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Home My WebLink AboutX2021-2679 - Permits (3),•� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII� II COMB Permit: X2021-2679 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 6 7 9 Project No 4 Permit Counter Phone (949)644-3288 s: Inspection Requests Phone (949)644-3255 ,. e;�isa�R'�x. Combination Type - BLDG Issued Date: 10/01/2021 0 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/01/2024 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: 1 PARK NEWPORT DR NB Description: MFR - T/O (E) B.U.R. SYSTEM. INSTIL 10 SO B.U.R. - Legal Desc.: N TR 6947 LOT 8 Owner: PARK NEWPORT LAND LTD Contractor: R D M WEATHERPROOFING Architect: Address: 201 FILBERT ST #700 Address: PO BOX 130 Address: SAN FRANCISCO, CA BEDIAS TX 77831 Phone: Phone: 714-404-8739 Phone: State Lic: Applicant: R D M WEATHERPROOFING Con State Lic: 724244 Engineer: Address: PO BOX 130 Lic Expire: 0613012022 Address: BEDIAS TX 77831 Bus Lic: BT0302449 Phone: 714404-8739 Lic Exp Date: 02/28/2022 Phone: State Lic: Code Edit, 2019 Worker's Compensation Insurance Designer: p lU 18®e s p r-CT Type of Construction: Carrier: STATE COMP Address: 1 YI Occupancy Group: R2 Policy No: 9210506 Added /New sq.ft. Bldg:. 0 Expire: 05/15/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: Svp6t iP No of Units : 1 Bldg Height: 0 Front: / Left: / 10E'0 14r" LARK Bldg Sprinklers: N Right: / -Jjiv k .�7u Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N kloc F Construction Valuation: $20,000.00 Building Permit Fee: $419.00 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 - PNV 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 : $420.00 Plan Check Fee : $0.00 Fee Due at 4 Permit Issuance : Y $420.00 PROCESSED BY: ! ! • 4 PUBLIC«Wf0RXS`API$P011AL°: 4 f v f Y • 6 ! !+ ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPRCV!'L TO` ISSIJE: o ! o 0 0 ! a c ! 4•b °J J 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 itemf.�) 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 he 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 Iicensure 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 (if lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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 Tlproved 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 Ipply 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). 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: 3y 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 Iegall) 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 ate -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000)0 7000) o�f the Business and Profess' od a y . ense is in full for Ind effect. License Class License No Date Contractor Signature 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 HUNDRED HOUSAND 0 LARS ($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. hereby affirm under penalty of perjury one of the following declarations: 3 1 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 'Normance of the work for which this permit is issued. Policy No. I haSe 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 'Lance carrier and policy number are: rrier Policy Number Expiration Date me of Agent Phone # I certify that, in the pesOb`Jmect an 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 laws of California, and agree t, if I should become r e or nr,s.,' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,nature of Applicant "!�, Datlzl�-1JZyC,, _... CLARATION REGA 1�2� NGxCONSIRUCTION LENSING AGENCY f� :reby affirm under pena of perju 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 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 hav p ovided is correct. I agree to comply with all applicable city and county Prpances and state laws relating to building construction. I authorize representatives of this city or county to th b tified property for inspection purposes, signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Age ACTION DATE BY DECLA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU DNS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED • W I SUBMIIFTBD ASBESTOS NOTIFICATION TO _ • . PERMIT CANCELLED • • EpA • _ PERMITFINAL 1('r b—L(- ASBESTOS NOTI CA ION IS NOT APPLICABLE TO CERTIFICATE OF pQstp DIGI L OCCUPANCY ISSUED SIGNATURE: .tY—�•�—i �— • •ee ve veal ¢ tee