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Home My WebLink AboutX2020-2004 - PermitsCity of Newport Beach - Building Division 5 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s Inspection Requests Phone (949)644-3255 Combination Type - SFP `X2020-2004' COMB Permit: X2020-2004 Project No: 1628-2020 Issued Date : 09/2112020 Inspection Area :4 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/22/2023 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: 2924 ALTA VISTA DR NB Description: SFR ATTACHED PATIO COVER 320 SF Legal Desc.: N TR 5018 LOT 21 Owner LU JOU LA INC EC � Address: 2 241ALTA VISTA DR Addre slot: 13800QCRE SHAW BLVD Address: I 1 � V P L VLA v NEWPORT BEACH, CA 92660 GARDENA, CA 90249 Phone: Phone: (310) 869-4048 Phone: State Lie: Applicant: BERG DWAYNE Con State Lie: 1022142 Engineer: DESAI ANIL Address: 13800 CRENSHAW BLVD Lie Expire: 1213112020 Address: 1530 VIA LOS COYOTES GARDENA CA 90249 Bus Lie: BT30070160 LA HABRA CA 90631 Phone: 310-869-4048 Lie Exp Date: 1213112020 Phone: 662-483-4390 State Lic:C-024653 Code Edit : 2019 Workers Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP Address: Occupancy Group: R3IU Policy No: 9214473 Added /New sq.ft. Bldg: 0 Expire: 0711812021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I ki Special Conditions: No of Units : 1 Front: / (t Bldg Height: 0 Left: IQ Bldg Sprinklers: Right: I [t Flood Zone: X Use Zone: Parkin Spa 0 Fire Hazard Zone : N Construction Valuation: $14,080.00 Building Permit Fee: $381.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $266.75 Additional Fee : $0.00 Plan check Fee : $46.25 Fire Inspection: yG.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev 01C.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $1.03 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 %: $0.00 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 : $696.83 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $696.83 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: I hereby affirm unde r 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 CenStrUCt., alter, improve, demolish, or repair any structure, pdorto its issuance, also requires the applicant for the permi; to fie a sigrit:d statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Seaton 7000) of Division 3 of the Business and Professions Code) or that he or she i5 exempt from I(cenSUre and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a B inepenslty 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 itwas not built or Improved for the purposa 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 exempt from li,,:ensure 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 legall sell a stmctum 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 Cade, is available upon request when this application is submitted or at the following Web efte:http:llwww.legfnfo.ca.govlcalaw.html. Signature of Property Ol men or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date I hereby affirm under peasity of Pelj(rSy that I am licensed under provisions of Cf)@pter 9 (commencing with See��ttignn 7000) Qf wisien 3 oPth Bus as antl ro and effect. License Class 1) License No ) I�!-2 1 L) a P—fa�sioPs Cole, aa my license is in force ORKERS' COMPENSATION DECLARATION ��, \\\ C0 cloy Signature 1 [ ARNINO: OMPENFASURe TI SECII 4e WORKERS' PROVIDED FOR ION COVERAGE IS UNLAWFUL, AND E, INTEREST, ALL RESdEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES OP TO ONE HUNDRED THOUSAND DOLLARS Istao, Wp), IN ADOTION TO THE COST OF COMPENSATION, CA altit f ASPROy one FORIN SECTIONgd OF THE LABOR CODE, INTERaaT, ANDATTORNEY'SPEES I hereby affirm uics: per ally of perjury one of the following declarations: I have and win mab,tain 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 thi �{Re'fnimance of tNe work nor which this permit is issued. Policy No. have and sera nd poPin workersnumber' compensation insurance, as required by Section 3700 of the Lobar Code, for the performance of the work for which fits pannit is issued. My:Nrorkers' campensatior urance carter and pobcy number are: Carrier S�aTY G.�y�-�(J_ Policy Number �� -=.��1 t'� lq Name of Agent Expiration Date Phone # Name certify that"m the yerrornance of the work forwhich this permit is issued, I shall not employ any person in any mannerso as to become subject to the woZ-1- compensation laws of California and agree loan, i(I shoulh oe' syb�a "t e w era' compensation provisions Of SWIM 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Ap " ant_ l _,(_02dL.ARAnOh R (Y'.Rtr O C NSTRI r!` ��'� 1l I hereby affirm under penalty, of perjury that thacwsrs-a constivction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). ! Frdx�s Name Lender's Address By my signature ie,ow I t.erifw to each of the following: I am the propdity 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 witt. all applicable city and county ordinances "IS laws relating to building construction, I authorize representatives of this city or cam^"'`fir the ab e= ntfffed property for inspection purposes. Signature of Pr12GrtyCwr.1OrAuth.A@ a P \ ant to erty Owners or Authorized Age Name � �� b�� ACTION DATE eY LARAT N O CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMO RULE 1403 PERMITEXP/RED I SUBMrI'rED ASBE5T03 NpTIFICATION TO FERMIT CANCELED PA PERMIT EXTENDED ONID PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF ;(} PROPOSED DEMOLITION OCCUPANCYISSUED X-N AP ........