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Home My WebLink AboutX2021-0643 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-0643 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 6 4 3 Project No : 0589-2021 'Permit Counter Phone (949)644-3288 43 _ Inspection Requests Phone (949)644-3255 �144 Issued Date : 05/07/2027 `itivdi+r'�` Combination Type - SFP GRAD Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0510712024 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 Sunday_ or Holidays Job Address: 1436 NEWPORTER WAY NB Description: SFR R/R DOORS, WINDOWS. ATTACHED TRELLIS 190 SF. R[ Legal Desc.: N TR 15011 LOT 40 Owner: HOGAN LISA Contractor: WORLD COMMODITIES INC Architect: MCGRAW ROBERT Address: 1436 NEWPORTER WAY Address: PO BOX 128 Address: 305 N COAST HWY #K NEWPORT BEACH, CA 92660 HUNTINGTON BEACH CA 92648 LAGUNA BEACH CA 92651 Phone: Phone: 714-750-5000 Phone: 949-494.0812 State Lic:C018387 Applicant: LUCERO ISRAEL Con State Lic: 1065929 Engineer: VOLPE ROBERT M Address: 1228 S CEDAR ST Lic Expire: 05/31/2022 Address: 20321 LAKE FOREST DR STE D-6 • • , SANTA ANA CA 92707 Bus Lic: BT30074657 LAKE FOREST CA 92630 . • , . Phone: Lic Exp Date: 03/31/2022 Phone: 949-305-4700 x1 State Lic:C-025116 ...... Code Edit: 2019 Worker's Compensation Insurance Designer: ' Type of Construction: V-B Carrier: STATE FUND Address: Occupancy Group: R3/U Policy No: 9272277 Added /New sq.ft. Bldg: 0 Expire: 03/07/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 10' Special Conditions: No of Units : 1 Front: 10' ' s Bldg Height: 0 Left: 5' Bldg Sprinklers: N Right: 5' ' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N , Construction Valuation: $50,000.00 Building Permit Fee: $1,180.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $695.13 Additional Fee : $0.00 Plan check Fee : $46.25 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: $26.00 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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,949.38 Plan Check Fee : $1,949.38 Fee Due at Permit Issuance: $0.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 thc-pplicant for ie 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 'rofessions 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 of 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, iusiness 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 nprovements 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 nproved for the purpose of sale). 7 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 pply 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,froni licensure under the Contractors' State License Law for the following reason: ly my, signature belpw 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 ell a ctructurL that I leave 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Da .ICENSED CONTRACTOR'S DECLARATION hereby affirm u:,dal penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Be n 700I f Di ision 3 of the Busines Professions C e, d my license is in full force id affect. Liens 3Ciass License No DaA-11i 7.aM Contractor Sig ure '.'ORKERS' OMPENSATION DECLARATION IA^.NINC: FAILURE TJ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL FINES UP TO ONE UNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE JJl Ur GOMPENSATIUN„DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm`dn(16r penalty of perjury one of the following declarations: 7'I 1-eve and %:itl 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 .0 i ,n nce of toe woA for which this permit is issued. Policy No. a 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' compensatior n^r` carrier and policy number are: Policy Number Expiration Date Tc cf Agent Phone # certify that, in The performance f he ork r which this permit is issued, I shall not employ any person in any manner so as to become subject to the worke compens tion laws of California, and agre I, if I should beco subject to wo er ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Appl nt D B CLARATIO ARDING CON UCTIO NDING AGENCY :reby 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 C de). 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 o er's behalf. I have read this application and the information I have proved s correct. 5 L I agree to comply with all applicable city and co ty ordinan and ate laws relating to building construction. I authorize representatives of this city ou to enter the ove ntifiad property for inspection purposes. nature of Property Owner or Authorized A t Print Property Owner's or Authorized AGenft-NanXe ACTION DATE 'B`% DECEICRATIWOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I LJISUBMIT-riDASBESTOS,IqOTIFICATIONTC) PERMIT EXTENDED LIA.Q PERMIT FINAL QZ S q E C NOTIFICA 10 IS 0 APPLICABLE TO CERTIFICATEOF -RRdP D DEMOLITIO OCCUPANCYISSUED h'�/ a Nn n