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Home My WebLink AboutX2019-2777 - Permitswho City of Newport Beach - Building Division t+ 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3268. a Inspection Requests Phone (949)644-3255 o'�+�r�3nssa Combination Type - MFP ELEC MECH PLUM II III�I� ILII I� �I I � I III7 II�I7 II COMB Permit: X2019-2777 Project No: 1977-2019 Issued Date : 0 9/0 612 01 9 Inspection Area : S 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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 421 GOLDENROD AVE NB Description: MFR -HALL BATH REMODEL, REPLACE (5) SLIDERS (2) DOORS, (21) WINDOWS WIRETROFIT & BALCONY RESURFACE (STOP WORK) Legal Dese.: P M 228-14 PAR 1 UNIT 1.OF PROJECT LOCATED ON AP 459-113-22 TOGETHER or Owner: BEHRNDT LESLIE C Contractor: JIMAGE Architect: Address: 421 GOLDENROD AVE #A Address: 10001 KAMUELA DRIVE. Address: rV\'/� CORONA DEL MAR, CA 92625 HUNTINGTON BEACH CA 92646 /VJ� Phone: Phone: 714-421-3415 Phone: State Lie: n� Applicant: BEHRNDT LESLIE C Address: 421 GOLDENROD AVE #A CORONA DEL MAR, CA 92625 Phone: Code Edit : 2016 Type of Construction: VB Occupancy Group: R3111 Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $472.00 Plan Check Fee: $410.64 Overtime Plan Ck: $0.00 Investigation Fee: $472.00 Record Management: $6.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,552.04 PROCESSED BY: ZONING APPROVAL: GRADING. APPROVAL: Con State Lie: 907954 Lie Expire: .12/31/2019 Bus Lie: BT30068801 Lie Exp Date: 09/30/2020. Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No:. $0.00 Expire: $0.00 Building Setbacks Rear: / NMUSD Fee: Front: I o Left: I OC<L Right: I Use Zone: Parkina Spaces: 0 Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee'. Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $33.04 $18.88 $42.48 Plan Check Fee Engineer: Address: Phone Designer: A & A DRAFTING Address: P.O. BOX 672 ORANGE CA 92856 Phone: 714-835-1426 Special Conditions Fire Hazard Zone: N Planning Department- Fire Department Plan check Fee e®•o State Lic Fair Share em• SJH Trans m e In -lieu Housing Fee: 000.0 Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 e . e omao emom Fire Department e®•o State Lic Fire Inspection: em• memccc m e o c 000.0 Demolition Fee o r o e :e nope o • m OC<L 6 6 C $0.00 oa $0.00 m �;` o eesma oe m mcm un e earn e � e . e omao emom $0.00 Fee Due at Permit Issuance : $1,552.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 -.$0.00 $0.00 Fee Due at Permit Issuance : $1,552.04 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thereason(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 is 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, lusiness 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 n roved 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 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: ly 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 D f .ICENSED CONTRACTOR'S DECLARATION hereby affirrn uqV (penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f ivi 3 of the Business and Pmfessio sC a ,�Rd'E,,ene s in full force nd effect. License Class License No Date M Contractor Signature / V Vl V•QRK€RS` CQWIPFfISATION DECLARATION 'ARNING! FAILUREZZ0� SECt1RE 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 4ST OF COMPENShcTO DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hell.. affirm under penalty of perjury one of the following declarations: ... I have and wily m. � Attain 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 erroimance of the work for which this permit is issued. Policy No. 31"Ifft and 411 fhWjptain 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 Isurence carrier and policy number are: ries• • Policy Number Expiration Date Aa a it-Agent • •' •' ` Phone # eiNy that, inatlge parform rOthork for which this permitis issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre should UeDpk subJ'e ters' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. qionature of Applicant/i DS ✓ � 7 hereby affirm under penalty of perju at 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 behalf. I have read this application and the information I have pr js correct. - I agree to comply with all applicable city and countyin nces -nd state laws relating to building construction. I authorize representatives of this city or county toe Z1 hh A -identified property for inspection purposes. .r 1 k ACl Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED OMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED 'Vvq/p 6� VSBESTOS NOT IF IFATION IS NOT APPLICABLE TO PROPOSEDt E 10 ' ,V . 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