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Home My WebLink AboutX2019-3179 - Permitsi$r�4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3179 s ¢ 100 Civic tenter Drive, Newport Beach, CA 92660 x 2 0 1 9 3 1 7 9 Project No : 2200-2019 H `, Permit Counter Phone (949)644-3288 p Inspection Requests Phone (949)644-3255 r:�ysouw.* Combination Ty0pe - SFP ELEC MECH PLUM Issued Date: 1010712019 Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 22 TROUVILLE NB Description: SFR BATHROOM/LAUNDRY RM REMODEL, REPLACE WINDOW WI NEW DOOR, GASLINE FOR BBQ 110 SF Legal Desc.: Owner: REDDY SUJATA LALLA Contractor: GROUND TO GABLE INC Architect: Address: 22 TROUVILLE Address: 23151 ALCALDE STE C-8 Address: ° NEWPORT BEACH, CA 92657 LAGUNA HILLS, CA 92653 Phone: Phone: 949-396-8333 Phone: State Lie: Applicant: MERDUS SAL Con State Lie: 888721 Engineer: ALSON KEN Address: 1744 MAPLE ST Lie Expire: 12/31/2020 Address: 9744 MAPLE ST#201 BELLFLOWER, CA 90705 Bus Lie: BT30069192 BELLFLOWER CA 90706 ° ° u ° ° Phone: 562-866-3625 Lie Exp Date: 10131/2020 Phone: 562-866-3625 State Lic:C-041697 Code Edit: 2016 Workers Compensation Insurance Designer: ° ° ° ° o ° • ° "° Type of Construction: V-B Carnet EVEREST Address:- - ---°O- °ea_o°° Occupancy Group: R3/1.1 Policy No: 760002047719 Added /New sq.ft. Bldg: 0 Expire: 06/0112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: ' N S EC No of Units: 1 Front: I 1 Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $392.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $341.04 Additional Fee : $0.00 Plan check Fee : $40.00 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: $12.00 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 : $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $27.44 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $15.68 NMUSD Fee: $0.00 $0.00 Plumbing %: $35.28 $0.00 TOTAL FEE : $905.69 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $905.69 PROCESSED BY: � _ PUBLIC WORKS APPROVAL: C-L/ ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 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 of iot more than five hundred dollars ($500). 1, 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 for sale (Section 7044, lusiness 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)- 3 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: ly 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 legally ell a structure tl.at I hyve 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 a,,ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 9lynaice of PronPrry Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION /r harebv affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ,pf _ sio of the Business and Profeass a Code, d m cense is in full force and edect. License Class License No Date lJ" Contractor Signature %'y VORKERS' COMP:.NSATION DECLARATION rARNING: FAILURE TO SECURE 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 .CST DF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. f.E-cby affirm under penalty of perjury one of the following declarations: 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( e orinance cf tFc work for which this permit is issued1. Policy No. I hove 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' compensatior 4iance car, ier Cnd>policy number are: - Policy Number of Agent Date certify that, in the performapt,6e of the work for wh' h 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 subje, o the wor cam nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � ./��!�9 nature of Applicant ;�- I14ye Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm under py�iialty 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). 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 provided is correct. I agree to comply with all applicable city and coull4y o Inances stat aws relating to building construction. I authorize representatives of this city or count r�fo �p(/reer the ab Wen ied property for inspection purposes. f�/1 p ��1 / i -7 �n nature of Pronertv Owner or Authorized ADent / /. y/1/I e Print Prooertv Owner's or Authorized Arent's Name / / L l.v L 3A i l+'�f 'Date AU - A - ACTION DATE BY/ DECLARATION OF IREGIM ATIONS PPART 61 OF COMPLIAILT E 40 AND AOMD RULECE WITH CODE OF FOR OFFICE USE ONLY PERMIT EXPIRED PERMITEXTENDED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL ,ESTO�S NOT IF TION OT All LICABE TO CERTIFICATE OF I-7D'2V Ce4— PPIRO�SED,�ijEMO-1 OCCUPANCY15SUED ) SIC. NATUR�Ee z O LLJ n z Lij I}— O O �oUU ao c� wCq m o , cD cn OD LO co rn U �o U ON cc N M m � 0 q o C .y V r/1 ZO � M0c) } Arc G7 ro mL A m o� a c R7>3 oc Y U 0 U 0 0 —4-- 0 U a 0 SI Y I N v c, y Q Y E H Q Z O O Y Y Y N E O_ CL O N n a a c c