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Home My WebLink AboutX2019-1738 - PermitsI City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1738 o 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 7 3 e Project No: 1246-2019 ) E _ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `"4reia"�xg Combination Type- MFPMECH ELEC Issued Date: 06117/2019 Inspection Area : 1 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: 611 LIDO PARK DR NB St: 1 FI: 5Unit: 5-C 9p Description: MFR REMOVE HEAT LAMP FROM BATHROOM, REPLACE WITH EXHAUST FAN v G 40 C T Legal Desc.: TR 815 LOT 2 AND FOR LOT 3 AN L ND. 1142 INT TOGETHER WITH UNIT WAND m . Owner: LANDON STABLEFORD Contractor: RANCHO LAGUNA BUILDERS Architect: SMITH BRADFORD Address: 611 LIDO PARK DR #5C Address: 1433 CORAL DR Address: 425 30TH ST #22 NEWPORT BEACH CA 92663 LAGUNA BEACH CA 92651. NEWPORT BEACH CA 92663 Phone: 805-896-4840 Phone: 949-422-0982 Phone: 949-631-3682 State Lic:C014146 Applicant: CADSTIN ROBERT Con State Lie: 687520 Engineer. Address: 611 LIDO PARK DR #5C Lid Expire: 04130/2020 Address: NEWPORT BEACH CA 93118 Bus Lie: BT30056781 Phone: 805.896.4840. Lie Exp Date: 0313112020 Phone: State Lie: Code Edit: 2016. Worker's Compensation Insurance Designer: Type of Construction: it Carrier: W/C EXEMPT Address: Occupancy Group: R IU Policy No: (NO EMPLOYEES) Added /New sq.ft. Bldg:. 0 .Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 8 Building Setbacks Rear: / Special Conditions:... No of Units ; 0 front: / Bldg Height: 0 _. Left: / oo " Bldg Sprinklers: N Right: /. Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° ° o ° ...... Construction Valuation: $1.000.00 emua Building Permit Fee: $104.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $90.48 Additional Fee : $0.00 Plan check Fee :. $40.00 Fire Inspection: ° $0.00 ...... Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev o Vaq °... ° ° Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee .... Record Management: $6.00 Grading Permit Fee: $0.00 In-lieu Housing Feel $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 PAN Plan Check : $0.00. Grading Bond: $0.00 Hazardous Mat. $0.00 Electrical %: $27.23 San Dist: - $0.00 Building Green Fee $1.00 Mechanical %: $21.39 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $290.1 Plan Check Fee : $140.43 Fee Due at Permit Issuance : $149.67 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: J 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). ❑ 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, - 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 I 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:hltp://w .leginfo.ca.gov/calaw.htmi. 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 Se 70pO) of QI Ion a the Business and I Sion Co anrr full force and effect. License Class License No D s `e " " L�� -( Contractor Sig ri ure WORKERS' COMPENSATION DECLARATION 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATJIQP4 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm uedaf0011alty of perjury one of the following declarations: �• •I.Mi and JIN grfaintain 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 erfor ance of tine work for which this permit is issued. Policy No. gip and will n1aintain 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' compensatio �ranFe carne �an� Icy number are: (;drrhr - • Policy Number Expiration Date I ant • • • •. Phone # �rtify4Ffat, e p ormaIns work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre • fit Lsheuld be c ATe subj ct to a rker mpe ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature o ib'drR' _ %GAgAA�'ING CONSTRUCTION L9NDING AGENCY hBreb7 affirm ur derpenalty 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 *'0* 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 inform 'on I have provided is correct I agree to comply with all applicable city an ounty o in J nd s e laws relating to building construction. (� 6 authorize representatives of this city or co my o enter t ab n 'fled property for inspection purposes. Fianature of Pronerty Owner Auff odd ADen Print Prooertv Owner's Dr Authorized qSU NameMVA, "" ^ �""- - Da e [ ION �PYAtE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLIF REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LIAQMD PERMITFINAL _/0_19 �� BESTOS TIFICA 1 SN. APP C BLE TO CERTIFICATE OF y pROf1�SED DE d(iQI'ION OCCUPANCYISSUED SI N URE: Y n �/