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Home My WebLink AboutX2016-0996 - Permits1,gwr•.y City `of Newport Beach - Building Division �IIIIIIIIIIIIIIIIIIIIIIIIIIIII >0 d 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 0 ti + Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM 9 9 6 II COMB Permit: X2016-0996 Project No : 0614-2016 Issued Date : 06PI6/2016 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 2290 LA LINDA CT NB Description: SFR - REMODEL 3966 KITCHEN/BATHROOMS, MASTER SUITE FRENCH DOORS Legal Desc.: N TR 9353 LOT 7 Owner: NGOC PHAM Contractor: BAUM CONSTRUCTION Architect: Address: 2290 LA LINDA CT Address: 2900 FIDLER AVE Address: - NEWPORT BEACH, CA 92660 LONG BEACH, CA 90815"� (y1 Phone: Phone: 562424-2286 Phone: State Lie: Applicant: BAUM MICHAEL Con State Lic: 1003379 Engineer: YI LU Address: 2900 FIDLER AVE Lie Expire: 05/31/2017 Address: 305 BROADWAY, STE 3 LONG BEACH CA 90816 Bus Lie: BT30054663 REDONDO BEACH CA 90277 Phone: 562424-2286 Lie Exp Date: 04130/2017 Phone: 310400-6108 State Lic:S-005678 Code Edit: 2013 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE COMP. INS Address: Occupancy Group: R3/U Policy No: 9111257 Added /New sq.ft. Bldg: 0 Expire: 08/29/2016 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units: 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation. $300,000.00 Building Permit Fee: $2,074.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,804.38 Additional Fee : $0.00 Plan check Fee : $37.50 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: $30.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $210.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $39.00 WQ 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 %: $145.18 San Dist: $0.00 Building Green Fee : $12.00 Mechanical %: $82.96 NMUSD Fee: $0.00 $0.00 Plumbing %: $186.66 $0.00 TOTAL FEE: $4,621.68 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $1,804.38 Fee Due at Permit Issuance : $2,817.30 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 (_) 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 '.improved for the purpose of sale). ❑ I, 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://w .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of gqury that I am licensed under provisions of Cf ^aytat 9 (commencing with Section 700 ) of Di i ion 3 of the Business and Prof e d my icense is in full force and effect. License Class I'S License No L Ma llll Dater Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby 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 the performance of the work for which this permit is issued. Policy No. have and will am �I 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' compensatior Insurance carrier an po y number ar Carrier It ul{ibeF` Expiration Date Name of Agent yUki i� Phone At ❑I certify that, in the performance of the wok. r 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 agrer that, if l should become subject to the wo r ion pr v' n of action 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat DECLARATION REGAR ING CONSTRU I LE ING AGENCY I 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 30 7, Civil Code). Lender's Name Lender's Address By 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 or county ter t ntifie pope for il�'Unspection purposes. //, Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name u Da ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED LI I SUEMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED