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Home My WebLink AboutX2019-3020 - Permits1. City of Newport Beach- Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-3020 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 0 2 0 Project No ' Permit Counter Phone (949)644-3268 "u . Inspection Requests Phone (949)644-3265 't on vc'h Combination Type -,SFP on Date :0912012019 Inspection Area : 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays .Job Address: 419 BEGONIAAVE NB - - Description: SFR -(PARTIAL RE -ROOF). TIO SLATE. REPLACE DECK SHEATING. INSTIL 11 SQ STANDING SEAM METAL ROOFING Legal Desc.: CORONA DEL MAR BLK329 LOT 13 - Owner TSO-WU TROY Contractor: MTZ SHEETMETAL, INC - Architect: Address: 419 BEGONIA AV Address: 1879 W COMMONWEALTH AV UNIT KAddress• CDM CA 92625 LLERTON CA 92833 I7 P Phone: Phone: 71/4-624-5074 Phone: State Lie: W"' a. CTO Applicant MTZ SHEETMETAL, INC Con State Lic:. 1005966 Engineer. Address: 1879 W COMMONWEALTH AV UNIT K Lie Expire: 07131/2021 Address: FULLERTON CA 92833 Bus Lic: BT30069003 Phone: - 714.624-5074 Lie Exp Dater 0913012020 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction:. V-13 Occupancy Group: R3/U Carrier: Policy No: STATE FUND 9169486 Address: ® N® CONSTRUCTION �+ NOSE Added /New sq.ft. Bldg: 0 Expire: 11/11/2019 - Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: l Special Conditions: No of Units: 1 Front:7. Bldg Height. 0 Left:. I ®N THE qA, WEEKEND Bldg Sprinklers' Right: Flood Zone: - Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $11.000.00. Building Permit fee: $324.00 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 PAN 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 Feer $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $325.00 Plan Check Fee ; $0.00 Fee Due at Permit Issuance : $325.00 " f9 i9.' a pOa a8 PROCESSED BY: CLA PUBLId WdRKS A-P�ZC,VAL: ° ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: APPRRJ'VNL'fd IS:S•UE:e•o ••• °o° O P G P 6 OG fEO W ® U0 O� E�,• 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 applicalitfor 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). r" ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 legall, 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 Date LICENSED CONTRACTOR'S DECLARATION ))) I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 o of Division 3 of the Business and ssi� rj , and y license is in full force and effect. License Class License No Dat Contractor Signatu WORKERS' COMPENSATION DECLARATION NANNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 lh gormance of the work for which this permit is issued. Policy No. rave 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' compensatiol u ante carrier and policy number are: ., ' �'-P ,(�� Agrd ��' i n 1 �Q ler C�' Dl'I'� �bNt.&/t,�.k17%1� -v""t Policy Number tExpiration Date Vt l 1 Vame of Agent 9 Phone # :1I certify that, in the performance of the w for whiqq�� 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 khat, if I should become subject to the woi om ejls� eon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'j Signature of Applicant ( D Ye "L , )ECLARATION REGA ING CON TRUCTION LENDING AGENCY 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 3097, Ci it 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 o ner's behalf. I have read this application and the information I have prove is correct - 1 agree to comply with all applicable city and county ordin s a state laws relating to building construction. I authorize representatives of this city or coun�}j'p to enter /Identified property for inspection purposes. // -/^� (/�� /�� Q //f I(///) -u.ndura of DrnnaA•• rn.,.,ar ... A. dFnroari AnaM / Drin+ 13 nneMv n—nn. a nr A,ah—i—r! 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