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Home My WebLink AboutX2021-1544 - Permits4r' City of Newport Beach - Building Division J 100 Civic Center Drive, Newport Beach, CA 92660 �, '.; Permit Counter Phone (949)644-3288 st Tnspection Reques#8 Rhdne (949)644-3255 r'.,i,�a�.�.x> Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIII'IIIII IIIIu II COMB Permit: X2021-1544 Project No : 1359-2021 Issued Date: 11/23/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112312024 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: 1700 16TH ST NB Description: MFR-(1) SAILSHADE STRUCTURE Legal Desc.: P BK 15 PG 36 PAR 1 gg Owner: UDR NEWPORT BEACH NORTH L Contractor: RANSCAPES INC Architect: Address: 1746 SHEA CENTER DR SET 200 Address: P.O, BOX 50580 Address: HIGHLANDS RANCH CA 80129 IRVINE CA 92619 Phone: Phone: 866-883-9297 Phone: State Lic: Applicant: HAMMERLUND ERIC Address: 1102 STEARNS DR LA CA 90036 Phone: 310-497-1331 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Valuation: Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $778.92 Con State Lic: 949437 Lic Expire: 0613012022 Bus Lic: BT30076593 Lic Exp Date: 09/30/2022 Worker's Compensation Insurance Carrier: ARCH INS CO Policy No: MST5000832 Expire: 0311512022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: PROCESSED BY: 1..K- ZONING APPROVAL: 04NI GRADING APPROVAL: S"V-% Rear: / Front: / Left: I Right: I larkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Engineer: NAM YOUNG-KEUN Address: 17 SANTA EUGENIA IRVINE CA 92606 Phone: State Lic:C-004029 Designer: NUSSBAUM ARON Address: 8549 WILSHIRE BLVD #136 BEVERLY HILLS CA 90211 Phone: 805.305-3470 Special Conditions Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 00 • U U p o Uo • • goo• �d�u• a ocoa• • o 0 0 • •o evo RM $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $361.92 Fee Due at Permit Issuance : $417.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: h 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?o itsissuance, also require;...the applicant for is 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 71)00) of Division 3 of th`e9usiness 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 thejwork, 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 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 nproved 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 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 exempt from 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 legall) 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. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o D vi ' n 3 of the Busi es gnd rofessio s and my li ense�n full force nd effect. License Class License No 1 a ZC51 Contract I nature r I/ORKERS' COMPENSATION DECLARATION WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm cfldarTenalty of perjury one of the following declarations: e a d wiy maintain a certificate of consent to self -insure for workers' compensation, nCe� f tpe wpfk for which this permit is issued. Policy No. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 9R4419%. ailitain 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' carrier andpolicy number are: Policy Number TE of Agent which this permit is issued, I shall not employ any person in any manner so Tlpensatioyprovisions of Section 3700 of the Labor Code, I shall forthwith c mature of Apo CLARATION AT2DING CONSTR6GrrQN LEMING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which ider's 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 provid�bove� I agree to comply with all applicable city and cou nlaws relating to building construction. I authorize representatives of this city or c ty to heeproperty for inspection purposes. Date to become subject to the workers' compensa ion lZZ California, and agre ply with those provisions. DVe 11 2 �z j permit is issued (Section 3097, Civil Code). Signature of Property Owner or Authorized t Print Property Owners or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED UAQMD PERMITFINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF V�0_ 13 PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: T &-w i , a_l, 11/2