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Home My WebLink AboutX2021-0490 - Permits (3)v rug City of Newport Beach - Building Division COMB Permit: X2021-0490 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 4 9 0 Project No: 0452-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 0417512021 Combination Type - MFP PLUM ELEC MECH Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411512024 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: 127 40TH ST NB Description: MFR REMOVE UNPERMITTED GARAGE ALTERATIONS AND RETURN TO ORIGINAL CONDITION (CREATE NEW LAUNDRY ROOM, BATHROOM REMODEL AND RELOCATE WATER HEATER) 550 Legal Desc.: RIVER SECTION BILK 40 LOT 15 Owner: ADNOFF CONNIE Address: 204 34TH ST NEWPORT BEACH CA 92663 Phone: 949-466-7542 Applicant: LEE DONALD Address: 2501 N HARTMAN ORANGE CA 92865 Phone: 714-998-1549 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 2 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $727.00 Plan Check Fee: $632.49 Overtime Plan Ck: $0.00 Investigation Fee: $727.00 Record Management: $40.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $2.00 TOTALFEE: PROCESSED BY: GRADING APPROVAL: Contractor: S P L INTERIORS 8: EXTERIORS Address: 1965 LAS COLINAS CR STE 201 CORONA, CA 92879 Phone: 949-547-7931 Con State Lie: 786311 Lie Expire: 1013112021 Bus Lic: BT30074984 Lie Exp Date: 0413012022 Worker's Compensation Insurance Carrier: WESCOINSURANCE Policy No: VVWC3498514 Expire: 1012312022 Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 5 Front: 10 Left: 3 Right: 3 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $50.B9 $29.08 $65.43 Plan Check Fee 0 Architect: LEE DONALD Address: 2501 N HARTMAN ORANGE CA 92865 Phone: 714-998-1549 Engineer: Address: Phone: State oa a State Lie: o R Designer: �V \� CO"'�,71 tlaaa ,onao^ Address: �� 1� Phone: i.+ OISE Special Conditions: LIQUEFACTIO 119-0370 bN SA`l rR®AvQ0 Planning Department - Plan check Fee Fair Share : SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $678.74 Fee Due at Permit Issuance: $1,641.40 PUBLIC WORKS APPROVAL: n PLAN CHECK BY:'�5"" 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 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 Division 3 of the Business and Professions 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 not 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 apply to an own=, efproperty who builds or improves thereon, and who contracts for the projects With a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exemp'`rorn licensure under the Contractors' State License Law for the following reason: By my iignature helow 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, 1 cannot legally sell 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 7 of the Business and Professions 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 Dat LICENSED CONT44CTOR'S DECLARATION I h.;reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec n 00 Diu' ion} 3 of the inass and Professio e, an my license is in full force and effect. LiLease Class License No D t S .P C ntr or Signature WORKERS'COMPENSATION DECLARATION NARNING: FAILURE TU 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 . USI OF COMPENSATIOV, 1AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm urdsr penalty of perjury one of the following declarations: I have and will ma,ntain 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 thi o ance of the war:: for which this permit is issued. Policy No. ve 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' compensation surance carrier and policy number are: Carrier 1w/[3�c�6 . Policy Number Expiration Date Name of AGent Phone V certify that, in the performance of rk 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 , if I should become subject tdth rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I S. CLARAI RGAROM CONSTRUCTION LENDING AGENCY \,,_,/ 1 ereby at der 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). 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 prov" ed is correct. I agree to comply with all applicable city and county ordiolces and state laws relating to building construction. I authorize representatives of this city or to nt he above-ide unty ntified property for inspection purposes. �iy-Gen nature of Property Owner or Aut a nt Print Property Owner's or Authoriz Age s Name TION I DATE BY I 6ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE dt<Y REGULATIONS PART GI OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U l SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 13EPA PERMIT EXTENDED LJAQMD PERMITFINAL 3 j W1ASBESTOS NOTIFICATIO NOTAPPUCABLE TO CERTIFICATE OF PR P D MOLITI OCCUPANCY ISSUED NAT �__ C )C? X StiCos plio UO imp o , Mu d7,a �O y�3zz� W 12 Z o'uu w o, � a },J U[L '¢ga a'�aWWW wocr OLL� Q� W aU w'a 2Y Lu w U NUS a' uj f'Owa O:mow I y a w 0 O w a