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Home My WebLink AboutX2021-0559 - PermitsCity of Newport Beach - Building Division G� 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 s., Inspection Requests Phone (949)644-3255 +x.r Combination Type- SFP ELEC MECH .PLUM GRAD COMB Permit: X2021-0559 Project No : 0513-2021 Issued Date : 01/03/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110312025 OR PERMIT Construction Hours: Monday - Friday 7.00 a.m, WILL BE INVALID to.6:30 p.m. and Saturday from 8:00 a.m. to 6:00 No work on Sundays br Holidays Job Address: 2437 BAMBOO ST NB P.M. Description: SFR -INTERIOR ALTERATION 685 SF. KITCHEN, WINDOWS, RE -ROOF W/ASPHALT SHINGLES Legal Desc.: N TR 4893 LOT 52 Owner: TUMBARELLO STEVEN E Contractor: MCDONALD CONSTRUCTION Architect: Address: 2437 BAMBOO ST Address: 11051 ARROYO AVE Address: NEWPORT BEACH, CA 92660 SANTA ANA CA 92705 ®' Phone: Phone: 714-323-5251 Phone: State Lic:°• Applicant: GARCIA HENRY Con State Lic: 1024297 Engineer: A. • CHU TIEN MANH Address: 48127 VISTA CIELO Lic Expire: LA QUINTA CA 92253 Bus Lic: 0313112023 BT30060675 Address: 9542 PACIFIC AVE ANAHEIM. CA 92804 Phone: 949.829-8114 Lic Exp Date: 09/30/2022 Phone: 714-829-5053 State Lic:C-072324 • ,#w',°•; Code Edit: 2019 Worker's Compensation Insurance Designer. ,•.. °Type of Construction: VB Carrier: CALIFORNIA INS CO Address: Occupancy Group: R3/U Policy No: 460091230305 Added /New sq.ft. Bldg: 0 Expire: 06/01/2022 Phone: Added /New sq. ft. Garage: 0 , No of Stories: 2 Building Setbacks Rear: I Special Conditions: ° No of Units : 1 Front: I ° ° • ° Bldg Height: 0 Left: / • °+ °BV°`° Bldg Sprinklers: N Right: / .J°a a• •�>ai° Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: 860.000.00 Building Permit Fee: $889.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $841.43 Additional fee : $0.00 Plan check Fee : $52.00 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: $40.00 Grading Permit Fee: $237.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $199.00 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: $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $62.23 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $35.56 NMUSD Fee: $0.00 $0.00 Plumbing %: $80.01 $0.00 TOTAL FEE: $2,489.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $819.68 Fee Due at Permit Issuance: $1,670.30 PUBLIC WORKS APPROVAL: '- ppI PLAN CHECK BY: APPROVAL TO ISSUE: I hereby affirm under penalty of pery'ury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable Rem(s) action 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 permit to filea 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 Dfessions 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 fora permit subjects the applicant to a civil penalty of t more than five hundred dollars ($500). 11. as owner of the property, or my employees with wages as their sole compensation, will do U all of or U-portions of the work, and the structure is not intended or offered forsale (Section 7044, siness 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 3mvements are not intended or offeredfor sale. If, however, the building or improvement issold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )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 Ily 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: my signature below I acknowledge that,, except for my personal residence In which I must have resided for at feest one year prior to completion of the im rovements covered b this 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 c p y permit 1 cannot legal( fessions C04r, �S•available upon requestwhen.this application is submitted or atthe following Web site:http.,/Mnwv.ieginfo,ca.gov/ceiaw: ttrinl.�the applicable law, Section 7044 of the Business and nature of PfDIf 9wneror Authorized Agent I•fftffr•*nalty of perjury that I amplicensed underprovisions of Chapter (commencing with Section 700p otD jsi5t�n 3 of the Business and Pro icense pass .LS License No 12 9.2 L� ! Date ..P -5 L COMPENSATION DECLARATION Contractor Signature Date is in full force nu-u�n -UURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN ENPLOVER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$too.orot, IN ADDITION TO THE fC�1 COMPE�''IAtj,th!"GES.AS PROVIDED FOR IN Saano 3706.0E THE LABOR CODE, INTEREST,AND ATTORNEYS FEES. her0by affirm�underpenalty of perjury one of the following declarations: I t Tave arilwll,r¢a`mtain 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 �L�' nance of thg work for which this permit is issued. Policy No. WE and wLi maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is )ssued. My workers' compensation isurartbe c rlel jRd ijolicy number are: (1 "(;f• .�_'(S'-tf1GL Lit_( Policy Number,. C76fr123 p 3 6ff! ` / / `fie of Agent. • • S -r c • ,.� bVl r. P 1-0 � Expiration Date LoL// ZZ Phone#619 3J r —93S7 certify that, in the performance of the work far which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree at, if I should become subject to the we e ' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �gnature of Applicant of ECLARATION RE ING CONSTRUCTIONLENDINGAGENCY Dat lereby 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). mder's Name .Lenders Address r my signature below, 1 certify to each of the following: I am the property owner or authorized to act on thepropertyowner's behalf. I have read.this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinancesandstate laws relating to building construction. I authorize representatives of this city or county tg enter the abovey'dentified property for inspection purposes. Inature of Property Owner or Aathnrix Annnf 1 . 2i.>.. J,GIAT!✓ - - -