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Home My WebLink AboutX2021-3359 - PermitsCity of Newport Beach - Building Division x 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 . y T Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2021-3359 x 2 0 2 1 3 3 5 9 Project No : 1760-2021 Issued Date : 12/14/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1211412024 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: 423 SAN BERNARDINO AVE NB Description: DEMO DETACHED GARAGE Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 13 LOT 18 Owner: WERNER NICKI & PAT Contractor: CP MC CLARY CONSTRUCTION INC Address: 423 SAN BERNARDINO AV Address: 1013 LINDEN PLACE NEWPORT BEACH, CA 92663 COSTA MESA CA 92627 Phone: Phone: 714-271-1055 Applicant: CP MC CLARY CONSTRUCTION INC Con State Lic: 513053 Address: 1013 LINDEN PLACE Lic Expire: 10/31/2023 COSTA MESA CA 92627 Bus Lic: BT00004228 Phone: 714-271-1055 Lic Exp Date: 08/31/2022 Code Edit : 2019 Worker's Compensation Insurance Type of Construction: Carrier: STATE COMP INS FUND Occupancy Group: U Policy No: 1300846 Added /New sq.ft. Bldg: 0 Expire: 06/01/2022 Added/New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Architect: Address: Phone: State Lic: Engineer: BERHE MAICHEL Address: 1700 E GARRY AVE STE 104 SANTA ANA CA 92705 Phone: 949-335-9698 State Lic:C-076445 Designer: Address: Phone: {P') Special Conditions: , ��JJJ jA 06, U- Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $3,000.00 Building Permit Fee: $127.00 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 PNV Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $128.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $128.00 PROCESSED BY: y PUBLIC WORKS APPROVAL: _bi_ ZONING APPROVAL: W Al GRADING 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 :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 licensors 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mproved 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). ❑ I 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://www.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 f Divi 'on 3 of the Business and Prof s C 'cense is in full force and effect. License Class License No 5T1��7 D��) 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 ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 Cade, for th pKbrmance of the work for which this permit is issued. Policy No. II ve 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' compensation Insur no carrier and policy number are: er Policy Number Expiration Date lame of Agent 31 certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre iat, if I should become sub'ec t orker ' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 't tignature of Applicant_ 12 62" )ECLARATION REGARDIN&CONSTRUCTION LENDING AGENCY 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 3097, Civil Code). .ender's Name Lender's Address 3y 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 state laws relating to building construction. et I authorize representatives of this city or county nt r bo fed property for inspection purposes. Signature of Property Owner or Authorized Agent � /� Print Property Owner's or Authorized Agent's Name I oe `(' W Date �z j 2 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMITFINAL .ZZ� �M 6( ASBESTOS NOTIFICATION IS NOTAPPUCABLE TO CERTIFICATE OF �yNK,,y.✓ PRNPOSED DEMOLITION OCCUPANCYISSUED „n. SIGNATURE: