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Home My WebLink AboutX2020-2060 - PermitsCOMB Permit: X2020-2060 PCity of Newport Beach - Building Division IIIIIIIII�I�uIII�I��IIYI��III�II�II�II�II� m lo0 Civic Center Drive, Newport Beach, CA 92660 P Project D Permit Counter Phone (949)644-3288 r - Inspection Requests Phone (949)644-3255 Issued Date: 0911812020 �xttEn ram* Combination Type - SFP Inspection Area : I PROJECTS MUST BE COMPLETED BY 09/19/2023 OR PERMIT WILL HE INVALID PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. to 6:30 and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Construction Hours: Monday - Friday 7:00 a.m. p.m. Job Address: 2037 OCEAN BLVD NB Description: SFR DECK COATING W/ DESERT CRETE MES-ER 703 383 SF Legal Desc.: �': � C7 Owner. ELMOUSA TAREK Contractor. CRANK WATERPROOFING Architect: ® ® j� Address: 2037 OCEAN FRONT Address: 134 COMMERCIAL WY Address: CORONA DEL MAR, CA 92625 COSTA MESA CA 92627 Phone: State Lie: Phone: Phone: 949-646-9356 Applicant: RAY SAVANNA Con State Lie: 1038420 Engineer: Address: Address: 2029 VIA SOLONA Lie Expire: 04I30/2022 SAN CLEMENTE, CA 92673 Bus Lie: BT30063958 Phone: State Lie: Phone: 949-412-0595 Lie Exp Date: 0613012021 Code Edit: 2019 Workers Compensation Insurance V-B Carrier: FALLS LAKE Designer: Address: ,, O CONSTRUCTION WORK ''YY �1��YY CONSTRUCTION Type of Construction: Occupancy Group: R31U Policy No: FLA01346000 Phone: Added /New sq.ft. Bldg: 0 Expire: 0112612021 Added Mew sq. ft. Garage: 0 2 Building Setbacks Rear: I Special Conditions: No of Stories: No of Units: 1 Front: / �^ 1 O N SATE RD A YS Left: I ki fZ A'! Bldg Height: 0 Right: / Bldg Sprinklers:. Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Flood Zone: Construction Valuation: $12,000.00 Building Permit Fee: $280.00 Excise Tax: $0.00 Planning Department - $0.00 Fire Department Fire Inspection: $0.00 Plan Check Fee: $0.00 Additional Fee: $0.00 $0.00 Plan check Fee: Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Investigation Fee: Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - $0.00 General Service Refund Deposit $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : PM Plan Check: $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Building Green Fee: $1.00 Mechanical %: $0.80 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE : $281.00 Plan Check Fee: $281.00 Fee Due at Permit Issuance : $0.00 `l`�i/ PUBLIC WORKS APPROVAL: PROCESSED BY: I \J�_ A ZONING APPROVAL: - PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: - hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reaso(s) indicated below by the checkmark(s) I have placed next tc the applicable lerr(s). (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct alter, improve, demolish, or repair any structure, prior to its issuance, at$ I requires the applicant 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 Di rision 3 of the Business and Professions Code) or that he or she is exempt from IlCensum and the basis for the alleged exemption. Any violation of S ❑nut more than five hundred dollars ($500). action 7031.5 by any applicant Tor a permit subjects the pplicant to a civil penalty of I, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or O portions of Irty roved for the purpose of sale). rovement Is sold within the work, and the structure is not intended or offered f( r sale (Section 7044, Business and Professions Code: The Contractors' fate License Law does not apply to an owner of propewho, through employees' or personal effort, builds or improves the i roperty, provided that the .improvements are not intended or offered for sale. f, however, the building or impone year of Completion, the Owner -Builder will have the burden of provi ig that it was not built or apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contra imp ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' St: to License Law does not ctopursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: r By my signature below I acknowledge That, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered sell a structure that 1 have built as an owner -builder if lt has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable few, Section d0 ta hi the Business and Professions Code, is available upon request when this application is submitted or at the following Web sge:http://www.leginfo.ca.gov/calaw.html. y this a Business I cannot legalf. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date_ I hereby affirm under penaltyof perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sectio and effect. License Class ttSS License No I� n 3 of the Business and Pro To Code, an ] m i rise - fullforce AfORKERS' COMPENSATION DECLARATION Date Contractor Signature NARNWG: FAILURE TOTI SECURE WES AS p' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN LLAI S (516D,oa6J, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROwDED FOR hereby affirm under penalty of perjury one of tfiIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. a 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 37C 7 of the Labor Code, for thl )erformance of the work for which this permit is issued. Policy No. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the tabor Cade, for the performance of the work for which this permit is issue:. My workers' compensafior ns ranks canter and policy number are: ,arrieFALLS LAKE FIRE AND CASUALTY COMPANIP' FLA01345000 olicy Number 01/26/2021 tame of Agent -Expiration Date Phone # �I certify that, in the performance of the work fnsernich this if I should becomis)/bject to the workers' of rs permit rs Issued, I shag not employ any person in any manner so as to become subject to the workers' compensatlor laws of California, and aGtien Provisions of Section 3700 of the Labor Code, I she l forthwith comply with those provisions !reby affirm under penaltyof a _. ere is construction lending P that there is a constructfon lending agency for the performance of the work for which !dens 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 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 laws relating to building construction. I authorize representatives of this city or countyb enter the above�Mffied property for inspection purposes. nature of Pmnetiv(Tam--e.n1....,__�.___.V I I BY ! ECU TIONO O PLIANCE WITH CODE OF FEDERAL FOR RE;WYLA nONS PART 61 OFTITLE 40 AND AQMD RULE PERMITFUVAL 'U'j�Z BES70S T (CATON IS NOT APPU CER71FIC4TEOF rllllJ OPOSED DEM TION OCCUPANCYISSUED _.__._ /� LE TO . / Date 9/18/20 permit Is issued (Section 3097, Civil Code). ONLY Savanna Ray 9/18120