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Home My WebLink AboutX2021-0034 - Permitsw 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 P,+<irro-vxx - Combination Type - SFP PLUM *X2021-0034* COMB Permit: X2021-0034 Project No : 0035-2021 Issued Date : 01/21/2021 Inspection Area : 6 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112212024 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: 39 RENATA NB Description: SFR DRYWALL REPAIR & WATER HEATER CHANGE OUT DUE TO SMOKE DAMAGE 250 SF Legal Desc.: ry Owner: QUAN-TRONG Y -LAW RADAC DARIAN $0.00 Address: 39 RENATA Energy Compliance: NEWPORT BEACH, CA 92657 Phone: 909-938-4292 Applicant: RADAC DARIAN Address: 16897 ALGONQUIN ST, STE C Building Green Fee : HUNTINGTON BEACH CA 92649 Phone: 310-709-4476 Code Edit: 2019 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $331.60 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $706.01 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SERVICEMASTER RESTORATION BY EMT Architect: � Address: 500 SEQUOIA Address: 16897 ALGONQUIN ST, STE C Fair Share : ONTARIO CA 91761 SJH Trans : HUNTINGTON BEACH CA 92649 Phone: 855-376-6678 Phone: 310-709-4476 State Uc:C033451 Con Stale Lie: 1008628 Engineer: San Dist: Lie Expire: 1113012021 Address: Bus Lie: BT30073618 Lie Exp Date: 11/3012021 Phone: State Lie: Worker's Compensation Insurance Carrier: ACE AMERICAN Policy No: C68620375 Expire: 0910112021 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: / Front: / Left: / Right: I Parkins Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29.79 Plan Check Fee Designer: Address: Phone: Special Conditions: VHFHSZ 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $334.22 Fee Due at Permit Issuance : $371.79 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: r P P.19PV o r ••4PM1 8 Cflo•J Fire Department $46.26 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $334.22 Fee Due at Permit Issuance : $371.79 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: r P P.19PV o r ••4PM1 8 Cflo•J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law far the resson(s) indicated below by the checkmark(s) 1 have placed next to the applicable Item(s) ction 7031,5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure. priorto its issuance, also requires the applicant for permit to filea signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and 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 civ If penalty of more than five hundred dollars ($500). I, as owner ofthe property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044, dress and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the Irovements are not intended or offered for sale, If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose.of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Ily to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally a structure that 1 have built as an owner-bullder If it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and �fessions Code, is available upon request when this application is submitted or at the following Web site:http:I/www.leginfo.ca.govlcalaw.html. nature of ProprIrly Qwner or Authorized Agent Date JENSED CONTRACTOR'S DECLARATION Irebyeffrrm unJer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se o 000 of Division 3 of the Buslnes��and Profe cions Codj my license is in full force 1�1'fEQt. LicepleQfa$s B License No 1008fi28 a 1-1-21 ContraLt 9nature /J v� nn -Superintendent )RKERS' COMPENSATION DECLARATION 1ft VQAFAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CMIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE IT OF COMPENSA789fy DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ISebj Tffirm uSrl,Lif 9@41ty of perjury one of the following declarations: I have and will maintain a certificate of consent to self4naure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi (�f -wce oft1% wackior which this permit Is issued. Policy No. ryFhe,. 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' compensatior Janco carrier andppllcy number are: Tier 'Ace Amarlpen insurance Co. Policy Number C68620375 Expiration Date 9-1-21 Arlof:Agent Phone# 844-290-4908 certify that, in the � ifortnan'a 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' compensation laws of California, and agree I, if I sh0 bec subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions nature ofA cant 77., wj�Z/Jlifnn Superintendent tie 1-21-21 CLARAT EC ARDING CONSTRUCTION LENDING AGENCY 3reby affirm under penalty of perjury that there is a construction lending agency 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: 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 complywith all applicable city and county ordinances and state laws Ing cons I authorize representatives of this city D unty to enter the above -Id opart for Inspection purposes. mature of Property Owner or Authod nt ,Superintendent print pro arty Owner's or thorized tys Name David Barr 1-21-21 TION DATE BY DEC.LVMION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFI USE ON UVOLATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED PERMITFINAL C£RTIFIG9TEOF - OCCUPANCYISSOED . IS NOTAPPLICABLE TO