2022 Phone: ° .... ° Added /New sq. ft. Garage: 0 ° No of Stories: 0 Building Setbacks Rear: / Special Conditions: LIQUEFACTION No of Units : 0 Front: 20' and 10' Bldg Height: 0 Left: 15' Bldg Sprinklers: Right: 15' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $17,000.00 Building Permit Fee: $365.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $317.55 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $47.78 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $61.43 - $0.00 TOTAL FEE : $792.76 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $792.76 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: o • . °q BOOOq q gaoao oam000 ° o o ° 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 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, usiness 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 -provements 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 proved 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 exerrelrb%licensure under the Contractors' State License Law for the following reason: y 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 41"Iructure thesk wave 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 CUB, ♦%available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. igynatu,re of Property Owner or Authorized Agent Date U USED CQNTF.ACTOR'S DECLARATION �7 hereby affirm -under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0) of Division 3 of the Business and Pro ions Code, and y I" b In full force nBfEct. License Class License No Dat Contractor Signatur 10iWERS' COMPENSATION DECLARATION alik[W: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED. HOUS S ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heeu ereb):affrm U1ldefj7¢nalty of perjury one of the following declarations: ,1 Jwe 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 %rjojw9nce of16%work for which this permit is issued. Policy No. II 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' compensatiol Isurni carrier and policy number are: Policy Number ime of Agent Date I certify that, in th performance of the work for which this permit is issued all not employ any person in any manner so as to become subject to the wor e ' compensation laws of California, and hat, if I should beco I e ubject to the workers' compen ovision ection 3700 of the Labor Code, I shall forthwith comply with those provisions. // signature of Applicant I D b Zy )ECLARATION RE G CON""at:IO AGENCY hereby affirm under enalty o perjury that th construction lending agency for the performance of the work for which this permit is issued (Section 3097, 'vil Code). -ender's Name Lender's Address 3y 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 la sting to building construction. I authorize representatives of this city or co to enter t^ e= I Ted property for inspection purposes. Signature of Property Owner or Authorized Age t Print Property Owner's or Authorized Agent's Nam V V1 l Date ID ACTION DATE BY ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY TIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED AQMD PERMIT FINAL i 014 P&L J ASBESTOS NOTIFICATION 15 BILE TO CERTIFICATE OF PROPOSED UTION OCCUPANCYISSUED SIGNATURE A