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Home My WebLink AboutX2019-0372 - Permits`1` $ City of Newport Beach - Building Division G r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 . Inspection Requests Phone (949)644-3255 E4 E,��yx� Combination Type - SFP ELEC PLUM COMB Permit: X2019-0372 x 2 0 1 9 9 3 7 2 Project No : 0252-2019 Issued Date : 01/3012019 Inspection Area : 6 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: 23 BRIDGEPORT RD NB Description: SFR REMODEL MASTER BATH 272 SIF Legal Desc.: N TR 14712 LOT 12 Owner: WE] ED/LINDA Contractor: LE GOURMET KITCHEN LTD Architect:;}a� Address: 23 BRIDGEPORT RD Address: 541 WEST CHAPMAN AVENUE Address: NEWPORT COAST, CA 92657 ORANGE CA 92868`` C' ¢�-� ..,B Phone: Phone: 714.939.6227 Phone: State Lie: Applicant: SALMON JONATHAN Con State Lic: 848058 Engineer: Address: 541 W CHAPMAN AVE Lie Expire: 10131/2020 Address: ORANGE CA 92868 Bus Lie: 8730065909 Phone: 714-939-6227 Lie Exp Date: 01/3112020 Phone: State Lic:., Code Edit: 2016 Worker's Compensation Insurance Designer: SALMON JONATHAN'r:, Type of Construction: VB Carrier: TRAVELERS PROPERTY Address: 541 W CHAMPMAN AVE •*,+:-,;:;r"y' Occupancy Group: R3/U Policy No: UB1H2O3569 ORANGE CA 92868 Added /New sq.ft. Bldg: 0 Expire: 02/2612019 Phone: 714-939-6227-` - Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / - Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30.000.00 Building Permit Fee: $526.00 '. Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $457.62 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: $36.00 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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $36.82 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $47.34 $0.00 TOTAL FEE : $1,105.78 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,105.78 P 4 Bi PROCESSED BY: ` ° E� a FiIBL�C S ORKS APPROVAL: • ZONING APPROVAL: r' PLAN CHECK BY: GRADING APPROVAL: °`" 4, G`G G4 G� :�N 06 V[ `. APPEOUAL TO ISSUE: v u WVO C4 i OWNER -BUILDER DECLARATION y 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). ❑ 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, 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 im roved for the purpose of sale). 7044, Business Professions Code: The Contractors' State License Law does not I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section and 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 legal) 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 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 D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 0) o Divi on 3 of the Business and Pr fe ions n 'd ense is in full force penalty and effect. License Class License No Dati�a—�� Contractor Signature-. WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUND O THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 p rformance of the work for which this permit is issued. Policy No. I have andwill 'ntain 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' compensatio insurance carrier a )icy number are: /� Carrier i Pohgt ur6berExpiration Date Name of Agent r Phone # I certify that, in the performance of the wo for ich 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 that, if I should become su ct to the w r s' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �9 �✓ Signature of Applicant - - Da DECLARATION REG DING C&O. CTI ING AGENCY I hereby 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 7, Civil Co e). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property o er' behalf. I have read this application and the information I have provi is rrect. I agree to comply with all applicable city and county ordin c a sta ws relating to building construction. I authorize representatives of this city or coun enter�the ti ed prope or inspection purposes. Si nature of Property Owner or Authorized A ent / Print Property Owner's or Authorized Agent's Nam ACTION DATE BY DECLARA OF CO NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 a• +aa • ••• PERMITEXP/RED (SUBMITTED ASBESTOS NOTIFOATIOMTO • • + • • - • e °° •„• • a PERMITCANCELLED EPA ' • '• ' " ° PERMIT EXTENDED QMD PERMIT FINAL p q. , (G\ �/ SBESTOS NOTIF CAT( N IS NOT APPLICABLE TO l CERTIFICATE OF i v - •• aw• • e PROPOSED DEM LI ON • • • e •a ••• • OCCUPANCYISSUED SIGNATUR . • " • ° °