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HomeMy WebLinkAboutX2022-1284 - PermitsCity of Newport Beach - Building Division .ham 100 Civic Center Drive, Newport Beach, CA 92660 H y Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MIFF COMB Permit: X2022-1 Project No: Issued Date : 05/05/2022 NO CONSTRUCTION NOISE Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 216 MARGUERITE AVE NB Description: MFR RE -PIPE (E) DWELLING (15) FIXTURES ON THE WEEKEND Legal Desc.: P M 164-06 PAR 1 UNIT A OF PROJECT LOCATED ON AP 052-113-24 TOGETHER Owner: RAJESH LUHAR Contractor: PAPA JOE'S AND SON Architect: Address: 216 MARGUERITE AVE Address: 3429 POMONA BLVD #O Address: NEWPORT BEACH CA 92625 POMONA CA 91768 Phone: Phone: 626-945-5639 Phone: State Lic: Applicant: PAPA JOE'S AND SON Con State Lic: 709485 Engineer: Address: 3429 POMONA BLVD #O Lic Expire: 04/30/2024 Address: r,-'9 POMONA CA 91768 Bus Lic: BT30078651 Phone: 626.945-5639 Lic Exp Date: 05/3112023 Phone: State Lic: �� Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: BENCHMARK INS CO Address: Occupancy Group: R3/U Policy No: CSTS023033 Added /New sq.ft. Bldg: 0 Expire: 01/16/2023 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: HIGH DENSITY AREA No of Units: 2 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $417.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $417.00 PROCESSED BY: - - PU131-I: \V'6t2KS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPkO`/A_ 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). ❑ 1, 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). ❑ 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). ❑ 1 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 this permit, I 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 7044 of the Business and Professions Cade, 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty p�perj^ury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 0) f D'visio 3 of the Business and Profass�ons C e, and my I a is i full force and effect. License Class /5 ( /O e -i4a License No �t7G�L�{ Date Contractor Signature �l�, 7� T WORKERS' COMPENSATION DECLARATION WARNING: 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 I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 tt}}ave 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, performance of the work for which this permit is issued. Policy No. have and wi tain workers' co sation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio surance carrie and p icy number a : ;arrier Po umb fr Expiration Date Jame of Agent r Phone # :1I certify that, in the performance of the wo for which this permit is Lued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become -subject to the ers compensation prov ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant N E. X � i )ECLARATION REGA G CONSTRUCTION L NDIN AGENCY hereby affirm under p nalty 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). _ender'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 and state laws relating to building construction. I authorize representatives of this city or county enter above -!dent'' d ert nspection purposes. o , /�/� 3i nature of PropertyOwner or Authorized Agen GG roperty Owner's or Authorized Agent's Nam\/ /� 4�Aw ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED CERTIFICATE OF OCCUPANCY ISSUED ASBESTOS NOTFI CAL ON TO NOTIFICATION 15 NOTAPPLICA LE TO M ITI