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Home My WebLink AboutX2020-0192 - Permitscy,vwicrk� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0192 ,v' �� K 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 6 1 s z PfOJ@Ct NO : 0166-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 0112212020 Combination Type - MFP ELEC PLUM UWH Inspection Area :14 5 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: 421 GOLDENROD AVE NB Description: MFR REMODEL KITCHEN 250 SF Legal Desc.: P M 228-14 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 459-113-22 TOGETHER . Owner: BEHRNDT LESLIE C Address: 421 GOLDENROD AVE #A CORONA DEL MAR, CA 92625 Phone: Applicant: JIM/JIMAGE Address: 10001 KAMUELA DR HUNTINGTON BEACH CA 92646 Phone: 714-421-3415 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R31U 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: Flood Zone: Building Permit Fee: $746.00 Plan Check Fee: $649.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,562.38 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: JIMAGE Address: 10001 KAMUELA DRIVE HUNTINGTON BEACH CA 92646 Phone: 714-421-3415 Con State Lic: 907954 Lic Expire: 1213112021 Bus Lic: BT30068801 Lic Exp Date: 09/30/2020 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: I Eking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $52.22 $0.00 $67.14 0 Architect: 1 J q(Z" '0 9 t g Address: V i ff1 Phone: State Lic: ' Engineer: YAGHI SHUCRI I - Address: 112 E. CHAPMAN #D , ORANGE CA 92866 Phone: 714-997-9120 State Lic:C-043205 Designer: Address: Phone: NO CONSTRUCTION NOISE Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 ON THE Fire Department $40.00 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 Fee Due at Permit Issuance : $1,562.38 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: ySYWy 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 Irofessions 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). 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, 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 ilct 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 rprnved for the y,.r;)ose of sale). I, as ownr'r 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 ppiy 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). J I am exempr from licensure under the Contractors' State License Law for the following reason: !y my signature,b:hw 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 legalll a;; a structul a 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 bode, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. Ii9nature of Prupety Owner or Authorized Agent to Ir,ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of ivision 3 of the Business and Prof ion C my license is in full force nd effect. Ui 6r,se Class License No Date 1'3Z' 27ZO Contractor Signatur 6ORKERS' CUMPENSATION 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 ($100,0001, IN ADDITION TO THE OST OF COMPdi,SATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 th erformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date ,certify that, in the performance of the wor for w ch .(s 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 t, if I should become su act to the worke mp I n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant REGADate I 'ZZZQ CLARATION R ING CONSTRUC N LEN G AGENCY areby affirm under pe alty of perjury that they 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 I have read this application and the information I have pro I agree to comply with all applicable city and county ordinre I authorize representatives of this city or county to e�iiter t /s relating to building construction. property for inspection purposes. Print Prooertv Owner's or Authorized Aaent's Name ACTION DATEI DECLARATIcIN'DrICOaPILIANCE WITH CODE OF BY r REGULATIONS PART 6 OF TLE 40 AND QMD RULE RAL PERMIT EXPIRED L.KSUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL (/ (I� 12 EST NOTIFI TI hIS TAPPUCABLE TO CERTIFICATE OF l J ( �Jv _ PROPOSEMOLI ^ , OCCUPANCYISSUED SIGNATUR : V j FOR OFFICE USE ONLY MCCW AI