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Home My WebLink AboutX2021-1476 - PermitsCity of Newport Beach - Building Division COMB Permit: X2021-1476 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Project No : 1293-2021 yr. A Inspection Requests Phone (949)644-3255 �',��i�rnrK•T Combination Type - CIP ELEC Issued Date : 08/11/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/11/2024 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: 2823 E COAST HWY NB Description: COMM -ADD (3) NEW SKYLIGHTS Legal Desc.: N TR 323 BLK F LOT 2 Owner: DANLEA INC Contractor: C M D CONSTRUCTION INC Architect: CC Address: 344 HAZEL DR Address: 9272 JERONIMO RD #102 Address: CORONA DEL MAR, CA 92625 IRVINE, CA 92618 Phone: 9491612-2718 Phone: 800-406-3979 Phone: State Lie: Applicant: GRAHAM ELEAZAR Con State Lie: 981225 Engineer: NGUYEN TUONG Address: 2789 TROY CT #101 Lie Expire: 0212812023 Address: 5172 DOANKE AVE CORONA CA 92883 Bus Lic: BT30076238 IRVINE CA 92604 Phone: 9491326-8497 Lie Exp Date: 0813112022 Phone: State Lic:C-065960 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: STATE COMP INSURANCE Address: �%,✓ Occupancy Group: B Policy No: 9207331 Added /New sq.ft. Bldg: 0 Expire: 03/25/2022 Phone: ,Q. Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: • y, > No of Units : 0 Front: / Bldg Height: 0 Left: I , Bldg Sprinklers: N Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4,000.00 Building Permit Fee: $147.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $127.89 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $30.00 .Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $38.48 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $457.37 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $189.07 Fee Due at Permit Issuance : $268.30 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the (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). 111, 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). ❑ 1, 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 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 licensure 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 lega11 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 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.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CGNTRACTOR'S DECLARATION `� hereby affirm ❑r.c T penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Iwsion 3 of the Business and Profess n d n rise is in full force qrd Pf•ect. _!=Fe Class License No Date �O—//- % / Contractor Signature, E yfv WORKERS' COrAPENSATION DECLARATION Wf RNIN3: FAILURE-0 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 COS OF COMPENSATION'. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm Lr,da, penalty of perjury one of the following declarations: ID 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 the I vrma ork for which this permit is issued. Policy No. �LJfdhave aaintain 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' compensatior ^keurarce came- Eric policy number are: ne of Agent _ certify that, in the pi :. if I should become of Policy Number Expiration Date 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 agree compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date��//-7 1. CLARATION REGARr_ ONSTRUCTION LENDING AGENCY :reby affirm under pena y erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider's Name Lender's Address 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 s to laws relating to building construction. authorize representatives of this city or county to ant �h� move-i ntifi spectio0 purposes. nature of Property Owner or Authorized Agent (� A Prin operty Owner's or Authorized Agent's Name/ 3-e ACTION DATE BY DECIi7A' N OF COMPLIANCE WITH CODE QZ REGU IONS PART 61 OF TITLE 40 AND AQMD 1403 PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QM D PERMIT FINAL �/ �� BESTOS NOTIFICATION I N PPLICABL CERTIFICATE OF Ip ROPOSED DEMOLITION OCCUPANCYISSUED S NATURE: TO FOR OFFICE USE ONLY Civil Code).