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HomeMy WebLinkAboutX2020-0547 - Permits�vIoA City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type -SFP 11111p1111111111111il111111111111111111111111111 JillCOMB Permit: X2020-0547 x 2 9 2 9 8 5 4 7 Project No : Issued Date : 0310212020 Inspection Area : 2 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: 530 SAN BERNARDINO AVE NB Description: SFR REMOVE (E) 11 SQ OF WOOD SIDING, INSTALL JAMES HARDIE SIDING Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 33 LOT 8 Owner: STOBART NIGEUKIM Address: 325 LA JOLLA DR Record Management: NEWPORT BEACH, CA 92663 Phone: $0.00 Applicant: ERICISPECIALTY SIDING Address: 1801 N ORANGETHORPE PARK Hazardous Mat ANAHEIM CA 92801 Phone: 714-680-3000 Code Edit : 2019 Type of Construction: VB Occupancy Group: Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $248.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee:. $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $249.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SPECIALTY SIDING Address: 1801 N ORANGETHORPE PARK Fair Share ANAHEIM CA 92801 Phone: 714-680-3000 Con State Lic: 656845 Lic Expire: 09/30/2020 Bus Lic: BT30065101 Lic Exp Date: 06/30/2020 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9228682 Expire: 03131/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check, $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $249.00 c G.PUBLIC NORKS APPROVAL: PLAN CHECK BY: o`<jPPROVktt TO ISSUE: ° e O qp 4Gc G4 V9 4 G Ota Vtl Vi Z' Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $249.00 c G.PUBLIC NORKS APPROVAL: PLAN CHECK BY: o`<jPPROVktt TO ISSUE: ° e O qp 4Gc G4 V9 4 G Ota Vtl Vi Z' 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 ie 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 '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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, Nsiness 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 nprovements 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 nproved 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 pply 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: iy 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 legalll 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 'rofessions Code, 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Divi ion 3 of the Business and Prgf§I'sSion s Code 1 ensa' 11 -force nd effect. License Class 0 License No 6566 (/� Date - -2020 Contractor Signatu UORKERS' COMPENSATION DECLARATION FARMING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 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, e¢ormance of the work forwhich this permit is issued. Policy No. have and will kamin 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' rance carrier anj<lcy number icr __ n �n I\ <7 pOIIC N Ir�iMer Ezoiration Date e of Agent certify that, in the performance if I should becoms ject to 3ture of Applicant 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 co ation provisions of Section 3 00 of the Labor Code, I shall forthwith comply with those provisions. .0 3 3reby affirm underbenalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address 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 ordina,peesand state laws relating to building construction. I authorize representatives of this city or counyt ty`ent bove-i tJied property fojn�pection purposes. ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED Print ProDertv Owner's or Authorized Aq DATE I BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ... ••• SUBMITTED ASBESTOS VOJIFIC&TiON TO, EPA . . • • • • • + .•• •+• :�I�.W • • •� QMD � SBESTOSNOTIFICATIOW45.NOT APPLICABLE TO 2-zd26 3' 2 Cl) '013.— gyK � "o ;u n Oxnw N> —3 l '� o- m (Do�N3 3.= m o� mnN O ;m 0 c No Co= — m . ad a a HCD m 3 0. a my =-A s�°a = $ -o �n 0M� m° ('D M� 9 m � M w Q 3 0' N• cp m �n A(O 0.�,�m �(pp m n �� CL m S fD b. 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