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Home My WebLink AboutX2021-2223 - Permitsf04r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2223 _a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 2 2 3 Permit Counter Phone (949)644-3288 Project NO : 1923-2021 Inspection Requests Phone (949)644-3255 r uaiw Combination Type - BLDG ELEC PLUM Issued Date : 08/24/2021 0 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812412024 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: 1601 RUTH LN NB Description: SFR DETACHED SOLID PATIO COVER 121 SF Legal Desc.: N TR 1645 LOT 5 Owner: KOHAN NICK Contractor: M&M RENOVATIONS INC Architect: Address: 1601 RUTH LN Address: 8941 ATLANTA AVE #244 Address: NEWPORT BEACH, CA 92660 HUNTINGTON BEACH, CA 92646 �/ Phone: Phone: 657-232-0875 Phone: State Lie: W ,mm, • Applicant: HERRERA GONZALO Con State Lie: 1072143 Engineer: MANI DEV 6J °"' o Address: 245 N COUNTRY CLUB RD Lie Expire: 12/31/2022 Address: 3130 E WILLOW ST �•••°° e°O'Oo GLENDORA CA 91741 Bus Lie: BT30073924 LONG BEACH CA 90803 Phone: 626-533-6120 Lie Exp Date: 01/31/2022 Phone: 562-597-8883 State Lic:C-06270 • •• •° ° ° • mm Code Edit : 2019 Worker's Compensation Insurance Designer: �• m • • ° Type of Construction: Carrier: EXEMPT Address: ® mm•m Occupancy Group: U Policy No: ®•0mO° e mmmoo Added /New sq.ft. Bldg: 0 Expire: Phone: �' ... • m m m o ° Added /New sq. ft. Garage: 0 ° No of Stories: 0 Building Setbacks Rear: 6 Special Conditions: • • m m o m m o 0 ® m o No of Units : 0 Front: 20 0 00 Bldg Height: 0 Left: 6 ° ° ° • ` o Doom° Bldg Sprinklers: Right: 6 omm•mo Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ` Construction Valuation: $12,000.00 Building Permit Fee: $389.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $267.00 Additional Fee : $0.00 Plan check Fee : $52.00 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: $12.00 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: $0.50 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 %: $27.23 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $35.01 $0.00 TOTAL FEE: $783.74 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $319.00 Fee Due at Permit Issuance : $464.74 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 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 Iicensure 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of PrQr"4t wner or Authorized Agent Date JICEN$ED COOT-RACTOR'S DECLARATION :IMrM151affirm undargenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of Division 3 of the Business and Pro ession ode, and my license is in full force and effect. Liceas'a Cass License No Date Dh Contractor Signatur �(!)V @ERS' COMPENSATION DECLARATION NA RNING: FAILUREQO Saa11RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE PbST CF.COMPEN%kTICN,9AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herle8y affirms nd er penalty of perjury one of the following declarations: M have and w4leraaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi performance of thy work for which this permit is issued. Policy No. ... haIIe and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior insurance carries and r$olicy number are: Policy Number of Date ertify that, in the performance 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 if I should become subject to th orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant ®�� /' Date0 /e',' ' t- S CLARATION REGA DI C 5 CTION LENDING AGENCY ireby 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: 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 and state laws relating to building construction. I authorize representatives of this city or county to enterttt�`Q'�above-identified property for inspection purposes. nature of ProDertv Owner or Authorized Aoent /f f. � m- _. Print Property Owner's or Authorized Agent's Name`(dcfiR'-�`•-- ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY 61 OF TITLE 40 AND AQMQ RULE ASBESTOS NOTIFICATION TO )S NOTIFICATION IS NOT APPLICABLE DEMOLITION I FOR OFFICE USE ONLY . A\A