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Home My WebLink AboutX2019-1819 - PermitsCity of Newport Beach - Building Division $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat COMB Permit: X2019-1819 Building Green Fee: IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans: II Demolition Fee Grading Permit Fee: a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 8 1 9 $0.00 Project No: 1318-2019 ) $0.00 N e 0 Permit Counter Phone (949)644-3288 Public Works Department- General Service . Inspection Requests Phone (949)644-3255 $0.00 Park Dedication : $0.00 der �.,v�'.a ` Combination Type - CIP Refund Deposit Issued Date :.0 612 512 01 9 PAN Plan Check: Inspection Area: 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 Electrical %: 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 San Dist: Job Address: 2920 NEWPORT BLVD NB Description: COMM -REPAIR (E) HANDRAIL $0.00 NMUSD Fee: - Legal Desc.: LANCASTERS ADD LOT 23 BLK 230(AND ALL -EX POR TO ST- LOT 24 BLK 230 $0.00 Plumbing %: $0.00 Owner. F & F PROPERTIES Contractor. HANZEL CONSTRUCTION Architect: � � - Address: 129 W WILSON ST #100 Address: 312 BAGNALL AVE Address: COSTA MESA CA 92627 PLACENTIA CA 92870 `, Phone: Phone: 714-394-3851 Phone: State Lic: Applicant. HANZEL MATTHEW Con State Lic: 955621 Engineer: HERMAN RICH •°'°°, Address: 312 BAGNALL AV Lic Expire: 03/31/2021 Address: 4854 MAIN ST a+° e r,,��rk, • . ° PLACENTIA CA 92870 Bus Lic: BT30065831 YORBA LINDA, CA 92886 o ®° • ° . w"Y'-ai° ;; Phone: 714.394-3851 Lic Exp Date:. 01/31/2020 Phone: 714-777-3765 State Lic:S-003255 • e. e - , ° Code Edit: 2016 Workers Compensation Insurance Designer. _„-: e ° Type of Construction: Carrier: STATE FUND Address: o° m •. Occupancy Group: B Policy No: 9050207 Added /New sq.ft. Bldg: 0 Expire: 03127/2020 Phone: Added /New sq.. ft. Garage: 0 ° ° • ° ° ° ° ° ° No of Stories: 0 Building Setbacks Rear: / Special Conditions: LIQUEFACTION AREA No of Units: 0 Front: / Bldg Height: 0 Left: /. oppppO ° Bldg Sprinklers: Right: / 0000°c e ° Flood Zone: X Use Zone: Parkino Spaces: 0 Fire Hazard Zone : N Construction Valuation: $9,500.00 Building Permit Fee: $232.00 Plan Check Fee: .$201.84 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $478.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Planning Department- Fire Department Additional Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 - $0.00 Check Fee : $241.84 Fee Due at Permit Issuance: $237.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: S 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 he 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 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 lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 Ipply 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: 3y 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 ;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 professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date _ICENSED CPNTRACTOR'S DECLARATION hereby,affirm umder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Isio of the Business and Profs ions ode, and I full force h10EffVt. License Class License No Date Contractor Signature rJORrERS' (iOGbpl_'NSATION DECLARATION MftgdS FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUND O THOUSAND DOLLARS ($700,000(, IN ADDITION TO THE 'DST F COMPENSkTIOI,. AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fisre6y affirm bpger p. nalty of perjury one of the following declarations: acave anobwill 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, ;ejfgrmance of th%A&k for which this permit is issued. Policy No. and will0maintain 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 Expiration Date pp bf Agerlt • • certify that,lin fheperfo ance of the work for which this permit is issued, I shall not if I should become s ject to the workers' compensation provisions of Sec joa-370j iature of Applicant T -Z _ any person in any manner so as to become subject to the workers' Labor Code, I shall forthwith comply with those provisions. hereby affirm under p(iialty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 ender's Name Lender's Address / y 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 r ng to building construction. I authorize representatives of this city or county enter t ve-identified perty for inspection purposes. i nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name a \CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED TO rpensation laws of California, and agre; Code).