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Home My WebLink AboutX2019-1296 - Permits1n City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 ' Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type -. MFP '. 2 9 6 00COMB Permit: X2019-1296 Project No: 0919-2019 2019 Issued Date: Area 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: 8 TRIBUTE CT NB , B r� Description: MFR BALCONY REPAIR € � �q I� L TU" R Legal Desc.: TR 7817 LOT 4 UNIT 305 OF PROJECT LOCATED ON AP 424.041-01 TOGETHER Owner: NEWPORT. CREST HOA. Contractor: SMITH ANGUS CONSTRUCTION Architects Address: - 201 INTREPID ST - Address: - 12342 CANYON TERRACE Address: NEWPORT BEACH CA 92663. SANTA ANA CA 92705 Phone. Phone: ` 714-538-1191 Phone: State Lie: Dues Applicant: SMITH ANGUS - Con State Lie: .637440 Engineer: XIAO QIANG : ...... °•••• Address: 12342 CANYON TER Lie Expire: 02/29/2020 - Address: 1520 BROOKHOLLOW DR #45 .... °e °°° SANTA ANA CA 92705 Bus Lie: BT01101101. SANTA ANA CA 92705 Phone:: 714.538-1191' - Lie Exp Date: 09/30/2019 Phone: 714-662.0510 State Lic:S-005289 Code Edit : 2016 Worker's Compensation Insurance Designer O0 • • ` ° Type of Construction: VB Carrier: EMPLOYEE SERVICE Address: Occupancy Group: R21U Policy No: AMXOB0003000 ° o • ° ° ° ° Added /New sq.ft. Bldg: 0 Expire: 10/01/2019 Phone: .... Added/New sq. ft. Garage: 0 O00Op No of Stories: 2 Building Setbacks Rear: I Special Conditions: ° ...... No of Units: 8 Front: l ° ° Bldg Height: 0 Left: I ° ...... Bldg Sprinklers: Right:.? ° .... Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone'. N .... Construction Valuation: $9,800.00 Building Permit Fee: $232.00. Excise Tax: $0.00 Planning Department- .Fire Department Plan Check Fee: $201.84. Additional Fee: $0.00 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 : $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 P/W 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 Feer $0.00 $0.00. Plumbing %°: $0.00 $0.00 TOTAL FEE: 11 $434.84' Plan Check Fee PROCESSED BY: ZONING APPROVAL: 1%✓ GRADING APPROVAL: $0.00 Fee Due at Permit Issuance : $434.84 PUBLIC WORKS APPROVAL: PLAN CHECK BY: lJr--f APPROVAL TO ISSUE: - - - 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 thatrequires 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 (_) all of or U 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 im roved for the purpose of sale). 1, 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 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 Prq;)94%Owner or Authorized Agent Date LICENSED CQUIIMCTOR'S DECLARATION I hereb affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S n 7Q00) pf vislop. ,of the Busin nd Profess! s Code�ind my IFenas is in full force afi8•eifict. Licen*so Class License No Da L 4 Contract Signature ciy✓V!/C NORKERS' COMPENSATION DECLARATION NARKING: 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 COMPEIVATI91f,, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebraffirm under ptnalty of perjury one of the following declarations: r ... .d J.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 gAnce of thg1fo& for which this permit is issued. Policy No. •Nave and wij mairgain 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' compensatiol EscSranae-cari ps licy number are: :awlew • Policy Number Expiration Date me of Agent • • Phone # certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjectt a orkers' compensation laws of California, and agre , if I should become subje to the kers' com ensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision/ // let a gfBpp n — / a e_ 4— 24 CLARATION REGARDING CONSTRUCTION LENDING AGENCY ?reby 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 Cade). ider's Name Lender's Address 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 county ordinances and state laws relating to building construction. 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