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Home My WebLink AboutX2021-1335 - Permitswi�kr City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIII�IIII�IIIIII�II II COMB Permit: X2021-1335 100 CW G, ehier Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 3 5 Permit Counter Phone (949)644-3288 Project No: 2302-2020 D Inspection Requests Phone (949)644-3255 p� Combination Type -BLDG PLUM NO CONSTRUCTION NOISE Issuedtion DateAr a:12021 w7 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0512512024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturay�roAmr8:00 as.m/-i [ a.Ato 6:000 p.m. No work on Sundays or Holidays Job Address: 318 CORONADO ST NB OIV Description: DEMO (E) SFR W/ATT GARAGE 1,695 SF (2 BEDROOMS) /-! I `� tl Legal Desc.: NEWPORT BAY TR SUB OF BLK C LOT 30 m Owner: ROBERT BENIJUDY Address: 318 CORONADO ST NEWPORT BEACH, CA 92661 Phone: Applicant: SALAZAR JUAN GARZA Address: 1641 FAIR PARK AVENUE LOSANGELES CA 90041 Phone: 323-255-6156 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $120.00 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 PROCESSED BY: Contractor: SALAZAR JUAN GARZA Address: 1641 FAIR PARK AVENUE LOS ANGELES CA 90041 Phone: 323-255-8156 Con State Lic: 503577 Lic Expire: 01131/2023 Bus Lic: BT30075378 Lic Exp Date: 06/2512021 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9130277 Expire: 02/11/2022 Building Setbacks Rear: / Front: / Left: I Right: I Use Zone: Parkina Sna Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee : $0.00 TOTAL FEE : $2,068.80 ZONING APPROVAL: Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $10.80 Plan Check Fee: Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: State Lic: Special Conditions: LIQUEFACTION & HIGH DENSITY AREA HAULER: WARE DISPOSAL Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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 $0.00 $26.00 $219.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,068.80 ° "I'U81LIC WORKS APPROVAL: eaa m o PLAN CHECK BY: GRADING APPROVAL: . ° o ° o APF`OVAlo YQ ISSUE: . • • . aee ae od a a aac ..a 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 :he 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 iot 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 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). ❑ 1, 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:/Aw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe . ry that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Division 3 o the Business and Pr es " ns Code y license is i BII force and effect. License Class License No _5 C) 3 4= 4 Date �� Z77 'Z. Contracor Signature WORKERS' COMPENSATION DECLARATION ` NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 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 th p ormance of the work for which this permit is issued. Policy No. I have anq4IrVaIntain worke ' ompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi insurance cgifier d poll u r re: Carrier S� -P f' umber Expiration Date 2— —1 1 Z� Name of Age r Phone # ❑I certify that, in the performance ofWhefor which rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre that, if I should becom su ct to t e com a a' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A�(� Signature of Applicant w�� 5 — 7'5 DECLARATION REGIII C NST UCTIO G AGENCY I hereby affirm under penalty of perjury that th e is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each oft a following: I am the property owner or authorized to act on the property owners 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 o Bole th e-identi " party for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ACTION DATE BY CAITA LTION COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS ART61OFTITLE40ANDAQMDR ULE PERMITEXPIRED UI SUBMI EDASBESTOS LVOTIFICATION70- PERMIT CANCELLED LIEPA �• r • • � •• PERMIT EMENDED QMD PERMITFINAL BEST NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF 1 V PROPOS EMOLITI • ••• • • ° s e ••• OCCUPANCY ISSUED s • SIG e o 0 0 c -