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Home My WebLink AboutX2021-1189 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-1189 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 1 8 9Project No :2093-2020 Permit Counter Phone (949)64-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFPIssued Date: 05112/2021 Inspection Area : I PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/12/2024 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: 211 28TH ST NB Description: MFR REBUILD STAIRS *change of contractor* Legal Desc.: LAKE TR BLK 128 LOT 13 POR ABAND STREET Owner: CARRON SANDRA Contractor: CRANK WATERPROOFING Architect: Address: 20008 POWERS RD Address: 134 COMMERCIAL WY Address: BEND OR 97702 COSTA MESA CA 92627 Phone: 951-316.4397 Phone: 949.646.9356 Phone: State Lie: Applicant: TOBON JP Con State Lic: 1038420 Engineer: S.TANGER CRAIG Address: 409 62ND ST Lie NEWPORT BEACH CA 92663 Bus ELicire: BT30063958 ®04130/2022 Address SANAHE M CA 9X014 E 0 06 DR #A Phone: 714-336-1966 Lie Exp Date: 06/30/2021 >214or1a:u 714.778-6691 State Lic:S-003893 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: FALLS LAK Address: Occupancy Group: R31U Policy No: FLAO 5 Added /New sq.ft. Bldg: 0 Expire: 01 2 rn Added /New sq. ft. Garage: 0 \at�z°rA h,� No of Stories: 2 Building Setbacks Rear: /� °^"Special Conditions: REV21-0211, p No of Units : 1 Front: / *chg of contr_$i &� Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: • $0.00 Additional Fee : $37.00 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 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: $37.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $37.00 PROCESSED BY: ZONING APPROVAL: 6( ` G J� G v a' GCG GG° GRADING APPROVAL: oc Goo w ° G eo aa� cn„ 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 the reason(s) indicated below by the checkmark(s) I have plaed riMNo 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 he 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 lot 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, 3usiness 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 mprovements 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 mproved 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 Ipply 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: 3y 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 yell 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. 3ignature 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 Section 7000) of Division 3 of the Business and Profe onSCode, and m licens is in full force Ind effect. License Class License No Date - Cu:1'Ll 'b 1 Contractor Signatu&W VORKERS' COMPENSATION DECLARATION % `% IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO AND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 the Labor Code, for the 4&rmoLnce 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 of Agent Date ]I certify that, in the performance of the rk for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrel iat, if I should become subject to the wor ers' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applica DV_6 2__ IECLARATION RE CONSTR TIO LENDING AG CY (/� hereby affirm under pe of perjury thaNWe 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 Iy 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 ordinances andyt9M Taws relating to building construction. I authorize representatives of this city or counlyRTgater the abovejdentifllsd property for inspection purposes. ,,, _ • , , _ , Owner or Authorized Agenx2s Print Property Owner's or Authorized Agent's Na Date DATE BY CLARATION OC MPLIANC ITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PA 630E TITL 1 AOMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • • • • • a • w ••• + e �• • • • . • • + PERMITCANCELLED OEPA PERMIT EXTENDED UAQMD PERMITFINAL(y •Z�1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ( l PROPOSED DEMOLITION • • ••• •Y OCCUPANCVISSUED«• SIGNATURE: • • • • • • • • • + � •.• -+• •. • • +•• •-