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Home My WebLink AboutX2021-3457 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 4'. Permit Counter Phone (949)644-3288 ss ? Inspection Requests Phone (949)644-3255 "xrroY'x Combination Type- MFP ELEC MECH PLUM GRAD IIII�IIII��IIIIIIIIIII�IIIIIIIIIII� 1111 COMB Permit: X2021-3457 Project No: 0777-2020 Issued Date : 12/23/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1212312024 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: 11419TH ST NB Description: NEW DUPLEX *UNIT A" W/ATT GARAGE 2,5141783 SF `CHG OF CONTRACTOR* Legal Desc.: NEWPORT BEACH SEC B BILK 18 LOT 15 Owner: HYUN CHRIS Contractor: BUENA VIDA ASSET MANAGEMENT Architect: AUST ERIC Address: 114019TH ST Address: 3141RIS AVE Address: 62 BALBOA COVES NEWPORT BEACH CA 92663 CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92663 Phone: Phone: 949-922-1669 Phone: 949-637-5220 State Lic:CO29374 Applicant: AUST ERIC Con State Lic: 968985 Engineer: ROSS SCOTT WILLIAM Address: 62 BALBOA COVES Lic Expire: 03/31/2023 Address: 1800 E 16TH STREET #B NEWPORT BEACH CA 92663 Bus Lic: BT30076165 SANTA ANA CA 92701 Phone: 949-637-5220 Lic Exp Date: 08/31/2022 Phone: 714-835-2800 State Lic:C-045309 Code Edit, 2019 Type of Construction:. Occupancy Group: Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Rear: / Front: I Left: I Right: I Designer: Address: Phone: Special Conditions: CHANGE OF CONTRACTOR (X2020-1061) ood Zone: Use Zone, Parking Spaces: 0 Fire H Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Pian Check Fee: $0.00 Additional Fee : $38.00 Plan check Fee: Overtime Plan Ck:. $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $38.00 PROCESSED BY: ZONING APPROVAL: Plan Check Fee Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPRCVALg ° o ° • "'• PLAN CHECK BY: • `"° �•` "�-' pa GRADING APPROVAL: APPROVAL TO ISSUE: o • os.-. s • a o o m� 030 e _ o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $38.00 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 U 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 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 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 Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty Qioprjury that I am licensed under provisionmmencing with Section 7000) of Divis" n 3 f the Business and Professions o ' d ense is in full force and effect. License Class SS License No CC��i `/e9 Date J/%.22rontractor Signature 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 DOLLARS ($100,000), 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: I 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 thi performance of the work for which this permit is issued. Policy No. I have 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 carrier and policy number are: Policy Number Date ne of Agent rnone rr 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 agree t, f I should become subject to e o com ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant —�— Date,/z- CLARATION REGAROI CO . U TION LENDING AGENCY )reby affirm under penal efjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rder'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 co ty er he abov entified property for inspection purposes. ,— LC--k--� f2 nature of Pmoerty Owner or Authorized AgenB� Print Property Owner's or Authorized Agent's Name 17_�� Date ACTION DATE BY `'' 0:ff-ECLARATION OF REGULATIONS PART 0MPLIANCE WITH 61 OF TITLE 0 AND ODE OF AQMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED w• °•• es• •'W I SU@MITTEC ASBESTOS NOTIFICATION TO PERMIT CANCELLED • °• •• WEPA• PERMIT EXTENDED ° • ° ° • QfIAD PERAL CC�� cL•• �7 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEM Ol0 G J< PROPO� tq DENOUTION OCCUPANCY ISSUED e • e ° • ° SIGBIA7URE: � w s _° • •c e e • •ww see � s ®oo ee see