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Home My WebLink AboutX2019-0449 - PermitsCity of Newport Beach - Building Division Permit: X2019-0449 $w1#, $ ': o• ome a moo em ' •: 00.61 is Newport. Beach, CA 92660 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� X 2 0. 1 9 0 4 4 9 IICOMB San Dist : �erreteirDrive+ i e Fiermt Eountsr DAon&(9a9)644-3288 NMUSD Fee: Project No: 0329-2019 zy.. - • JRsp'e00orfFJ4q*jts fthe (949)644-3255 Hazardous Mat .$0.00 Combination Type - MFP ELEC MECH PLUM $0.00 Issued Date : 02113/2019 Grading Bond: $0.00 Inspection Area : 4 m m. e • e • • m m o PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. m m m m o•Constrtrctio n 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: 19 L•A ROUkLE NB Description: MFR KITCHEN REMODEL 216 SF Legal Desc.: TR 9858 LOT 12 UNIT 69 OF PROJECT LOCATED ON AP 461-131.39 TOGETHER Owner: PIKE ROBERT Contractor: ALL PHASE CNTRCTRS 8 BLDRS INC Architect: Address: 9 LA ROCHELLE Address: 206 VILLA NOVA ROAD Address: NEWPORT BEACH, CA COSTA MESA CA 92626 Phone: 808.651.6222 Phone: 714-556-5511 Phone: State Lic: Applicant: MAROLTJAMES Con State Lic:. 722975 Engineer: ASGHARPOUR REZA Address: 206 VILLA NOVA RD Lie Expire: 03131/2020 Address: 77570 SPRING FIELD LN COSTA MESA, CA 92626 Bus Lie: BT30066063 PALM DESERT, CA 92211 - Phone:. 714-458-3608 Lie Exp Date: 02/2912020 Phone: 760-360-9998 State Lic:C-067613 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-13 Carrier: WC EXEMPT Address: Occupancy Group:. R311J Policy No: (NO EMPLOYEES) Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. k. Garage: 0. No of Stories: 1 No of Units: 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $50.00( Building Permit Fee: $746.00 '.. Plan Check Fee: $649.02 Fire Inspection: Overtime Plan Ck: $0.00 $0.00 Investigation Fee: $0.00 Park Dedication : Record Management: $14.00 PM Plan Check i Energy Compliance: $0.00 San Dist : CA Seismic Safety: $0.00. NMUSD Fee: Disabled Access: $0.00 General Service Hazardous Mat .$0.00 Building Green Fee ; $2.00 TOTAL FEE: $1,600.22 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $52.22 $29.84 $67.14 Special Conditions: Planning Department - Plan check Fee Fair Share: '.. SJH Trans : Fire Inspection: In -lieu Housing Fee $0.00 Public Works Department - Park Dedication : $0.00 PM Plan Check i $0.00 San Dist : $0.00 NMUSD Fee: $0.00 $0.00 '.. $0.00 Plan Check Fee: $689.02 Fee Due at Permit Issuance : $911.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department '.. $40.00 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 Plan Check Fee: $689.02 Fee Due at Permit Issuance : $911.20 PUBLIC WORKS 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 the resson(s) indicated below by the checkmark(s) I haue place&neid to tha applicable Qem(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:tslssuadce; ado jegpirA•s tyle *plicant 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 Sec#cn ?000) 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 c4fferea for sa%.(Sect0n.7044,, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, build4gr1imp'joveS thp*propefty, (1rofted QlaCthe 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 thip puap of praying It•Yat it waaa of b til@ or improved 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, 1 cannot legalll 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.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 Section 7000) of Vision of the Business and 'To f io e y license is in full force and effect. License Class License No Dat Contractor Signal WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 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 performance of the work for which this permit is issued. Policy No. 131 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' compensatiol Insurance carrier and policy number are: Policy Number a of Agent rt that, in the performanpp of a work for which this permit is if I should become 5ubject/to tCl lNgkers' conlpensatig"ovisig of I shall not Date any person in any manner so as to become subject to the workers' compensation laws of California, and agre .abor Code, I shall forthwith comply with those provisions. Dat :LARATION REGARD;;10`f`1 ONSTRUCTION LENDING AGENCY Eby affirm under pen of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 far's Name Lender's Address iy 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 countyI ances and state laws relating to building construction. I authorize representatives of this city or coup to t a ue=d tifief�saction purposes. ature of Prooertv Owner or Authorized ADentt �._. Print Property Owner's or Authorized Agent's Name �/ AC TION DATE BY PERMIT EXPIRED PERMITCANCELLED OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE PERMITFINAL �1 L4 AS13ESTOS NOTIF ION IS NOT AAPP�LIICAA/BJJf TO CERTIFICITE OCCUPANCYIOSSUED ` 21 t� SIGNATURE: � -14 FOR OFFICE USE ONLY Civil Code). Date z11-011