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HomeMy WebLinkAboutX2022-1374 - PermitsCity of Newport Beach - Building Division 04 dm 100 Civic Center Drive, Newport Beach, CA 92660 y t Permit Counter Phone (949)644-3288 u. Inspection Requests Phone (949)644-3255 'i;rnug� Combination Type - BLDG IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1374 Project No : 2840-2021 Issued Date : 05112/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511212025 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: 900 CHESTNUT PL NB Description: DEMO POOL USING CITY STANDARD METHOD B Legal Desc.: N TR 4892 LOT 22 Owner: SUN JOHNNY Address: PO BOB 3146 REDMOND WA 98073 Phone: Applicant: GONTERMAN CONSTRUCTION Address: 1842 PARK ST HUNTINGTON BEACH CA 92648 Phone: 949-697-0746 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: Flood Zone: Construction Valuation: Building Permit Fee: $161.00 Plan Check Fee: $140.07 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: $302.07 PROCESSED BY: ZONING APPROVAL: Contractor: GONTERMAN CONSTRUCTION Architect: Address: 1842 PARK ST Address: HUNTINGTON BEACH CA 92648 Phone: 949-697-0746 Phone: State Lic: Con State Lic: 858073 Engineer: Lic Expire: 04/30/2023 Address: Bus Lic: BT30048414 Lic Exp Date: 0913012022 Phone: State Lic: Worker's Compensation Insurance Designer: Carrier: STATE COMP. INS Address: Policy No: 9259518 Expire: 08/22/2022 Phone: Building Setbacks Rear: / Special Conditions: Front: / Left: /071 Right: / Use Zone: Parking Spaces: 0 Fire Hazard Zone : IN Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical W $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Fire Department $0.00 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 : $302.07 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: JAdYN:Ixtl:�:YF GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER 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 to 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 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). 3 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, 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). 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy 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, 1 cannot legally 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.htm]. 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 f Div' ion 3 of the Business and Professions CQowd% and my li ense is In full force nd effect. License Class License No Date 7- 7-a Contractor Signatur� 15— /'B+�t� VORKERS' COMPENSATION DECLARATION IARNING: 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 (E100,000), 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: 3 1 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 IN R*rmance 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 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 agree t, if I should become subject �too Inworkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant$ °y—' D C5,421 �a— CLARATION REGARDING CONSTRUCTION LENDING AGENCY ?reby affirm under 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 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 eenter�thpboove-i4eatified-property for inspection purposes. 1 /10 i �y ) nature of ProDertv Owner or Authorized Aaent �f-lYo+'�u'S� Print Property Owner's or Authorized Agent's Nana/ 9Off4"t�'7 ` ere-01— _ Date (A' ACTION PERMIT EXPIRED PERMIT CANCELLED CERTIFICATE OF OCCUPANCYISSUED DATE BY DECLARATION OF II REGULATIONS PA T0MPLIANCE WITH CODE OF 61 OF TLE 40 AND QMD RULE FOR OFFICE USE ONLY I SUBMITTED ASBESTOS POTIF19ATION TO EPA a e e .s 4-3 I 1&70'X I LJASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION