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Home My WebLink AboutX2021-0369 - Permits1AP0 r City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111 111� 11COMB Permit: X2021-0369 Lv 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 9 3 6 s Project No : 0614-2016 •. 1 n Permit Counter Phone (949)644-3288 si.., itp Inspection Requests Phone (949)644-3255 + Combination Type - SFIssued Date: 02117/2021 fr,yt �r P Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211912024 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: 2290 LA LINDA CT NB Description: SFR REROOF TIO COMP AND REPLACE WI METAL ROOFING 40 SQS & REMOVEIREPLACE 14 WINDOWS (NO HEADER CHANGE) Legal Desc.: N TR 9353 LOT 7 Owner: NGOC PHAM Address: 2290 LA LINDA CT NEWPORT BEACH, CA 92660 Phone: Applicant: BAUM MICHAEL Address: 2900 FIDLER AVE LONG BEACH CA 90815 Phone: 562-424-2286 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R31U 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: Construction Valuation: 90 Building Permit Fee: $902.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: woo CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $906.00 PROCESSED BY: ZONING APPROVAL: Contractor: BAUM CONSTRUCTION & DEVELOPMENT Architect: Address: 2900 FIDLER AVE Address: LONG BEACH, CA 90815 Phone: 562-424-2286 Can State Lic: 1003379 Lic Expire: 05131/2021 Bus Lic: BT30064653 Lic Exp Date: 04/30/2021 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9111257 Expire: 08129/2021 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: I 3arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: 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 State Lic: n n.. State Lic: 16VvPECTCR , 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 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $906.00 GRADING APPROVAL: APPROVAL TO ISSUE: 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 items) (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 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 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 im roved 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 nave 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, ;a a+ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. S!cra'Urr of Prop^.rty O'vner or Authorized Agent Date LICENSED CUNTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (cg mencing with Section 7 ) of ivis'on 3 of the Business and Pro sio a my ' ense is in full force and e�Fect. License Class Z License No Date 2 Contractor Signature WURNFRS' C6MPEdSATION DECLARATION NARNING: FAILURE TO 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 CliT rF COMPENS NTION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hnrihp affirm under penalty of perjury one of the following declarations: ❑ 1 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 o.yforma.ice of Cle v,.nk for which this permit is issued. Policy No. nave 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' an.:e carrier and L o,icv number are: Policy Number Date me of Agent ' V _, - `- Phone # certify that, in the perfor nce 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 rk rs' compensation laws of California, and agre t, if I should become d bj ct to the work r ' anon r vi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant D 2 CLARATION REGAR N ONSTR C 10 I G AGENCY �reby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). lder s Name Lender's Address 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 Tovided is correct. I agree to comply with all applicable city and COUP o mantes and state laws relating to building construction. I authorize representatives of this city or county t e er 1 Id rf' r ,pp]y' for inspection purposes. C r�/qj ..�r.e nr ornn kl n—ner nr AufhndvcA Ancnt //1,y,r �l Nil Print Prnnertv Owners or Authorized ADent's Name \�I�" ' I j(' �,'I+It I _1mL1 N1l .Date DATE BY' REGU D'KCrARLA.T"NS PA T061 O T7LEI40 AND AQMD RULE AL FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT C4NCELLED EPA PERMIT EXTENDED A-Mmo UE�OLITI NOTIFICA I TO POOCATOF -U-Jl GEDE SOCCED T