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Home My WebLink AboutX2020-2252 - PermitsCity of Newport Beach - Building Division *X2020-2252` COMB Permit: X2020-2252 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1815-2020 r Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 01/27/2022 �,ci»itiNv Combination Type - CIP ELEC MECH PLUM Inspection Area X 7 OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 01/27/2025 OR PERMIT WILL BE INVALID PERMIT EXPIRES 180 DAYS Construction Hours: AFTER ISSUANCE 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: 301 RIVERSIDE AVE NB RAFTERS. EXT ADA COMP. & CURBS. R/R WOOD SIDING W/ PLASTER. GYPBOARD @ STORAGE, WALL INSULATION, R/R Description: PUBLIC USE -CITY RESTROOM REPAIR. R/R WOOD HVAC Legal Desc.: N TR 919 LOT C Owner: CITY OF NEWPORT BEACH Contractor: A 2 Z CONSTRUCT INC Architect: NG EDWARD LOK GIN -_ Address: 100 CIVIC CENTER DR Address: PO BOX 80425 Address: 3119 LEES AV RANCHO SANTA MARGARITA, CA 92688 LONG BEACH CA 90808, NEWPORT BEACH, CA 92660 Phone: 949-283-5179 Phone: 562-912-7900 State Lic:C016840 Phone: Applicant: ANDRADE MIGUEL Con State Lic: 739539 Engineer: , Address: 1511 COMA AV Lic Expire: 03131 /2023 Address: LONG BEACH CA 90813 Bus Lic: ST30072442 Phone: State Lic: , Phone: 562-912-7900 Lic Exp Date: 07/31/2022 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: NATIONAL LIABILITY & FIRE INS Address: Occupancy Group: U Policy No: A9WC169717 • -, Added /New sq.ft. Bldg: 0 Expire: 12/26/2022 Phone: Added /New sq. ft. Garage: 0 1 Building Setbacks Rear: / Special Conditions: No of Stories: No of Units : 0 Front: / Bldg Height: 0 Left: / Riaht: / lood Zone: Use Zone: Parkin Spaces: 0 rue nazara cone: n Construction Valuation: $100 000.00 Building Permit Fee: $1,226.00 Excise Tax: $0.00 Planning Department - $52.00 Fire Department Fire Inspection: $0.00 Plan Check Fee: $1,066.62 Additional Fee: ($3,324.12) Plan check Fee : Fair Share $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 $0.00 Grading Bonds Fee: Grading PC Consultant $0.00 : $0.00 : SJH Trans : $0.00 Demolition Fee Investigation Fee: Record Management: $30.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm General Service $0.00 $0.00 Energy Compliance: $70.00 Grading PC Fee: $0.00 $0.00 Public Works Department - Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety: $28.00 WO Insp. Fee: PNV Plan Check: $0.00 Grading Bond: $0.00 Disabled Access: $100.00 Hazardous Mat $0.00 Electrical %: $320.97 San Dist : $0.00 $0.00 Building Green Fee : $4.00 Mechanical %: $252.19 NMUSD Fee: $0.00 $0.00 Plumbing %: $206.34 TOTAL FEE : $32.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $32.00 Z PUBLIC WORKS APPROVAL: r'RV VGJJCv u � . ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 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 U 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 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). ❑ I am exemp, from licensure under the Contractors' State License Law for the following reason: Cy my sf3nature 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 Iega11, sell a structure 1'Inf 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. £igl.atura of Prope, ty Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I he-eby affirm unJx pEnalty of peduryrfhat I yam licensed under provisions of Chapter 9 (commencing with Section 7000 of ivisi n 3 of the Business and Profess' ie nd y license is in full force and ertect. License ClPss 52'C Fro vI License No Date Contractor Signature WORKF.RS' COMPENSATION DECLARATION NARNING: 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 C337 Jr COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEWS FEES. '.:'1e�eby affirm u.ider pe.ia lty of perjury one of the following declarations: k4 1 have and will mrirtain 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 3�0-y1fw,rence of tnP work for which this permit is issued. Policy No. VI 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' compensatiol nsurance carrier and policy number are: barrier Policy Number Expiration Date Vame of Agent OYn. Phone # :11 certify that, in the =perju fo hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws f California, and agree :hat, if I should becomwem' ompef)sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date 2 DECLARATION REGAI NDING AGENCY hereby affirm under pere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address Sy 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 come I agree to comply with all applicable city and county ordinance nAa lawsrelating to building construction. I authorize representatives of this city or county to t r he eified`property for inspection purposes. L signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name '6 ��' Date ' Z ACTION DATE BY MCLARA N O OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMIT EXTENDED MD PERMIT FINAL C(-.Za -L SL fir` &S SBESTOS NOTIFICATION IS NO PU SUE TO CERTIFICATE OF PROPOSED DEMOUTIpN OCCUPANCY ISSUED aGMATIIRa• x I\1) I i An