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Home My WebLink AboutX2019-0559 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIII��IIIIIIIIIIIIIIII�IIIII A II COMB Permit: X2019-0559 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 5 5 Project No: 0400-2019 Permit Counter Phone (949)644-3288Inspection a Excise Tax: $0.00 Planning Department- Requests Phone (949)6443255 Fire Department Combinations Type -. MFP Additional Fee : $50.46 Issued Date : 0212812019 .. $0.00. Fire Inspection: $0.00 Inspection Area : 3 - PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 20 WILD GOOSE CT NB $0.00 Fire Plan Rev $0.00 Description: MFR -DECK REPAIR FOR.NEWPORT CREST HOA "Investigation Fee: $0.00 Grading PC Consultant: $0.00 Legal Desc.:. TR 7852 LOT 1 UNIT 68 OF PROJECT LOCATED ON AP 424-031.01 TOGETHER Demolition Fee Owner: NEWPORT CREST HOA Contractor: ' SMITH ANGUS CONSTRUCTION : Architect $0.00 Address: 201 INTREPID ST Address: 12342 CANYON TERRACE Address: $0.00 NEWPORT BEACH. CA 92663 SANTA ANA CA 92705 Grading PC Fee: - Phone: Phone: 714-536-1191 Phone: State Lic: Applicant: SMITH ANGUS Con State Lie: 637440 .. Engineer: XIAO QIANG Address: 12342 CANYON TERRACE.. Lie Expire: " 02/2912020 :. Address:. 1520 BROOKHOLLOW DR #45 - SANTA ANA CA 92705 Bus Lie: BT01101101 - SANTA ANA. CA 92705 Phone: 714-538-1191 Lie Exp Date: 0913012019 Phone: 714.662-0510 State Li¢S-005289 Code Edit: . 2016 Worker's Compensation Insurance Designer: Electrical %: Type of Construction: V-13 Carrier: EMPLOYEE SERVICE Address: Occupancy Group: R2/U Policy No: AMX080003000. Building Green Fee : $1.00 Mechanical %: Added /New sq.ft. Bldg: 0 Expire: 1 0/0112 01 9 Phone: Added/New sq. ft. Garage: 0 Plumbing %: No of Stories: 2 Building Setbacks Rear: / Special Conditions:. 11 z No of Units : 8 Front: I TOTAL FEE : $283.46 - Bldg Height:. 0 Left: / $50.46 Fee Due at Permit Issuance : Bldg Sprinklers: N Right / szt Ml A 7n - 11- 7,n 0mLin enon n Ml- Wa M 7n .� \I�, ..'l Construction Valuation: $9.200.00 Building Permit Fee: $232.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $50.46 Plan check Fee:: $0.00. Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00' Fair Share : - $0.00 Fire Plan Rev $0.00 "Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans r $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: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: : .$0.00 - PNV 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 : $283.46 Plan Check Fee: $50.46 Fee Due at Permit Issuance : $233.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: '1 PLAN CHECK BY: cd6b 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 he 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 Irofessions 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 lot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 Tlprovements 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). 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 Ipply 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). 7 [am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legally sell a structure that 1 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 Irofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of 'vision 3 of the Business and Profe sior)9�Code, nd my li as is in full force Ind effect. License Class License No Date I ' Contractor Signat T� c YORKERS' COMPENSATION DECLARATION IARNING: 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 :OST 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: 31 heave 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 ,elfqrmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date lame of Agent I•none F ]I certify that, in the performance of the ork 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, iat, if I should become subjec the w k rs' compen ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^� signature of Applicant Date 3ECLARATION REGDING NSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there 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 haveread this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinanceg3.and state laws relating to building construction. 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