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Home My WebLink AboutX2019-1979 - Permits�y.weu& City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1979 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 9 7 9 Project No : 1017-2018 n. Permit Counter Phone (949)644-3288 ' sq Inspection Requests Phone (949)644-3255 Issued Date : 06125/2019 `:acr`,•.,x'"�' Combination Type - GRAD Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 2945 CASSIA ST NB Description: ADD'L SCOPE + DELTA 2 - DRAINAGE (city std) + GLASS GUARDRAIL @ REAR YARD, NEW HARDSCAPE Legal Desc.: N TR 5018 LOT 81 Owner: NGUYEN NHAT Contractor: CAL CONSTRUCTION & DEVELOPMENT Architect: Address: 2945 CASSIA ST Address: 12031 LORNA ST Address: NEWPORT BEACH CA 92660 GARDEN GROVE CA 92841 Phone: Phone: 714-728-7266 Phone: State Lic: Applicant: SALAT JOHN Con State Lic: 663178 Engineer: Address: 22386 WOODGROVER Lic Expire: 0212812020 Address: LAKF. rOREST CA 92630 Bus Lic: Phcie 949-255-4847 Lic Exp Date: Phone: State Lic: Code Fail: 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE FUND Address: Occupao�y Group: R3/U Policy No: 9155502 A&6 d /Nnw sq.ft. 91dg: 0 Added /New sq. ft. Garage: 0 Expire: 03124/2020 Phone: No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units: 1 Front: / Bk:g height: 0 Left: / - - Bldg Sprinklers: Right: / . Flood Zoa=.: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Vah,Ption: $2,000.00 Building Permit Fee: $104.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 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 : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 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 %: $0.00 San Dist : $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0,00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $105.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $105.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: 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) 1 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 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). ❑ 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 icensure 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 Iega11) 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://v .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 o Divis' n 3 of the Business and Proyessi Code, and my license is in full force and effect. License Class License No Dat Contractor Signal 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 HUNDRED THOU ND DOLLARS (b'000,01Q,�IN ADDn:ON TO I HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and ill 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 rmance of a work for which this permit is issued. Policy No. ❑f h e and Sin 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)v.hrl;ers' compensatip insura ce Carrie d policy number are: Policy Number of Agent Date certify that, in the performance of the ork 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 Qal(fOmla, and agra t, if I should become subject to the w r ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant D I7h / (��_ �• CLARATION REG R G CONS N LENDING AGENCY Ireby affirm under p all of perjury th t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code). Ider'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' behalf. 1 have read this application and the information I have provided I rrect. I agree to comply with all applicable city and county ordinances state laws relating to building construction. I authorize representatives of this city or county to enter the ab dentif)ed property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Date b ACTION DATE BY DECLARATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATION PART61OFTITLE40ANDAQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL ( 0 S OASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF tt PROPOSED DEMOLITION OCCUPANCYISSUED f!"S SIGNATURE-