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Home My WebLink AboutX2020-0672 - Permitsw1t,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0672 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 6 7 2 Project No: 0496-2020 E `_, Permit Counter Phone (949)644-3288 v & Inspection Requests Phone (949)644-3255 `�''<raiv��' Combination Type - MFP ELEC MECH PLUM Issued Date : 03/2412020 0 Inspection Area : 3 PERMITEXP/RES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUSTBE COMPLETED BY 03/2912023 OR PERMIT WILL BE INVALID 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: 102 SCHOLZ PLZ NB St: 1 FI: 3 Unit: PH -28 Description: MFR MASTER BATHROOM REMODEL 100 SF Legal Desc.: TR 10587 LOT 1 UNIT 242 OF PROJECT LOCATED ON AP 423-011-21 TOGETHER ...o Owner: GRILL BRUCE Contractor: TREEIUM INC Architect: DEMARCO CHERYL ...... •• . Address: 102 SCHOLZ PLAZA #26 Address: 5352 LAUREL CANYON BLVD #200 Address: 9121 ATLANTA 826 . . ... • ° ° NEWPORT BEACH, CA 92663 VALLEY VILLAGE CA 91607 HUNTINGTON BEACH, CA 92648 •. m' ®u 0 0 Phone: Phone: 855-833-8733 Phone: 714-473-6623 State Lic:CO23965 .• ° Applicant: GRILL BRUCE Con State Lie: 617148 Engineer: :0. ' o Address: 102 SCHOLZ PLAZA #28 Lie Expire: 04130/2021 Address: o. NEWPORT BEACH, CA 92663 Bus Lie: ST30053191 Phone: 909-855-1531 Lie Exp Date: 1113012020 Phone: State Lie: too. mo.00 Code Edit: 2019 Worker's Compensation Insurance Designer: 0 ...... Type of Construction: V -B Carrier: CAROLINA CASUALTY Address: Occupancy Group: R31U Policy No: BNUWC0144084 Added /New sq.ft. Bldg: 0 Expire: 05118/2020 Phone:....' ° . ° •. o. ° Added /New sq. ft. Garage: 0 NSPEC� No of Stories: 3 Building Setbacks Rear: / Special Conditions: No of Units : 42 Front: I 15 'jy Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10.000.00 Building Permit Fee: $232.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $201.84 Additional Fee: $0.00 Plan check Fee : $40.00 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: $6.00 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 %: $32.48 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $25.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $20.88 $0.00 TOTAL FEE : $559.72 Plan Check Fee : $559.72 Fee Due at Permit Issuance : $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: �� ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: n APPROVAL TO ISSUE: 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 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 (_) 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). 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 apply to an owner gfploperty 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 VGrpJiltensure under the Contractors' State License Law for the following reason: I%rry,S:Inaturebelovi 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 Iega117 sell a structure law 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.html. $igrlatgr2 of Propelty Owner or Authorized Agent A Date LICEIjSED CQNTJMCTOWS DECLARATION �' 1•heteb -affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 pf Divi ' n 3 of the Business and Prof sions Cod d Ilce in full force and effect. Licar+sesClass License No Date i Contractor Signature NORKERS' COMPENSATION DECLARATION WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIP&L PENALTIES AND CIVIL FINES UP TO ONE HU ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 1GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. N ty of perjury one of the following declarations: I have and wil6maintain 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 Nr14ance of thp.Wgrt for which this permit is issued. Policy No. have 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' compensa Irance carrier and policy number are: ie of Agent certify that, in the perfoli'nance of the work if I should become su lett to the workers' Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' c/mpensation laws of California, and ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / i ignature of Applicant DECLARATION REGA ING CONSTRUN L DINGAGENCY hereby affirm under p alty of perjury t there a construction lending agency for the performance of the work for which this permit is issued (Section 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,6rdinanc%Pfflstate laws relating to building construction. I authorize representatives of this city or county to finter thdentified property for inspection purposes. ---� signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag ACTION DATE 8Y D //R TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R5 ULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED OAQMD PERMITFINAL 74/2070 S UASBESTOSNITIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEEYOUTION OCCUPANCYISSUED SIGNATIIRF- CAT e-5. , Civil Code). EE