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Home My WebLink AboutX2020-1416 - PermitsAga City of Newport Beach - Building Division *X2020-1416" COMB Permit: X2020-1416 o - 100 Civic Center Drive, Newport Beach, CA 92660 Project No '� Permit Counter Phone (949)644-3288 Inspection Requests Phone(949)644-3255 n„�eu Combination Type - MFP ELEC MECH PLUM Issued Date : 06/1812020 0 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611912023 OR PERMIT WILL BE INVALID 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: 105 HARTFORD DR NB Description: MFR KITCHEN AND BATHROOM REMODEL "CTY STD" (50 SF) Legal Desc.: TR 12164 LOT 4 UNIT 58 OF PROJECT LOCATED ON AP 442-291-39 TOGETHER c n i ® p n 00 o c no 0 codno ccc:, 0 II TOTAL FEE: $431.59 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $431.59 II /l . PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Owner: MURPHY BARBRA Contractor: PRIME CONSTRUCTION Architect: -� Address: 105 HARTFORD DR Address: 7635 PONCE AVE Address: NEWPORT BEACH, CA 92660 WEST HILLS, CA 91304 Phone: Phone: 866-909-3006 Phone: State Lic: Applicant: PRIME CONSTRUCTION Con State Lie: 1031676 Engineer: Address: 7635 PONCE AVE Lie Expire: 10/31/2021 Address: WEST HILLS, CA 91304 Bus Lie: BT30072176 Phone: 866-909-3006 Lie Exp Date: 06/30/2021 Phone: State Lie: t Code Edit : 2019 Worker's Compensation Insurance Designer: 9 .... Type of Construction: VB Carrier: EXEMPT ��Address: Occupancy Group: R31U Policy No: \, °°°, s Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $7.000.00 F Em Building Permit Fee: $187.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $162.69 Additional Fee : $0.00 Plan check Fee : $41.50 Fire Inspection: 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: $2.00 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 %: $13.09 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $7.48 NMUSD Fee: $0.00 $0.00 Plumbing %: $16.83 $0.00 n 00 o c no 0 codno ccc:, 0 II TOTAL FEE: $431.59 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $431.59 II /l . PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (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). 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 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' Slate 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.govlcalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury th t I am licensed under provisions pf Chapter 9 (commencing with Secti 700 of Division 3 of the Bus! and Profess�na Cod , and my license is in full force and effect. License Class I O`A,\ 19 TI License No /�G Da Contrac nature I 1 � WORKERS' COXF:�NSATION DECLARATION NARNING: FAILURE 40 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 CAST OF gpMPENSA'f184,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Qiefrt'Oltaffirm ugd4pDgalty of perjury one of the following declarations: :1•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 3vrforinance of the work for which this permit is issued. Policy No. pa Rand will"i idt in 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' ranee carrier and policy number are: . .• ieTPolicy Number Expiration Date Agent —r 3' that, in the ice of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worke s' c pensation laws of California, and agre to a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro visions.. IECLARACION RE0ARiDING.000TRUCTION LENDING AGENCY hereby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 b® I have read this application and the information I have provid ' rrect. I agree to comply with all applicable city and county ord' as and state laws relating to building conslruc I authorize representatives of this city )K county to r the above -identified property for inspection purposes. _ Signature of Property Owner or Ar ACTION I DATE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I I l I U I SUBMITTED ASBESTOS PERMIT EXTENDED LJAQMD PERMIT FINAL �[ BESTOS NOTIFICATION ISN PPUCABLE TO CERTIFICATE OF 7. p� RC OSEDD OUTION OCCUPANCYISSUED SIGNATU FOR OFFICE USE ONLY