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Home My WebLink AboutX2018-1445 - PermitsCity of Newport Beach - Building Division *X2018�1445 COMB Permit: X2018-1445 100 Civic Center Drive; Newport Beach, CA 92660 Project No : 1125-2018 E Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "r Issued Date: 05/11/2018 Combination Type - MFP ELEC MECH PLUM Inspection Area: 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Rrlday 7.00 a.m. to 6:30 P.m. and Saturday from 8.0 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 497 MORNING CANYON RD NB Description: MFR MASTER BATHROOM RMDL "WORK IN PRGRS" Legal Desc_: TR 12079 LOT 1 UNIT 6 OF PROJECT LOCATED ON AP 459-151-26 TOGETHER r-4�= Owner. HJELM NICLAS Contractor. OWNER/BLDR Architect:, Address: 497 MORNING CANYON RD Address: Address: a CORONA DEL MAR, CA 92625 Phone: Applicant: HJELM NICLAS Address: 497 MORNING CANYON RD CORONA DEL MAR, CA 92625 Phone: Code Edit: 2016 Type of Construction: V1 HR- SPR Occupancy Group: R2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 14 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: Construction Valuation: $7,500.00 Building Permit Fee: $187.00 Plan Check Fee: $162.69 Overtime Plan Ck: $0.00 Investigation Fee: $187.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $646.77 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Phone: Phone: State Lie: Con State Lie: O/B Engineer: HAMOU TARIK Lie Expire: Address: 19531 STARFISH LANE Bus Lie: HUNTINGTON BEACH CA 92648 Lie Exp Date: Phone: State Lic:C-057307 Worker's Compensation Insurance Designer: AS BUILT PERMIT Carrier: Address: Policy No: �+-r}g; t -� ° ° o EXPOSE ALL S t RUC 'U' EAL ° Expire: Phone: ° ° I PLUMBS; AND'... Building Setbacks Rear. / Special Conditions: Front: / p � /� /� ^+ � �p � !� MECNAIl�1CAL Left: / COMPONENTS r�OMPONEi �i to 3° Right: / °pppOO Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee: $0.00 Plan check Fee: $37.50 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $26.18 San Dist: $0.00 Mechanical %: $20.57 NMUSD Fee: $0.00 $0.00 Plumbing %: $16.83 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $646.77 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: e 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 orishe 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 %�t n}rs-than five hundred dollars ($500). 1, as owner of the propei siness and Professions C improvements are not infenc improved for the purpose of El 1, as owner of the prope'i apply to an owner of,propert ❑ I am exempt from licens By my signature below I lack sell a structure that I have'bi Professions Code, is availat Signature of Property Ownei LICENSED CONTRACT( I hereby affirm urts>^s- ,,)enaIb and effect. Licensee crass ERS' CVNIRENSi WARNING: FAILURE TOeSECUREV hereby affirm i S ! shave and erforrm, ante of Pe- of Agent certify that rn°tiie pe'rfa :. if I shoul6:b6nme Sul or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, �k 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 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 ear, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not �rulio builds of improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Ire runder the Contractors' State License Law for the following reason: Iowledge that, except for my personal residence in wyrfoh I must have resided for at least one year prior to completion of the jmprovements covered by this permit, I cannot legalli t as an owner -builder if it has not been onst cted its entirety by licensed contractors. I understand that a copy of the aiplicable law, S ` tion 7044 of the Business and e upon reque en this applicati Is ubmi d t the following Web site:http://Www.leginfo.ca.gov/calaw.html. or Authorize t �� C, ate K DR'S DECLARATION of perjury that 1 am licensed under provisions of Capter 9 (commencing wit e 'or 700k1j of Division 3 of the Bus' ofessions Code, and my license is in full force License No Da Con, actor ignature r TION DECLARATION QRKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. a. of perury one of the following declarations: A cerdficate. 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 w {hich: this p&ermrt is,issued...Poticy No. ✓orke'rs Bompensation irisu�ance; as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' tum, eaare., W il 4�Policy Number Expiration Date Phone # e of the w,prk fo whit tois 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 he war rs' c mpe tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions . provisions G Signat rV AppIicant . 1 vli DECLARATION REGARDING CONSTRUCTION LE DING AGENCY I hereby affirm under penaltyOf;perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sect 3097, Civil Code). Lender's Name Lender's Address By my signature below, I cerbfy to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is corre agree to comply with all'iapplicable city and county ordin es d sta laws relating to building construction. 1 authorize representatives of this City or county to enter t e ab a--' e rled property for inspection purposes. Signature of Property Owner or ed Agent Print Property Owner's or Authorized Ag is a `1 S �% ` ` ""� DQ_jI, ACTION ;DX E BY DECLARATION OF tOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610F TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT C4NCELLED OEPA PERMIT EXTENDED ❑A* D PERMITFINAL t ' BTOSNOTIFIC ION IS �A!v^ABLE TO LIT CERTIFIC4TEOF ED DEMO ' OCCUPANCYISSUED SIGN E: . c