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Home My WebLink AboutX2021-0645 - PermitsOwner: GUBERNICK DEBORAH/RIC Address: 124 38TH ST NEWPORT BEACH CA 92663 Phone: 714-222-8017 Applicant: GUBERNICK DEBORAH Address: 124 38TH ST NEWPORT BEACH CA 92663 Phone: 714-222-8017 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Valuation: $6,000.00 Building Permit Fee: $178.00 Plan Check Fee: $164.86 Overtime Plan Ck: $0.00 Investigation Fee: $178.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $595.71 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: City of Newport Beach - Building Division 1,11c 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspectipn.Eieggests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM IllXlu�2 02lll�1064A II NO CONSYM NOISE COMB Permit: X2021-0645 Project No : Issued Date: 03/17/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/17/2024 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: SF BAH ST NB ON SATU yS Description: SFR BATHROOM REMODEL 80 SF *STOP WORK 121-0841 Legal Desc.: RIVER SECTION BILK 37 LOT 13 Architect: Z/� Address: p�� gg��'Tt'•' tt�� tip s 0) Phone: AS BIJ4�[etLERMII Engineer: EXPOSE ALL STRUCTURAL Address: Phone: ELECTRICAL PtategMB'NG, AN Designer: MECHANICAL C®MP®NEND Address: Contractor: O W NER/BLDR Address: GUBERNICK DEBORAH Phone: Con State Lie: O/B Lie Expire: Bus Lie: Lie Exp Date: Workers 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: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.46 $7.12 $16.02 Phone: Special Conditions: LIQUEFACTION & HIGH DENSITY AREA Planning Department - Plan check Fee: Fair Share : SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $595.71 e a • e � • o e • • PUBLIC Wo', Ies APPROVAL: PLAN CHECK BY: •o� �`• •AFPBbYA:.` 0MLIE: b 0 • J OWNER -BUILDER DECLARATION I herebyaffirm under penalty of e L that I am exempt from the Contractors' State License Law for the reasons Indicated below b the checkmark s I have laced next to the applicable items % P Y POrY P O� Y O P PP O .ction 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 4mmknit 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 )fens Code) or that he or she is exempt from licensure and the basis for the alleged exemptionAny violation of Sec[ion 70315 by any applicant for a permit subjects the applicant to a civil penalty of han five hundreddollars ($500)wrierofhe prpertyormyemployees with wagesastheir sole compensation, willdo Uall of0r U portions of the work, and the structure is not intended or offered for sale (Section 7044, and Profeions Code: TheCntrectors'StateLicense Lawdoesnot apply ton owner of propertywho, througy employees' or personal effort, builds or improves the property, provided that the ents are not intended or offered for sale. If, however, the building or improvement is sold within one year of corI pletion, the Owner -Builder will have the burden of proving that it was not built or ,roved for the purpose of sale). J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least onr ell a structure that I have built as an owner -builder If i as not been constructed in its entirety by licensed contractors. I i 'rofessions Code, is available upon request when application is s b I jfe!5j(or�t tt folling Web site:http://wwmIeg signature of Property Owner or Authorized AX `� Lgent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectior.7000) nd effect. License Class - - License No Date CORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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: Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements covered by this permit, I cannot nderstand that a copy of the applicable law, Section 7044 of the Business and Division 3 of the Business and Professions Code, and my license is in full force Contractor Signature AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director �bf Industrial Relations as provided for by Section 3700 of the Labor Code, for rmance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number )d"of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any if I should become sy5ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall Iature of Applicant . -t7 hereby affirm undedpenalty of perjury that there is a construction lending agency for the performance of the work for w Ender's Name Lender's Address ly 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 of county taunter the ab a-ide ti ed pen f 'nspection pu ;ionature of Prooerty Owner or Authorized ADent , `� ont ProDertv Owners or ACTION DATE BY I ' FF LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR O RECATIONS PART 610F TITLE 40 AND AQMD RULE 1403 ••• ••• • ••• s s PERMITEXPIRED ISU ITTED ASBESTOS NOTIFICATION TO, PERMITCANCELLED EP •• • • • •• ` PERMIT EXTENDED Q D PERMIT FINAL , (j f•'LI JU ASBE OSNOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPO �v10LITIQA� ••� • •-� OCCUPANCY ISSUED SIG UR - • ° u c • s e o 0 00 000 0 • oe~ o0 000 Date so as to become subject to the workers' compensation laws of California, and agre 1 comply with those provisions. e 1 this permit is issued (Section 3097, Civil Code). USE ONLY ZZ/