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Home My WebLink AboutX2021-0689 - Permitsa City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s3. ID Inspection Requests Phone (949)644-3255 Combination Type - CIP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0689 x 2 0 2 1 0 6 8 9 Project No : 1532-2014 Issued Date : 04/1912021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 04/19/2024 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 Job Address: 3928 E COAST HWY NB Description: NEW COMM DET. CARPORT 340 SF Legal Desc.: TRACT NO 673 BILK BLOT 54 AND POR ABAND ALLEY Owner: AUTO SPA OF CORONA DEL MAR Contractor: OWNER/BLDR Address: 3345 NEWPORT BLVD #203 Address: LEFFARD PATRICK NEWPORT BEACH, CA 92663 FOR OWNER Phone: 949-723-2000 Phone: Q Applicant: LISCHE MARCELO ERNESTO Con State Lic: O/B Address: 2192 DUPONT DR #203 Lic Expire: IRVINE CA 92612 Bus Lic: Phone: 949.464-9426 Lic Exp Date: Code Edit : 2019 Type of Construction: VB 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: N Construction Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $2.80 Disabled Access : $91.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $560.82 PROCESSED BY: ZONING APPROVAL: M M-1114 Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: I Right: I �arkina SDaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: LISCHE MARCELO ERNESTO Address: 2152 DUPONT DR #255 IRVINE CA 92612 Phone: 949-955-1010 State Lic:CO26454 Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA CA 92705 Phone: 714-662-0510 State Lic:S-005289 Designer: Address: Phone: /('��-( Special Conditions: HI �AR�`A® A�® V 23 lV _ Fire Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 N ter % - 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 $184.44 Fee Due at Permit Issuance : $376.38 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: _ APPROVAL TO ISSUE: OWNER -BUILDER 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 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 not 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, 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 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 proving that it was not built or improved for the purpose of sale). ❑ 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 ap 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). m exempt from licensure under the Contractors' State License Law for the following reason: m 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 legalll sell structure that I have built as an owner -builder i" otben constructed in ' entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and essions Code, is available upon request when thi appli do i mitt or the following Web site:http://www.leginfo.Ca.gov/calaw. html. ^ / Signature of Property Owner or Authorized Agent - Ddt� LICENSED CONTRACTOR'S DECLARAFta I hereby affirm under penalty of perjury that I am licensed under pro isions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 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 :OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for xmance 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' compensa rance carrier and policy number are: Agent Policy Number Date in the performance 9fAe 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 become subject tpfhe wo ers' compensation provisipfis of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 01 ?X lam`/////� nature of Applicant c DO?�- CLARATION REGAR�Ff C CONSTRU TION rN I AGE CY greby 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, h it Code). ider'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 law relating to building construction. I authorize representatives of this city or county ente the abo -id ntifie property for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owners or Authorized Ag ACTION DATE BY DECLARATIA 6F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED OACLM D PERMIT FINAL '_�// ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF //''�� PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: