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Home My WebLink AboutX2018-0390 - Permitsq r nog City of Newport Beach - Buildlog giyisj9r1 ° �II IIIIIIIIIIIIII -III II-III IIIIIIIIIIIIII II COMB Permit: X2018-0390 o 100 Civic Center Drive, Newport Beach, CA 92600 �. `o e a m. ° ° X 2 0 1 8 0 3 9 eProject No :0600-2017 Permit Counter Phone (949)644-3288 ; . m a e m • o u at Inspection Requests Phone (949)644-3255 `•`a,N.f�*a'' Combination Type - BLDG Issued Date : 02/0812018 Inspection Area : 5 Applicant: ROSEN BRITTANY P�Et'{il1ITS EXPIRE86 DA YS A6TEIJ T43UANCE OR LAST VALID INSPECTION. 05/31/2018 Construction Hours: Monday - Friday 17.00a.m.•to G.26 p.m, ;tpd•$2turday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 413 MARIGOLD AVE NB Lie Exp Date: 03/31/2018 Description: DEMO DETACHED GARAGE (CHG OF CONTRACTOR -SEE X2017-1919) Legal Desc.:- CORONA DEL MAR BLK 439 LOT 5 STATE COMP Address: Owner: ALLADAWI MICHAEL Contractor: TALISSE CONSTRUCTION INC Architect:IRVOT Address: 7040 SCHOLARSHIP Address: 4630 CAMPUS DR #204 Address: ®� Phone: 949-272 11 1NE CA 2612 Phone: 949-400-4593 NEWPORT EACH CA 92660 Phone: State Lie: 114SPEG $0.00 Energy Compliance: $0.00 Grading PC Fee: Applicant: ROSEN BRITTANY Address: 428 OLD NEWPORT BLVD 05/31/2018 NEWPORT BEACH CA 92663 Phone: 949-300-5152 Code Edit : 2016 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 : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Con State Lie: 877131 Engineer: Lie Expire: 05/31/2018 Address: Bus Lie: BT30039556 Additional Fee: Lie Exp Date: 03/31/2018 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 9038842 $0.00 Expire: 01101/2019 Phone: Building Setbacks Rear: / Front: / Left: / Right: / State Lie: Special Conditions: HAULER; TIM GREENLEAF CHG OF CONTRACTOR SEE X2017-2919 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - $0.00 Plan Check Fee: $0.00 Fire Plan Rev Additional Fee: $33.00 Plan check Fee 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $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 PNV Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 11 TOTAL FEE: $33.00 Plan Check Fee: • $0.00 Fee Due at Permit Issuance : $33.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 11 TOTAL FEE: $33.00 Plan Check Fee: • $0.00 Fee Due at Permit Issuance : $33.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING 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:he:reaS(Q irjdicaied below bithe 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, ir: provd,denfojiSh,•oj Tepareny 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'ttate 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 ($500). • . • ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all df 9F(_) bErtiens of thawsrk} and theyppture is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of properV wft, throtbh:erQpl$yees' orpessosal 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.one4ar of completion, the fther-guilder 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall 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.htm[. - Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) o pi i i n 3 of the Business and P{of7e s�bns C�� ,and se is in full force and effect. License Class License No D Cl Contractor Signatwrol WORKERS' COMPENSATION DECLARATION V% WARNING: 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 14100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 IN perfof the work for which this permit is issued. Policy No. )1aormance ave 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' compensationce carrier and policy number are: r Policy Number Expiration Date Name of Agent Phone # I certify that, in the penor ance oft or or 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 that, if I should become su jecworkers' om provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Signatureof ApplicanN "� Oaak-Lh.�/d DECLARATION REGIA DING ONS N LENDING AGENCY i I 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). Lender's Name Lender's Address By 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 have read this application and the information I have provided is correct. I agree to comply with all applicable city and cou ordi s an tate laws relating to building construction. p I authorize representatives of this city or county o en the��`�"1 a pro y for inspection purposes. gt l 1l0 Rinnn lira of Pmnedv Owner nr Authnrized Aaen" t i_� Print Prooertv Owner's or Authorized Aoent's Name. IJ/U U 1,vt Jn�Q, Date ACTION DATE BYE DECLLII RON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY " REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMITEXTENDED 1 LJAQMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF 9 ' PROPOSED DEMOLITION OCCUPANCY ISSUED I �i3 SIGNATURE: