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Home My WebLink AboutX2021-3400 - Permits5 1Y �+ 1 2 C �.. R xwr°r,� City of Newport Beach - Building Division 1 *X2021-3400* COMB Permit: X2021-3400 100 Civic Center Drive, Newport Beach, CA 92660 Phone Project No : 1134-2021 Permit Counter (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 12021 Combination Type - SFP Inspection Arearea :1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 12/20/2024 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 5 Job Address: 2000 W OCEAN FRONT NB Description: SFR ADDING NEW BEDROOM 3 - 4 & STAIR REVISION (DELTA A) Legal Desc.: FIRST ADD TO NEWPORT BEACH LOT 1 BLK 20 ALL -INC 10 FT ADJ ON SW - Owner: LIU JOSEPH Contractor: OWNER/BLDR Architect: Address: 269 S. BEVERLY DR #366 Address: LIU SUSAN Address: BEVERLY HILLS, CA 90212 SEE X2021-1297 Phone: Phone: 310-801-0871 Phone: State Lic: Applicant: GUIDERO WILLIAM Address: 425 30TH ST #23 NEWPORT BEACH CA 92663 Phone: 949-675-2626 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Valuation: Building Permit Fee: $110.00 Plan Check Fee: $95.70 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: $1,274.70 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: O/B Engineer: Lic Expire: Address: Bus Lic: Lic Exp Date: Phone: Worker's Compensation Insurance Designer: Carrier: Address: Policy No: Expire: Phone: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: / 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee HAKIM FADY 124 PEONY IRVINE CA 92618 310-422-1536 State Lic:C-075736 Special Conditions: Fire Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $1,016.00 NMUSD Fee: $0.00 Fire Department $52.00 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 $147.70 Fee Due at Permit Issuance : $1,127.00 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 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 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 not 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, 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 imprt,vimaots 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 *.wrier 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 exemot from Iicensure under the Contractors' State License Law for the following reason: By my sign, tuia 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 legall, sell a stTU. Wre that I have built as an owner -builder if}"t 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 Joc'% is available upon request whepI has is muted or at the f owing Web site:http://wwtv.leginfo.ca.gov/calaw.htmi. / Signature of F ioperty Owner or Authorized Agent X _ Date L;CENSED CONTRACTOR'S DECLARATION I hereby affirm u.rder penalty of perjury that I am licensed 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 anc' effect. Licensa Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION AARK;NG: 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 res r 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 Code, for th performance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number Expiration Date of Agent Phone # A certify that, in the performance of the work 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 California, and agre Iat, if I should become sbjct to the workers' compensation provi�igns of Section 3 f the Labor Code, I shall forthwith comply with those provisions. ECLAreof Applicant Y Date �� - ECLARATION REGAR NZ"@9NSTRUCTION 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 ode). ender'a Name Lender's Address y 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 Sta a laws rela building construction. I authorize representatives of this city or count to the above= a operty for inspection purposes. 1f ionature of ProDertv Owner or Authorized Aoent X Print Prooertv Owner's or Authorized ADent's Name /l ACTION DATE BY DECLARATION OF II REGULAT ONS PA T061 OF (IT E 40 AND CE WITH ODE OF AQMD RULE PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EIEPA PERMIT EXTENDED OAQMD PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED -j vl 6 J ¢ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO R SED DE\M 1TION n _� SIGNATURE: 7X/ FOR OFFICE USE ONLY v