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Home My WebLink AboutX2021-2118 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 '.. .er Inspection Requests Phone (949)644-3255 `i�zasca"o- Combination Type - MFP PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�Jl iI COMB Permit: X2021-2118 Project No : 1832-2021 Issued Date : 0811012021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811012024 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: 108 HARBOR WOODS PL NB Description: MFR ENLARGE (E) SHOWER & CONVERT TO STEAM SHOWER Legal Desc.: TR 11936 LOT 3 UNIT 108 OF PROJECT LOCATED ON AP 458-311-08 TOGETHER Owner: KURAKAZU REIKO Address: 108 HARBOR WOODS PL NEWPORT BEACH, CA 92660 Phone: 949-533-7977 Applicant: KURAKAZU REIKO Address: 108 HARBOR WOODS PL NEWPORT BEACH, CA 92660 Phone: 949-533-7977 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 5 Bldg Height: 0 Bldg Sprinklers: N Valuation: $25,000.00 Building Permit Fee: $601.00 Plan Check Fee: $435.87 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,042.96 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: OWNER/BLDR Architect: LA ROCHE DENIS A Address: KURAKAZA REIKO Address: PO BOX 3708 OIB AUTH ATT TUSTIN CA 92781 Phone: 949-533-7977 Phone: 949-939-3047 State Lic:C013756 Con State Lic: OIB Engineer: Lic Expire: Address: Bus Lic: Lic Exp Date: Phone: State Lic: Worker's Compensation Insurance Carrier: Policy No: Expire: 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 Designer: Address: Phone: Special Conditions: Fire Hazard Zone o•oa • a $0.00 Planning Department- Fire Department $0.00 Plan check Fee : $52.00 Fire Inspection: ° $0.00 $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 $45.09 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,042.96 PUBLIC WORKS APPROVAL: Y PLAN CHECK BY: V I _ APPROVAL TO ISSUE: u ° 0000 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 U all of or U 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 'mRrovements 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 oved for the purpose of sale). ner 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 ly 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: By my signature below I acknowledge that, except for my personal residence in w � s ave resi Ed for at least one year prior to completion of the improvements covered by this permit, I cannot legall: sell a structure that I have built as an owner -builder if it not been con ed 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 wh tion i mitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date- - lD 7 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature TION DECLARATION NING: FAICUPPU® SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE T.OF COMP DNS �TJON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. t$by affirm er de? 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 the rvrmance oj;the WDrk for which this permit is issued. Policy No. •.. Have anrrwill•m•aintain 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 mnce carrigr and jJolicy number are: rier •.... Policy Number Expiration Date dame of Agent • Pnone IP T certify that. lb 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 agre hat, if f should tfutomb subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. >kW;UAe of AppHe2" • Date_ )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 co ect. I agree to comply with all applicable city and county ordinanc nd state laws relating to building construction. �y l I authorize representatives of this city or counabove-id prope y ection purposes. ty t signature of Property Owner or Authorized Agent Prin roperty Owner's or Authorized Agent's Name ACTION DATE BY EC ION OF COMPLIANCE WITH CODE OF FED L FOR OFFICE USE ONLY REG TIONS PART 630F TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED 3_ ASBESTOS NOTIFICATION TO APPLICABLE TO