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Home My WebLink AboutX2020-2603 - Permits�Nraf City'of Newport Beach - Building Division r x 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v - Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC 11111111111111111111111111111111111111111111111111 111l JillCOMB Permit: X2020-2603 x 2 0 2 0 2 6 0 3 Project No : 2738-2019 Issued Date : 1110912020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/10/2023 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: 1931 PORT LOCKSLEIGH PL NB Description: SFR *ADDITIONAL SCOPE* BACKUP BATTERY Legal Desc.: N TR 7028 LOT 78 Owner Address: MARTIN KEVIN 1400 NEWPORT CENTER DR#230 Address, BRIGHT AMILLBURY ST Address: I EC1 ®1 ' NEWPORT BEACH CA 92660 AUBURN MA 01581 Phone: Phone: 888-997-4469 Phone: State Lic: Applicant: PHAM KEVIN Address: 7706 TRADE ST #A SAN DIEGO CA 92121 Phone: 714-342-8491 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $161.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $173.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con Slate Lic: 1020761 Engineer: Lic Expire: 11/3012020 Address: Bus Lic: BT30059956 Lic Exp Date: 07/3112021 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP. INS Address: Policy No: 9166694 Expire: 1211812020 Phone: 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: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.27 $0.00 $0.00 PROCTORJACOB 651 E GALENA PARK BLVD #101 DRAPER UT 84020 801-990-1775 State Lic:C-070567 Special Conditions: REV20-1532 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 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $173.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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). ❑ 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm Lrde• nPnalty of perjury that I am licensed under provisions o Chapter 9 (commencing with Secti 0 ) of Division 3 of the Business end Prov'ssjyns C—, ode, my license is . f fl-force and effect. License Class C, License No �d2tlr`;GI D �O /Ztl Contractor`Ss gnature /I�% COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 001EX 1SDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSA ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. !v/ hereby affirm u,K:cr penalty of perjury one of the following declarations: lave and well 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 thI mance or Iha work for which this permit is issued. Policy No. rve 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' compensatior Lce ggTrigr and policy number are:/- , of Agent Policy Number Ia Expiration Date LZ Phone # JI certify that, in fWperformance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the work rs' compensation laws of California, and agre, let, if I should becom ubject to the worker 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of App' a to 1. 9 • ki�.0 IECLARATI IN NS ION LENDING AGENCY hereby affirm un pen y of perjury t t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address my signatureXelow, 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 laws relating to building construction. I authorize representatives of this city or county tgknter the above -identified -property for inspection purposes. of Prooertv Owner ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED Owner's or DATE BY / % DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY UREGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ASBESTOS NOTIFICATION TO IZ/IZ/ZQ �ZfK Ll'-T U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: n ��_