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HomeMy WebLinkAboutX2021-1432 - PermitsN ray City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1432 1p" 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 4 3 2 Project No : 1253-2021 , r Permit Counter Phone (949)644-3288 Q i Inspection Requests Phone (949)644-3255 7x Issued Date: 06/04I2021 Combination Type - BLDG PLUM Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0610412024 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: 2304 CLIFF DR NB DLegalrlption: DEMO BDRM) Desc.: N TR 9 9FBLK 4 LOT(5 IV. i '�� r Owner: GONTERMAN JASON Contractor: GONTERMAN CONSTRUCTION Architect: Address: 2304 CLIFF DR Address: 1842 PARK ST Address: NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92648 Phone: 949-697-0746 Phone: 949-697-0746 Phone: State Lic: Applicant: GONTERMAN JACOB Address: 2304 CLIFF DR NEWPORT BEACH CA 92663 Phone: 949-697-0746 Cade 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: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation Building Permit Fee: $120.00 Plan Check Fee: $227.50 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1,W TOTAL FEE: $1,826.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 858073 Engineer: Lic Expire: 0413012023 Address: Bus Lic: BT30048414 Lic Exp Date: 09/30/2021 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP. INS Address: Policy No: 9259518 Expire: 08/22/2021 Phone: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: ova: al %: I%: Rear: I Front: / Left: I Right: / 'arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10.80 Plan Check Fee State Lic: Special Conditions: JD DEMO NO STREET TREES Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 PUBLIC WORKS PLAN CHECK BY APPROVAL TO 1: Zone :N Fire Department $92.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit $0.00 $0.00 $26.00 $219.00 $1,127.00 $0.00 $0.00 $0.00 $1,825.80 .NER-BUILDER DECLARATION . 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 L) all of or L) 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). ❑ 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 apply 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: By 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 th' pe it, I cannot legalit 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 7044 f the usiness and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section Divisi ff (he Business and Pro si s Cod , and license is in full force and effect. License Class License No Date0 ontractor Signature WORKERS' COMPENSATION DECLARATION FARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OL S ($100,000), IN ADDITION TO THE COST OF 1OMPENSATIDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I h=reb;, affirm undefpenalty of perjury one of the following declarations: ve 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 p o of the work forwhich this permit is issued. Policy No. I ha 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 ir.s ice carrier anC policy number are: le Uf Agent certify that, in'the' performance of the if j ^hould become. subject to the wo of Number Date for ich 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 agre co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �. r— Lf Date l N LENDING AGENCY ereby affirm under I£enalty of perjury thatAhere is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, 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 have provided is correct. I agree to comply with all applicable city and county ordinances-ard state laws relating to building construction. I authorize representatives of this city or cou tr the ab a-iden' 'ad property for inspection purposes. Signature of Property Owner or Authorized Agent o entePrint Property Owner's or Authorized A ACTION DATE BY ATION OF COMP NCE WITH CODE OF FEDERt FOR OFFICE USE ONLY EGULATIONS PART ITLE 40 AND AOMD RULE 11 PERMIT EXPIRED 11 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 11 0EPA PERMIT EXTENDED M D PERMITFINAL �,©-(g-Z t ASBESTOS NOTIFICATION I NOT AP LE TO CERTIFICATEOF yW= PROPOSED DEMOLITION -- OCCUPANCYISSUED Ofi" �r55�q SIGNATURE: N L, ru m IL I C3 O O O 7" OC3