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Home My WebLink AboutX2021-0867 - Permitsw City of Newport Beach - Building Division IIIIII�IIIIIIII�IIIIIIII�IIIIIIII�IIIVIIIIIIII� II COMB Permit: X2021-0867 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 8 6 7 Project No: 0804-2021 rr Permit Counter Phone (949)644-3288 -- Inspection Requests Phone (949)644-3255 weicrriz'`s -'' Combination Type - BLDG _ Issued Date : 0411312021 0 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/13/2024 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: 1517 E BALBOA BLVD NB Description: DEMO DETACHED GARAGE Legal Desc.: N TR 518 BLK J LOT 5 Owner: METROPOLIS BALBOA LLC Address: 227 20TH STREET #100 NEWPORT BEACH CA 92663 Phone: Applicant: - GONTERMAN JAKOB Address: 502 30TH ST UNIT A NEWPORTBEACHCA 92663 Phone: 714-300-9602 Code Edit, 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Contractor: GONTERMAN CONSTRUCTION Address: 1842 PARK ST NEWPORT BEACH CA92648 Phone: 949-697-0746 - Con State Lie: 868073 Lie Expire: 04/3012021 Bus Lie: ST30048414 Lie Exp Date: 09/3012021 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9259518 Expire: 08/22/2021 Building Setbacks Use Zone: Rear: / Front: / Left: / Right: / Architect: Address: - Phone: Stag'ON Engineer: 7 Address: :o �»0 Phone: Kr State Lice Designer. Address: e Phon Special Conditions: X266i� Construction Valuation: $1,000.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 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 WO 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: $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $111.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $111.00 PROCESSED BY: e e �� a g ° a PUBLIC WORKS APPROVAL:- a ° ® 0 ° °'0 ZONING APPROVAL: 1°\ "a ° s o c PLAN CHECK BY: GRADING APPROVAL: °J APPROVAL TO ISSUE: E � o � °° 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 ?I Milt to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 'rofessions 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not pply 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). 7 I am exempt from Iicensure under the Contractors' State License Law for the following reason: ly 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 legal ell 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 Cade, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. signature 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 f ivisi n f thegustess and Professions Code, nd my 02 a irlSr s in full force nd effect. License Class License No Da -C ra r SignaltrF$� � WORKERS'COMPENSATION DECLARATION 1,-- k YARNING: 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 DOLLA ($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: z1 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 Sec 37 )0 the Labor Code, for th )ertormance of the work for which this permit is issued. Policy No. 3have 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' compensatiol ns rance carrier and policy number are: wrier Policy Number Expiration Date Name of Agent Phone # :1I certify 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 hat, if I should become subject to the o ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant / Dat Il DECLARATION REG DING CONSTR TION LENDING ENCY hereby affirm under penalty of perjuy th there is a construct) lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify W each of a following: I am the property owner or But 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 ordman es and state laws relating to building construction. I authorize representatives of this city or county to enter the ove-i entfied property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name .ice D to ACTION DATE BY DECIA ION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU TIONS PA T610F TITLE 40 AND AQMD RULE PERMIT EXPIRED I U I UBMI ASBESTOS NOTIFICATION TO • • . ��° ° ° �� PERMITCANCELLED EpA ••� PERMITEXTENDED UAQMD •• • • • ••: PERMITFINAL -1-'A L1 ASBESTOS NOTIFIC TION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOUTI OCCUPANCY ISSUED SIGNATURE: •+° ° o00 ° • ° c^ ° o °O° e• 9