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Home My WebLink AboutX2021-1310 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1310 n,¢ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 1 0 Project No : 1145-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 05128/2021 Combination Type - MFP Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/28/2024 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: 23 MONTPELLIER NB Description: MFR REPLACE WATERPROOFING, GLASS RAILING, AND DRAINS FOR (2) DECKS, REPLACE DOOR SYSTEM Legal Desc.: TR 9587 LOT 6 UNIT 17 OF PROJECT LOCATED ON AP 461-074-11 TOGETHER Owner: OH SEUNGHYUN Contractor: PACIFIC COAST BUILDERS INC Address: 23 MONTPELLIER Address: 20701 GOSHAWK LANE NEWPORT BEACH, CA 92660 HUNTINGTON BEACH CA 92646 Phone: 323-552-3793 Phone: 714-969-1768 Applicant: OBIE ELI Con State Lie: 672362 Address: 2127 S HATHAWAY ST Lie Expire: 03/31/2023 SANTA ANA CA 92705 Bus Lie : BT30075447 Phone: 206-459.6794 Lie Exp Date: 05/31/2022 Code Edit : 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: ACE AMERICAN INS CO Occupancy Group: R3IU Policy No: C68643971 Added /New sq.ft. Bldg: 0 Expire: 02/01/2022 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I No of Units : 2 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right / Architect Address: Phone: State Lie Engineer: Address: Phone: State Lic: Designer: MADISON MONTY Address: 1733 VIA DE LA CUESTA ESCONDITO CA 92027 Phone: 760-215-3220 Special Conditions Construction Valuation: $52,000.00 Building Permit Fee: $825.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $717.75 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management: $14.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PM Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $1,606.00 PROCESSED BY: ZONING APPROVAL: _-S I SoPL CT C R 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 Plan Check Fee : $764.00 Fee Due at Permit Issuance : $842.00 PUBLIC WORKS 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) iection 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 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 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 of 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 (_) portions of the work, 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 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 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). 7 I 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 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. signature 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) of D' ' ion 3. of the Business and Professions e, an is nse�II force nd effect. License Class License No Date i Contractor Signat IIORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THZITSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the 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 3700 of the Labor Code, for th e ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date JI certify that, in the performance of the work 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 agre iat, if I should become subject to the workers' com ano�nirov;s�lo/may/E.�ecti of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant N �'" /!/' / Dat _Pc� IECLARATION REGARDING NSTRUC DING A hereby affirm under penalty pe ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 county to ente a�e-i ied ro rty for inspection purposes. /t / ,� i p �j L Date signature of Property Owner or Authorized Agent/\ i / Print Property Owners or Authorized Agent's Name, X ACTION DATE BY (/Y�6ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 0EPA PERMIT EXTENDED QM D PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED �— 2^'22 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: