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Home My WebLink AboutX2021-0825 - Permitsw City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII II COMB Permit: X2021-0825 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 9 8 2 59 rte., r PfOJBCt NO Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date : Area : 2021 Inspection Area 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/08/2024 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: 535 WESTMINSTER AVE NB St: 1 FI: 1/2 Description: MFR DECK.COATING 210 SF ESR# 0586 - Legal de°sc.o N TIT �T BLS( 2 LOT 17 eeeeoc Owrpr: ° DE LAN&J %HYEN M D INC Contractor: CRANK WATERPROOFING Architect: Addesrscn ° ® 3535 If COAST HWY #306 Address: 134 COMMERCIAL WY Address: .111, CORONA DEL MAR, CA 92625 COSTA MESA CA 92627 Pho00:° . , ° ° ° ° ° ° ° Phone: 949-646-9356 Phone: State Lic: App�cwi:° ° CRANJt.VYOTERPROOFING Con State Lic: 1036420 Engineer: AddrEss: ° 13413MMBRCIAL WY Lic Expire: 04/3012022 Address: COST09SA CA 92627 Bus Lic: BT30063958 Phonon c 949-649356 Lic Exp Date: 06/3012021 Phone: State Lic: Coa =Edits ° 2019 Worker's Compensation Insurance Designer: Type of Construction: c < <. V -B Carrier: FALLS LAKE Address: Occupancy Group:` ° ° ° ° ° R3 Policy No: FLA01345000 Added /New sq.ft. Bldg: 0 Expire: 0112612022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 2 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: 11oa�j Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone: NINS i V Construction Valuation: $4.000.00 Building Permit Fee: $144.00 Excise Tax: $0.00 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: $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: $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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $145.00 PROCESSED BY: ZONING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $145.00 PUBLIC WORKS APPROVAL: �L{� PLAN CHECK BY: ` GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' Slate 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 dog%ggJ 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). : • • •: • • " PPY P P Y P P 1 P ) �•"""" ❑ 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 permit, I caanotdegall, 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 thg Business Arid'"O Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://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 7000) fDivision 3 of the Business and Pro s' ns Cod , nd Rc�M1ge 's -i fuU fo"me and effect. License Class License No Date ZdZ ( Contractor Signatur • sem._ NORKERS' COMPENSATION DECLARATION •. °"" NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL RS (94111 ,db6), IN ADDITJON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3766 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .... •eo. ° 0 • o hereby affirm under penalty of perjury one of the following declarations: .... 7 1 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 tffA tabor Code, for th @11�rmance of the work for which this permit is issued. Policy No. ind 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 is of Agent certify that, in the performance of the work for w ch this , if I should become 5ubiftt to the workers' com ensatioi of Applicant Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ;ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /-Xr t� - / C6 I?a21 :reby affirm under penalty—g'perjury that there is ` c nstruction lendinba6ency for the performance of the work for which this permit is issued (Section 3097, 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 c ct. I agree to comply with all applicable city and county ordinances nd sta laws relating to building construction. I authorize representatives of this city or county Jointer the ab vg -id fied property for inspection purposes. signature of Property Owner or Authorized Agei ACTION I DATE I BY PERMITCANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED CIO COMPLIANCE Vit CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 4CrAND ACIMD RULE TO ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION Date