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Home My WebLink AboutX2020-2059 - PermitsCity of Newport Beach - Building Division 11111111111111p111111p111111111111p1111111111111COMB Permit: X2020-2059 i 00 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 0 5 9 Project No F fr Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Issued Date : 09/18/2020 Combination Type - SFP Inspection Area S' PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/19/2023 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 am. to 6:00 p.m. No work on Sundays or Holidays Job Address: 242 POPPY AVE NB Description: SFR DECK COATING WI DESERT CRETE MES-ER 586 383 SF Legal Desc.: N TR 673 BLK A LOT 21 Owner: BODEN ERIC J Contractor: CRANK WATERPROOFING Architect: I 9 Address: 242 POPPY AVE Address: 134 COMMERCIAL WY Address: {�� r� f CORONA DEL MAR, CA 92625 Phone: Phone: COSTA MESA 949-646-9356 CA 92627 Phone: N5 i.'�_2 C State Lic: L-ZApplicant: 5tl RAY SAVANNA Con State Lic: 1038420 Engineer: Address: 2029 VIA SOLONA Lic Expire: 0413012022 Address: SAN CLEMENTE, CA 92673 Bus Lic BT30063958 State Lic: Phone: 949-412-0595 Lic Exp Date: 0613012021 Phone: ^,O / V Code Edit: 2019 Worker's Compensation Insurance Carder: FALLS LAKE Designer: Address: NST RUCT��N Type of Construction: V-B VvpRK Occupancy Group: R31U Policy No: FLA01345000 Added /New sq.ft. Bldg: 0 Expire: 01/26/2021 Phone: Added INew sq. ft. Garage: 0 Building Setbacks Rear: I Special Conditions: N -rUpD,4 No of Stories: 2 No of Units: 1 Front: 1 S/,r y fl Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Use Zone: Parking Spaces:_ 0 Fire Hazard Zone : N Flood Zone: struction Valuation: $8 000.00 ing Permit Fee: $212.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 rtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 $0.00 Fire Plan Rev Demolition Fee stigation Fee: $0.00 $0.00 Grading PC Consultant: Grading Permit Fee: $0.00 $0.00 SJH Trans : In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 [RecordManagement: rgy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00Refund $0.00 Deposit $0.00 Grading Bond: $0.00 bled Access : $0.00 PAN Plan Check: ardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0,00 ding Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE: $213.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $213.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: - APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next tc the apnlicabir, item(s) the 70o file 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, als r 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 Di rision 3 of the Business and Professions 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 a pplicant to a civil penalty of not more than five hundred dollars ($500). 11 1, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions of the work, and the structure is not intended or offered fr r sale (Section 7944, 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 r roperty, 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 prove ig that it was not built or E. roved for the purpose of sale). I I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' St:-.te 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). ❑ 1 am exempt from licensum 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 ; y this permit, I cannot legalh 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 7014 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.�-gt)vfcalaw.html. of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty �f peq'ury that 1 am licensed under provisions of Chapter 9 (commencing with Sectio y1 18/L V n 3 of the Business and Pro [a Code, a-n i m i arse' r full force and effect. License Class 11�� License No Da Fe yl 18/LV Contractor Signature lr6 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 THOUSAN OLLAiS ($160,000}, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3r06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 1 hereby affirm under penalty of perjury one of the fallowing declarations: 13 1 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 37C ) of the Labor Code, for thi oeerrfonnance of the work forwhich this permit is issued. Policy No. $ I have and Will maintain workers' compensation Insurance, as required by Section 370D of the Labor Code, for the performance of the work for which this permit is issue:. My workers' compensatior ns Tance carrier and policy number are: �arriJALLS LAKE FIRE AND CASUALTY COMPANYPolicy Number FLA01345000 01/2612021 Name of Agent Expiration Date Phone # :1I certify that, in the performance of the work fo hich this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensatior laws of California, and ogre, :hat, if I should becom s ject to the workers' pensa n provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. signature of Applicant Dath 9118120 DECLARATION REGA ❑ G CO TRUCTIO EN NG AGENCY hereby affirm under penalty of pe that there Is a construction lending agency for the perrormance of the work far 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 and state laws relating to building construction. I authorize representatives of this city or mury(y b enter the above ntified property for Inspection purposes. Signature of Property Owner or Authorized Agent r- � Print Property Owner's or Authorized Agent's No eV Savanna Ray Da 9118120 ACTION I Dg7E BY 9 TAPECLtRTION OINtOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY s - RWULATIONS PART 61 OFTITLE 40 AND AQMD RULE PERMITWENDED -PAQMO PERMfTFINAL BESTOS ICATION IS NOT APPLIDPyLE TO CERTIFIGITE OF VOPOSEO OEM TION�, J/N/ OCCUPANCYISSUEO emeu....—