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HomeMy WebLinkAboutX2022-0504 - Permitst`rvr„� City of Newport Beach - Building Division *X2022-0504* COMB Permit: X2022-0504 '` 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2386-2018 �' Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 !� A E%, In- ^.+- Issued Date : 02/18/2022 ":rerrw,ur`i' Combination Type - MFP j @a ilk Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211812025 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: 3012 W OCEAN FRONT NB Description: MFR REMOVE EXTERIOR SIDING & REPLC W/ STUCCO, INSTIL (N) ADA RAMP, R/R 5 WINDOWS, DRAINAGE (RENEW EXPIRED X2018-3026 & X2019-1608) Legal Desc.: NEWPORT BEACH CITY BILK 30 LOT 7 Owner: I AGNIFILI TRUST Contractor: Address: 3632 VENTURE DR Address: HUNTINGTON BEACH CA 92649 Phone: Phone: Applicant: CHENG DANNY Con State Lic: Address: 13208 GRAYSTONE AVE Lic Expire: NORWALK CA 90650 Bus Lic: Phone: 714-757.4993 Lic Exp Date: Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: Plan Check Fee: $0.00 Overtime Plan Ck: Investigation Fee: Record Management Energy Compliance: CA Seismic Safety: Disabled Access: Hazardous Mat Building Green Fee PROCESSED BY: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FEE: $625.00 ZONING APPROVAL: GRADING APPROVAL: OWNER/BLDR DAVID PONZIO 310-600.5250 O/B Worker's 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: I Right: / 'arking Spa $0.00 $625.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect Address: Phone: State Lic Engineer: SONG, ZHENYU Address: 12631 IMPERIAL HWY, STE E-125 SANTA FE SPRINGS CA 90670 Phone: 562-863-9999 State Lic:S-005266 Designer: Address: Phone: Special Conditions: LIQUEFACTION, .2% FLOOD O/B FORM ATTACHED 0 Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Zone: N 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $625.00 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 :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 Cole) 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 U all of or (_) 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). t/ 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 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 f= "censure under the Contractors' State License Law for the following reason: By my signature oelrnv I acknowledge that, except for my rsonal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legallt sill R stn,cture that I have built as an owner builder if it as n been co ted inry/V entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the Business and Professions Cod D, is avcilable upon request whe tha Iicat n is s mitt or Is foil wing Web site:http://www.leginfo.ca.gov/calaw.htmi. Signatu•e of Property Owner or Authorized Agent 1iD !y LICENSED CONTRACTOR'S DECLARATI N I hPreb� affirm Unher penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force aad affect. License Class License No Date Contractor Signature JVORKERS' COMPIENSATION DECLARATION NARNINC:' FAILURE TJ ScGURE 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 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 9ergoy iffirm under penalty of perjury one of the following declarations: I have and wil 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 32rformaice of tho work for which this permit is issued. Policy No. I 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' urance carrier and policy number are: Policy Number of Agent Date I certify that, in the performanc of th work for w ch this n'it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree iat, if I should become subject t the wo ers' co p satio rovisioRs of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Date IECLARATION REGA G CONSTRUCTION LENDING AGENCY hereby affirm under penalty o rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci, Code). 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 ha vided is correct. I agree to comply with all applicable city and count ordina cesstate laws relating to building construction. 1 authorize representatives of this city or counjy }� e ej th ov Ide ified property for inspection purposes. f) re of Prooertv Owner or Authorized ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED I DATE I BY DECLARATION OF COMPUWNCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO EPA NOT4PNIICA" TO FOR OFFICE USE ONLY V1 -1t-ala