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Home My WebLink AboutX2019-0630 - Permitsfils'm City of Newport Beach - Building Division *X20190630' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3286 Inspection Requests Phone (949)644-3255 COMB Permit: X2019-0630 Project No: 0449-2019 ` cl* Combination Type - MFP ELEC MECH PLUM Issued Date: 0212712019 Inspection Area :7-L 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: 1221 W COAST HWY NB St: 1 FI: 4 Unit: 415 Description: MFR -ALTERATION OF KITCHEN & 2 BATHS, R/R WATER HEATER 500 SF Legal Desc.: IRVINE SUB BILK 54 LOT 171 POR OF LOT Inn" r Owner: BALBOA BAY CLUB Contractor: C S GENERAL CONTRACTING INC Architect Address: 1221. COAST. HWY IN Address: 1237 W. 9TH ST Address: NEWPORT BEACH; CA 92663 Phone: Applicant: LAWRENCE JEFF. Address: 1237 W 9TH ST UPLAND CA 91786 Phone: 909-208-9474 Code Edit : 2016 Type of Construction: I -B Occupancy Group: R -21S-2 Added/New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 6 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $80.000.00 Building Permit Feer $973.00 Plan Check Fee: $846.51 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee :. $$�'w FEE: $2, PROCESSED BY: ZONING APPROVAL: Building Setbacks Rear: / Front: / Left: / Right: / Excise Tax: UPLAND, CA 91786 Additional Fee : Phone: 909-208-9474 Phone: Con State Lic: 947524 Engineer: Lic Expire: 0313112020 Address: Bus Lic: BT30064497 Electrical %: Lic Exp Date: 0913012019 Phone: Worker's Compensation Insurance Designer: Carrier: CALIFORNIA INSURANCE Address: Policy No: 4681396101 Expire: 0111312020 Phone: Building Setbacks Rear: / Front: / Left: / Right: / Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $136.22 Mechanical %: .$107.03 Plumbing %: $87.57 Planning Department - State Lic: ...... eoae FARAH MOHEB •° a `ema•b� 1787 POMONA RD ° • • ° • •P CORONA CA 92880 • 951-738-1215 State Lic:C•051477 ` `• • ° ° 0o P b •• a • o 0 ooe�o om o 0000a R C9.VOC c b Special Conditions: ...... a omeebc o c c • oO4P P000 r•. a -, � \I 4 0• P '.,'.. Plan check Fee Fire Department Fair Share: Fire Inspection: SJH Trans Fire Plan Rev In -lieu Housing Fee: Demolition Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 PUBLIC WORP PLAN CHECK GRADING APPROVAL: �/ APPROVAL TO Fee Due at Permit Issuance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,206.33 Fire Department $40.00 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 Issuance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,206.33 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) Iction 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 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 Ifessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 movements 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 )roved 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 )ly 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: 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 legall7 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 �fessions Code, y available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date SENSED COA1MCTOR'S DECLARATION Vlebyaffirm upaeypej ally of peryyyyry that I am licensed under provisions of Chapter 9 (commencing with Section 79606—) f Division 3 of the Business and Profess' s �P ;t'!=se is in full force I effgct. Licen%§ Cld§s !7 License No 9[C7 ,rZ D 2-Z�- Iq Contractor Signatur sC , 1 'rim--� AMRS' COMPENSATION DECLARATION NG: FAILURE.TU 5911TRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OF OOMPENSA710N, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ob affirm ufi d erpeaalty of perjury one of the following declarations: Gavle and M1 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 ice of thework for which this permit is issued. Policy No. is and wRl:maiatein 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 ;nice cAAarrier and policy number are: V.'A-V .'ffi.ra.el i. Jt Policy Number 411 — 911 90— O (-03 Expiration Date I - 13. 20 )ofAgent 0*0* Phone# F7'7—Z3q—l(t/L0 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignature of Applicant Dai�>�� IECLARATION RE DI NSTRUCTION LENDING AGENCY hereby affirm under pena y of erjury 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 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 ante ie boovv = dentifie property for inspection purposes. `� / linnahlre of Pronertv Owner or Authorized ADent !��, -� � Print Prooertv Owner's or Authorized ADent's Name T"'> Jt� GaWe ACTION DATE BY (CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 1 / 11 Ll I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I UAQMD I PERMITFINAL I 0A1B11TOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF % PROPOSED DEMOLITION 2 -Zi-