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Home My WebLink AboutX2020-1453 - Permits1p City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 `'�rseirt�x>. Combination Type - MFP ELEC MECH PLUM IIIIIIIIIIIIII�IIIIIIIIIIIIII�IIIIII�I�IIIIIIIII�III COMB Permit: X2020-1453 x 2 6 2 6 1 4 5 3 Project No: 1434-2019 Issued Date: 0612412020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612512023 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: 1700 BEDFORD LN NB Description: MFR- (UNITS E - F) APPLICANCE AND LIGHT FIXTURE UPGRADE, ADD WASHERIDRYER Legal Desc.: N TR 1893 LOT 24 Owner: CHRISTIAN PHIL Contractor: EMERICON BUILDERS INC Architect: NEVILLE, SCOTT EDWARD Address: 130 NEWPORT CENTER DR Address: 1045 W KATELLA AVE Address: 3621 W MACARTHUR BLVD NEWPORT BEACH CA 92660 ORANGE CA 92867 SANTA ANA CA 92704 Phone: Phone: 949-466-2011 Phone: 714-617.5035 State Lic:C031228 Applicant: NGUYEN GIANO Con State Lie: 931272 Engineer: Address: 3621 W MACARTHUR BLVD Lie Expire: 0413012021 Address: SANTA ANA CA 92704 Bus Lie: - BT30062512 Phone: 714.617-5035 Lie Exp Date: 03/31/2021 Phone: State Lie: Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: NOVA CASUALTY Address: Occupancy Group: R2IU Policy No: SISWK1000066300 Added /New sq.ft. Bldg: 0 Expire: 01/3112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions:;,,._`, No of Units : 6 Front: / m Bldg Height: 0 Lek: I Bldg Sprinklers: Right: I @+� Flood Zone: X Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: Ofl0 ~' Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee : $0.00-, Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: VMr 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: $0.00 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 %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 ,.plumbing %: $0.00 $0.00 TOTAL FEE[: $0.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0,00 oc c oco u v oo� w o00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0,00 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). ❑ 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, 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 improved 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 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' State 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.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) f Divi ion 3 of the Business and Pro ssions C e, an m i rise is in full force and effect. License Class License No Date Contractor Signatur ' WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND Li '.100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 aspliormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date Te of Agent rnone s certify that, in the perform c or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agre I, if I should become =a t t e r ers pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. , 1 � � ^ nature of Applicant Dat 'UlJ CLARATION REGAR ING C STRUC 10 ENDING AGENCY ;reby affirm under pe alty of peq re is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). Ider'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 and county o finances and state laws relating to building construction. I authorize representatives of this city or county to ter the above -identified property for inspection purposes. y nature of ProDertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY l `� tJ� REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE Vt Y1�1 14 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO • • • •• • • • • • • • • ... ••• • • • � • � � � PERMIT CANCELLED LIEPA PERMITEXTENDED OMD PERMITFINAL SBESTOS NO IC TI PLICA E TO CERTIFICATE OF "I,'N'� ED I �� •�• ••• ••• ••• •• OCCUPANCYISSUED _PRO SIGNATURE: •• • •• •• • • •• • •