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Home My WebLink AboutX2020-0071 - Permits�,8'nr'rr, City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit:X2020-0071 1 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 0 7 1 - p Project No :1708-2018 �, .'�.� � Permit Counter Phone (949)644-3288 v >$ Inspection Requests Phone (949)644-3255 �d4rr,rw'�`�` Combination Type - BLDG Issued Date: 01/09/2020 Inspection Area : 1 Rood cone: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Use Zone: Parking Spaces: 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 Fire Hazard Zone : N Job Address: 1801 E BALBOA BLVD NB Construction Valuation: $1.305.00 Description: BLOCK WALL INSIDE P/L THIGH MAX x 30 LF (WITHIN 3 FT OF P/L, MARKERS ON SITE) Legal Desc.: N TR 518 8LK L LOT 22 Building Permit Fee: $104.00 Excise Tax: Owner: 1801 BALBOA LLC Contractor: K L P M INC Architect: Fire Department Address: 1101 QUAIL ST Address: 12188 CENTRAL AVE #269 Address: •. •. Plan check Fee: NEWPORT BEACH, CA 92660 CHINO CA 91710 Fire Inspection: ...... Overtime Plan Ck: Phone: 949-204-7272 Phone: 949-246-2923 Phone: State Lic: • , o • •. ° $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Applicant: RAMIREZ ERNEST Con State Lic: 831751 Engineer: ° $0.00 Address: 12188 CENTRAL AVE #269 Lic Expire: 02/29/2020 Address: ° •..• ° CHINO CA 91710 Bus Lic: BT30065030 .... ° Phone: 949-246.2923 Lic Exp Date: 11/30/2020 Phone: State Lic: ° °. • • • • • • .. ° Code Edit: 2016 Worker's Compensation Insurance Designer: o .®•. •••O° Type of Construction: Carrier: NO EMPLOYEES Address: .... $0.00 Occupancy Group: U Policy No: $0.00 Disabled Access : $0.00 Added /New sq.ft. Bldg: 0 Expire: Phone: • • ° ° ` ° Added/New sq. ft. Garage: 0 $0.00 Hazardous Mat ®®®•� Electrical %: No of Stories: 0 No of Units : 0 Building Setbacks Rear: 0 Front: 9 Special Conditions: •.'. .�� • ppOO°° g^yr..... ° �a�ll' Bldg Height: 0 Left: 3 $1.00 Mechanical %: $0.00 Bldg Sprinklers: Right: 3 $0.00 Rood cone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1.305.00 Building Permit Fee: $104.00 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 Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $105.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $105.00 PROCESSED BY: 5 -QJ " ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: SNNV `� 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 )fessions 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 61ness 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 )rovements 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). 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 >Iy 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 bplgy�vv� 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 legalq I a structure that I F1ave 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 Ifessions Code,, it a4ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ANN of Propo4y.9trier or Authorized Agent Date, „EYED CONTRACTOR'S DECLARATION ik„ yaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o ivi on 3 of the Business and Proles ' s fie, an an Is in full fyrce 1 effect. Lict nsa Gass License No Date Contractor Signature*04 YPAF'RS' COMPENSATION DECLARATION TWP: FAILURE "SECYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE QOMPEN!?g60 JDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. !?d% affirm undgr penalty of perjury one of the following declarations: ...e f 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 the formance of 1h,%x*org for which this permit is issued. Policy No. LV6 and vP 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' once carrierecltl policy number are: Policy Number of Agent Date .Eenify that, in the pert rma of a work r which t¢�s 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 agree t, I I should become su 'e 0a works compe aticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. natu re of Applicant Date CLARATION REGARD G CONST ENDIN ENC' Ireby affirm under pen Ity of perjury that there is a con ction lending agency for the performance of the work for which this permit is issued (Section 309 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 'ded is corr I agree to comply with all applicable city and county o an es an to laws lating to building construction. I authorize representatives of this city or county t e r t abov =' entif' roperty for inspection purposes. r— �' ��ggqq ��jj nature of Prooertv Owner or Authorized ADent v' Z2m r Print Property Owner's or Authorized Agent's Name �✓�� /'h'+t/.1 �zD �—' ACTION DATE BY 4 REGULAT ONS PARTO61 OF- NCE ITH CODE OF TLE40 AND QMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL SeESTOS OT IC ONI N APPLIC LE TO CERTIFICATE OF ^�0'� OP D N OCCUPANCY ISSUED SIGNATURE• 79r tact