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Home My WebLink AboutX2019-3897 - Permitsw�vr„ City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 "v Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM COMB Permit: X2019-3897 x 2 0 1 9 3 8 9 7 Project No : 2691-2019 Issued Date : 01/1312020 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1011 GRANVILLE DR NB Description: MFR CREATE NEW POWDER ROOM, KITCHEN AND BATHROOM REMODEL 496 SF, REPLACE MASTER BATHROOM TUB 't+ tS PEC�� Legal Desc.: TRACT 14839 LOT 2 OF PROJECT 939-63 LOCATED ON AP 442-421.13 1NJ Owner: MBS TRUST Contractor: MASTERWORKS CONSTRUCTION Architect: MORRIS RANDY Address: 1011 GRANVILLE DR Address: 1376-B CORONADO AVE Address: 45120 VIA CARINA NEWPORT BEACH, CA 92660 LONG BEACH CA 90804 INDIAN WELLS, CA 92210 Phone: Phone: 562-961-0607 Phone: 310-809-6745 State Lic:CO08362 Applicant: MORRIS RANDY Address: 45120 VIA CARINA INDIAN WELLS, CA 92210 Phone: 310-809-6745 Code Edit: 2016 Type of Construction: V-B --Occupancy-Group.- R21U- Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 56 Bldg Height: 0 Bldg Sprinklers: Con State Lie: 653222 Lie Expire: 05131/2021 Bus Lie: BT30070624 Lie Exp Date: 01131/2021 Worker's Compensation Insurance Cartier: BENCHMARK INS CO Policy -No- -CST-M,3682 Expire: 04/0112020 Building Setbacks Rear: I Front: I Left: / Right: / Engineer: GOTTLIEB BRIAN Address: 75175 MERLE DR PALM DESERT, CA 92211 - Phone: 760-568-3553 State Lic:C-033047 Designer: Address: Phone: Special Conditions: Building Permit Fee: $980.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $852.60 Additional Fee : $0.00 Plan check Fee: $40.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 -Record-Management : --$28.00- - Grading Permit Fee= $0.00 -in-lieu-HousingFee-$0.00- Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 PAN Plan Check: $41.25 Hazardous Mat $0.00 Electrical %: $68.60 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $39.20 NMUSD Fee: $0.00 Plumbing %: $88.20 TOTAL FEE: $2,141.85 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Fire Department Fire Inspection: $0.00 Fire Plan Rev $0.011 Demolition Fee - Building -Dept Adm $O.CC- General Service $C.Crl Refund Deposit ;e.Op Grading Bond: $0.00 Plan Check Fee : $2,141.85 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 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-applicantfor ie 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 n roved 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 pply 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 licensure under the Contractors' State License Law for the following reason: ly 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) ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Iwww. leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION qq hereby affirm under penalty of erjury that lam licensed under provisions of Chapter 9 (commencing with ction of Division 3 of the B ss and Profe sien tle, and my license is in full force nd effect. License Class �— \ License No 3'22.'Z lAP& ('7 2mo Cont r Signature VORKERS' COMPENSATION DECLARATION ' ` IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INA' PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I 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 th erformance uf 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' compensatiol ,ti rance carri=r and policy number are: Policy Number Date lama of Agent _ vnone 8 11 certify thdi, it the perform3nc of the 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 agre lat- d I should become s bject t workers' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2-0 IS^.aA ION (REGARDING C NSTRUCTION LENDI AGENCY -a-- _ 74 hereby affirm linde, penalty of perjury that there is a co truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Fader s Namo _ Lender's Address ly my signature I'll low, I certify to each of the following: I suo 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 ordina ces and state laws relating to building construction. I authorize representatives of ' city or county to Net, e ve-ide Ified property for inspection purposes. ] t ,--� _ Z lignature of F ro�ertv owner �rrized Ment �/ Print Property Owner's or Autho Agent's Name W I iiL! I�/l v�i �> Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED ASBESTOS NOTIFICATION TO PERMITFINAL 09/03/ZO mwV.4w6 BESTOS NOTIFICATION IS WTAPPL BLE TO CERTIFICATEOF G"re- •Ki l P OI 5EDD UTJON,� OCCUPANCYISSL I SIGNA (�