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Home My WebLink AboutX2022-1624 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 .', Permit Counter Phone (949)644-3288 cr: Inspection Requests Phone (949)644-3255 'I4rxra"'�'a Combination Type - MFP *X2022-1624* COMB Permit: X2022-1624 Project No : 0103-2022 Issued Date : 0610812022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 601 HILVANAR NB Description: MFR REROOF W/COMP 15 SO, CL"A" T/O COMP AND RPR TILES Legal Desc.: TR 5798 (L.L.84-245722) PAR 50 1I Owner: SWCC LLC Address: 14311 YORBA ST TUSTIN CA 92780 Phone: Applicant: SIMAT GEORGE Address: PO BOX 141 NEWPORT BEACH CA 92662 Phone: 949-370-7200 Code Edit: 2019 Type of Construction: VB Occupancy Group: R2/1.1 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $351.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $352.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: G N S CONSTRUCTION Address: P O BOX 141 BALBOA ISLAND CA 92662 Phone: 949-370-7200 Can State Lic: 486187 Lic Expire: _ 01/31/2024 Bus Lic: BT30054739 Lic Exp Date: 04/30/2022 Workers Compensation Insurance Carrier: EVEREST NATIONAL INS CO Policy No: 7600014956211 Expire: 05131/2022 Building Setbacks Use 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: / Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: .... a a Designer: ..a° ° a Address: aaoe^scam ®, a a Phone: 9aB? Special Conditions: ®a aa�e Fire Hazard Zone: N msc�s cecoaa $0.00 Planning Department- Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $6:00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $352.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: a azaa 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_.) all of or (_) 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-Builderwill 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 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 700 ) o Division 3 of the Business and Profess}ns Co , and my license iW full force and effect. License Class License No Date 2'7— Contractor Signature�0 WORKERS'COMPENSATION DECLARATION WARNING: FAILURE TOGROURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COIJT.O�F.G$IMPENSA;ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby arm uldePp.ertalty of perjury one of the following declarations: and will .maintain a certificate of consent to self -insure for workers' compensation, ce of the flyg6k for which this permit is issued. Policy No. and will-mArftain 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: .R..� Policy Number ie of gent certify that, ip 1hep „ii,l.spould beCQme %fuse of ADoficar4l issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Date 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 agre he workers' compens t�sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date hereby 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). ender's Name Lender's Address y 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 count to er the above -identified prope �Y r inspection purposes. / ....,..r...,. , f o.,...e , n,..nmr r A, ah..ri7orr Ar,cnlY eft MAC— G, P Print Prooertv Owner's or Authorized Aoent's Name / _...�. ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OFTITLE 40 AND A( RULE SUBMITTED ASBESTOS IS NOTAPPLICABLE TO