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Home My WebLink AboutX2022-1375 - Permits0. uq". City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ComCombination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIill II COMB Permit: X2022-1375 Project No : 2840-2021 Issued Date : 05/12/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 900 CHESTNUT PL NB Description: BLOCK WALLS 6' X 114', 2' X 120' (INSIDE P/L) CITY STANDARD Legal Desc.: N TR 4892 LOT 22 Owner: SUN JOHNNY Address: PO BOB 3146 REDMOND WA 98073 Phone: Applicant: GONTERMAN CONSTRUCTION Address: 1842 PARK ST HUNTINGTON BEACH CA 92648 Phone: 949-697-0746 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $461.02 PROCESSED BY: ZONING APPROVAL: C c, Contractor: GONTERMAN CONSTRUCTION Address: 1842 PARK ST HUNTINGTON BEACH CA 92648 Phone: 949.697.0746 Con State Lic: 858073 Lic Expire: 04/30/2023 Bus Lic: ST30048414 Lic Exp Date: 0913012022 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 925951E Expire: 0B/22/2022 Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: 6' Front: 15' Left: 6' Right: 6' king Space $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: DAHL JEFFREY ALAN Address: 1102 MAIN ST HUNTINGTON BEACH CA 92648 Phone: 714-847-8480 State Lic:C017810 Engineer: BAYANI-RAD PADRA Address: 15901 HAWTHORNE BLVD #220 LAWNDALE CA 90260 Phone: 910-793-8410 State Lic:C-086320 Designer: Address: Phone: Special Conditions: 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 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $461.02 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: W XWW 1 7Y-fil 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) indicat d 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, demoli Ill, 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 La (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and professions Code) or that he or she is exempt from Iicensure 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 lot 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, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through am Ioyees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of ccTi on, 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, B siness 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 Iicensure 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 Iegall) sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unde stand 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. a.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 ision 3 of the Business an sssI s CC m license is in full force and effect. License Class License No Date Contractor Signat -y3 COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUMECT AN EMPLOYER TO CI 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: have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of ,`mance of the work for which this permit is issued. Policy No. $ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe nce carrier and policy number are: :r Policy Number of Agent JI certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner s lat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith ignature of Applicant -+ IECLARATION REGARDI G CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which 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 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 to enter the above -identified property for inspection purposes. lionature of Pmnertv Owner or Authorized Agent Print Property Owner's or Aut AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, and agre ply with those provisions. Dalh/15paia permit is issued (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE E ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 __ r PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMITEXTENDED QMD PERMIT FINAL /2 23 ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: LET u'C� L Date S