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HomeMy WebLinkAboutX2018-3894 - Permitsnog City of Newport Beach - Building Division OWNERIBLDR Address: 5 STONE PINE Address: 100 Civic Center Drive, Newport Beach, CA 92660 r+ Permit Counter Phone (949)644-3288 $22.00 Inspection Requests Phone (949)644-3255 raeeYvx* Combination Type - SFP ELEC MECH ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIfI�iIiIIN�INI��•° .. COMB Permit: X2018-3894 X 2 a 1 a 39 a s h ° e ©Project No : 3004-2018 o e em° •o° •°® oeo c o. Issued Date: 0112512019 e Inspection Area :6 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OAT tASjyALID WSPECVON. Construction Hours: Monday Friday 7:00 a.m. to 5:30 p.m. and Saturday from 8:00 a.m. td b700 p.m. Nonwofk 6n Sundays or Holidays Job Address: 5 STONE PINE NB Description: SFR -INSTALL FOLDING DOOR SYSTEM, RIR FIREPLACE & R/R WALL IN LIVING RM Legal Desc -Owner: LYNN BRENDA Contractor: OWNERIBLDR Address: 5 STONE PINE Address: LYNN BRENDA -. NEWPORTCOAST CA 92657 Record Management: $22.00 `Phone: 949.922-7212 Phone: $77.00 - Applicant LYNN BRENDA Con State Lie: O/B Address: 5 STONE PINE. Lie Expire: $0.00 NEWPORT COAST CA 92657 Bus Lie: $0.00 Phone: 949-922-7212. Lie Exp Date: $5.00 Code Edit: 2016 Worker's Compensation Insurance Type of Construction:. VB Carrier: PAN Plan Check: Occupancy Group: R3/U Policy No: $85.96 Added/New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 NMUSD Fee: $0.00 No of Stories: 2 Building Setbacks Rear: / No of Units: 1 Front: / Bldg Height:. 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parkina Soaces 0 Building Permit Feer $1,228.00 Plan Check Fee: $1,068.36 TOTAL FEE: $2 575: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %•: Mechanical %: Plumbing %: Architect Address: Phone: State Lie: Engineer: ALAM ANWAR 'Address: 708 QUAIL MEADOW IRVINE CA 92603 Phone: 949.466.2855 State Lic:S-005719 Designer. Address: r a Phone: Special Conditions: '-6 Fire Hazard Zone N r a $0.00 Overtime. Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Fair Share: Energy Compliance: $77.00 $0.00 CA Seismic Safety: $0.00 $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Public Works Department - Building Green Fee: $5.00 TOTAL FEE: $2 575: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %•: Mechanical %: Plumbing %: Architect Address: Phone: State Lie: Engineer: ALAM ANWAR 'Address: 708 QUAIL MEADOW IRVINE CA 92603 Phone: 949.466.2855 State Lic:S-005719 Designer. Address: r a Phone: Special Conditions: '-6 Fire Hazard Zone N r a $0.00 Planning Department - $0.00 Plan check Fee: $40.00 $0.00 Fair Share: $0.00 $0.00 SJH Trans.: $0.00 $0.00 In -lieu Housing Fee : $0.00 $0.00 Public Works Department - $0.00 Park Dedication :. $0.00 PAN Plan Check: $0.00 $85.96 San Dist: $0.00 $49.12' NMUSD Fee: $0.00 $0.00 Plan Check Fee $1,145.36 Fire Department Fire Inspection; Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit GradingBond: Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY. APPROVAL TO ISSUE:. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,430.08 OWNER -BUILDER DECLARATION • •e • • I hereby affirm under penalty of perjury that I and exempt�rofrl gieroptr,act®rs'.itgte License Law for the reason(s) indicated. below by the checkmark(s) I have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: ArVcifyac county th9t regGires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 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 fessions Code) or that he or she is exempt from licensure and the basis for thealleggd exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). , e • • • • I, as owner of the property, or my employees v$th'evrages a! tl1�Tr'so%coITpeniatioQ, Will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' y tate LI'pense Lew•dot appiyto sh owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If-, flo?/8&r, the building or improvement is sold withinoneyear of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). 1.4s 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 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 m exempt from licensure under the Contractors' State License Law for the following reason: 7 signature below I acknowledge that, except for my personal residence in which I mu;;t have resided for at least one year prior to completion of the improvements covered by thi permit, I Annot legal a structure that I have built as an owner -builder if it h not been cons rutted in its Bou by licensed tr ors. I understand that a copy of the applicable law, Section 7044 o the B ' as and fessions Code, is available upon request whe is 1cation is sub itt t f IIo 'ng W e:http:// .leginfo.ca.gov/calaw.html.Ik 7ature of Property Owner or Authorized Agent D :ENSED CONTRACTOR'S DECLARAT4 reby affirm under penalty of perjury that I am licensed under provisions f -C pter � commencing with Sectio 000) of Division 3 of the Business and Professions Code, a d my license is in full force effect. License Class License No D e Contractor Signature COMPENSATION DECLARATION 1ARNING: 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 ($100,00D), IN ADDITION TO THE AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 of the work for which this permit is issued. Policy No. ]I 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' compensatior lsurance carrier and policy number are: farrier Policy Number Expiration Date Is a of Agent Phone # rtify that, in the perform ce of the work for w ' ermit is i sued, I shall not employ any person in any manner so as to become subject to the workers' compensajtion Paws of Califor la, and agre; tat, f I should becom subj to the workers' co nsaC n ovi ' s of Se 700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Da IECLARATION REG CONSTRUCTION LENDING A16E J Y hereby affirm under penalty of perjury that there is a construction lending agency f the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address 7y 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 of d county ordinances and I authorize representatives of this city or gounty,fo Ater the abovetfoentifod DATE i BY EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED `DECLARATION OF COMPLI 'N NITH CODE C REGULATIONS PART 610 L 40ANDA( 1403 I SUBMITTED ASBESTOS NOTIFICATION TO construction. n purposes. iDertv Owners or Authorized Ac RULE UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY