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Home My WebLink AboutX2021-0454 - Permitstty of Newport Beach - Building Division *X2021-0454* COMB Permit: X2021-0454 'ivic Center Drive, Newport Beach, CA 92660 s� :ounter Phone (949)644-3288 Project No : 2078-2019 �°'o,.� n Requests Phone (949)644-3255 oa�o^ don Type - BLDG Issued Date : 02/26/2021 f Inspection Area : 1 -ERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212712024 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 a: 1762 PLAZA DEL NORTE NB .ion: 32" H X 63 LF BLOCK WALL @ THE FRONT OF THE PROPERTY, "INSIDE THE PIL" rfDesc.: N TR 518 BILK L LOT 13 Owner: BISHIP TOM Address: 1752 PLAZA DEL NORTE Investigation Fee: NEWPORT BEACH, CA 92661 Phone: $0.00 Applicant: VON HATTEN KURT Address: 165 E 24TH ST Disabled Access: UPLAND CA 91784 Phone: 909-985-2552 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $178.00 Plan Check Fee: $154.86 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: $380.11 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SOUTHERN CALIFORNIA BUILDERS CO Architect: Address: 1121 ORANGE AVENUE Address: MONROVIA CA 91016 Phone: 626-255-6120 Phone: Con State Lie: 497422 Lie Expire: 08/31/2022 Bus Lie: ST30070529 Lie Exp Date: 01/31/2022 Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: 0' Front: 9' Left: 3' Right: 3' State Lie: Engineer: FORBES DALE L Address: 1800 E 16TH ST #B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: Address: Phone: Special Conditions: o m 0000 $0.00 Planning Department - Fire Department $0.00 Plan check Fee: $46.25 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $380.11 Fee Due at Permit Issuance: $0.00 PUBLIC WORKS APPROVAL: - PLAN CHECK BY: _ APPROVAL TO ISSUE: e m ees000 e o e c n ee . m o e o n om o mmocm mcc000 OpOCO 0 0 0 0 ooe000 omoor 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 repair the checcture, ri I have placed next to the applicable ileo ction 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 applio� 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 Busine� 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 pane\ 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 (_) portions of the work, and the structure is not intended or offered for sale (Section,po I effort, builds or improves the property, provided that the Oness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or persona Irovements 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). 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 fly 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 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 legally I a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Aessions Cpde; is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. Date (nature of Propt ftf Owner or Authorized Agent OEiS6ED OOIJTR�4CTOR'S DECLARATIONy� areby affirmunder-penalty of perjury that I am licensed under provisions o C a ter c mmencing with Sectio 060) Divisi n 3 of the Busine nd Professi s C de, an B Is in full force effect Licence Class ---, License No --. Da Contractor ature JRkERS' COMPqNSATION DECLARATION PNIf1C; FAILUREle SEOURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH SAND DOLLARS ($100000), IN ADDITION TO THE STOF COMPENS ATJON, 4AMAGEs AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. aroby affirm er det 98nalty of perjury one of the following declarations: ' I lhbve 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 ince of tlp warlE for which this permit is issued. Policy No. Bawilhlrain[ain 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' compensaho nd i A carrier and policy number are: Expiration Date F1. • "": Policy Number ^ x is of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so c as to become subject to the workers' compensation laws of California, and . if I should become subject to the�Workers' compensatio ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisiont� ? )ECLA TIOOEGARDING CON CTIOWLENDING AUIZNv T hereby a-ujfder-penalty9tper ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CivilCode). .ender's Name Lender's Address Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. J.r del. I agree to comply with all applicable ci and county ordinances and state laws relating to building construction. !, I authorize representatives is cit ounty t ter t __4 -ab 'ed rty for inspection purposes. signature of Property Owner or e1i Print Pro ertOwner's or Authorize A ant's Na A ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RFGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED I 1 kAlviu PERMIT FINAL Y ! AS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: