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HomeMy WebLinkAboutX2021-0924 - PermitsCity of Newport Beach - Building Division a 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC *X20210924* COMB Permit - X2021-0924 Project No : Issued Date : 04/20/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412012024 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: 1527 ANITA LN NB Description: SFR BATHROOM REMODEL 64 SIF Legal Desc.: N TR 3800 LOT 40 Owner: SHEWARD FAMILY TR Address: 1527 ANITA LN Record Management: NEWPORT BEACH, CA 92660 Phone: $0.00 Applicant: LIEBOBUILDERS Address: 12149 BURBANK BLVD SUITE 4 Hazardous Mat VALLEY VILLAGE CA 91607 Phone: 951-823-9766 Code Edit: 2019 Type of Construction: We Occupancy Group: R311.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $178.00 Plan Check Fee: $154.86 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $394.57 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: LIEBOBUILDERS Address: 12149 BURBANK BLVD SUITE 4 Fair Share : VALLEY VILLAGE CA 91607 Phone: 951-823-9766 Con State Lie: 1054050 Lie Expire: 05/31/2021 Bus Lie: BT30074946 Lie Exp Date: 0413012022 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9257517 Expire: 07/17/2021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: I 3arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.46 $0.00 $0.00 Plan Check Fee 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Pz uI(-) State Lie: State Lie: mmme e m emom ommm ocec 0 0 c 0 0 0 00 0000 o e oome m m e000c0 0 0 oemo0 m 00000 e o0 o0o0c: © 0 0om$0omo 0emoo • .00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $394.57 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: c Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: mmme e m emom ommm ocec 0 0 c 0 0 0 00 0000 o e oome m m e000c0 0 0 oemo0 m 00000 e o0 o0o0c: © 0 0om$0omo 0emoo • .00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $394.57 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: c 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) lection 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 1e 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1, 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 7044, Iusiness 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 nproved 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' Slate 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: y 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, 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.htm,l. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectioV01ivn io e : 3 of the Business and Prof my license is in full force nd effect. License Class License No DaContractor Signature lCRKERS' COMRENSATION DECLARATION ARMING: FAILUREdC aiCURE 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 OST OFICOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebyaffirm un der penalty of perjury one of the following declarations: ,1 'hWe and wiu 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 arfdfmance of ttie wgrj for which this permit is issued. Policy No. C((have and 414 Aietain 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' compensatioi i9uMice carrier,vd policy number are: Policy Number Date ame of Agent rnone s ..... Ibert;y that, yfthepgrtormance 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 workers'_ at, if I should become-s�bjej to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A Of CLARATION REGAVDTNGOM �CSTRUCTION LENDING AGENCY :reby affirm under p natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section lder'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 provided is correct. I agree to comply with all applicable city andcc ty ordinances and slate laws relating to building construction. 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