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Home My WebLink AboutX2019-3229 - Permits,.� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA. 92660 E 1" 'Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 'I+tivrrw'sx' Combination Type - BLDG ELEC COMB Permit: X2019-3229 X 2 0 1 9 3 2 2 9�� II Project No: 2239-2019 Issued Date :10/09/2019 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: 2408 MARGARET DR NB L LF&BB Descnpgpn. NEWPORT HEIGHTS MEDIOT 27 8 x 11 Q 42 INSPECT" Legal Desc.: NEWPORT HEIGHTS LOT 27 POR OF LOT Owner: P ASSETS INC Contractor: OWNERIBLDR Architect: Record Management $4.00 Address: PO BOX 2456 Address: TRIPOLI PHILIP Address: Disabled Access: $0.00 Hazardous Mat NEWPORT BEACH, CA 92624 Building Green Fee : $1.00 Phone: 949-751-7634 Phone: Phone: State Lie: . e Applicant: TRIPOLI PHILIP Con State Lie, OIB Engineer: PASOL DAWN aememm Address: _ PO BOX 2456 tic Expire: Address: 1411 N BATAVIA STE 208 .... 4 NEWPORT BEACH, CA 92624 Bus Lie: ORANGE CA 92867 ...... aema• Phone: 949-751-7634 Lie Exp Date: Phone:. 714.363.3585. State Lic:C-061163 ce° Code Edit: 2016 Worker's Compensation Insurance Designer: MARTINEZJOSHUA •ama 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: Building Permit Fee: $360.00 Plan Check Fee:. $313.20 Overtime Plan Ck: $0.00 Investigation Fee:. $0.00 Record Management $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTALFEE: I PROCESSED BY: ZONING APPROVAL:. GRADING APPROVAL: Carrier: Address: 18627 BROOKHURST ST .... Policy No: FOUNTAIN VALLEY CA 92708 Expire: Phone:. 714488.3327 Building Setbacks Rear:. 10 Special Conditions: Front: 20 C c o Left: 4 Right: 4 ce° Use Zone: R-1 Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PNV Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $25.20 San Dist: $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 PI ting %: $0.00. $0.00 01 Plan Check Fee. `. $0.00 Fee Due at Permit Issuance : $743.40 PUBLIC WORKS PLAN CHECK BY APPROVAL TO I: o r a o 0 oe a oamoo 0 ooe:o coc'co e o =Donee c o c.em 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, priorto 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 (_) 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 id for the purpose of sale). 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 poly 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 legally sell a structure that I have built as an owner -builder if it ha San c tructed 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 whe t a tic ti sub fled or at the following Web site:hltp://www.leginfo.ca.gov/calaw.html. Signature of Prgperty.Owner or Authorized Agent Date ✓•� d!I 'ZnI LICENSED Ctl MACTOR'S DECLARATI I here affirm Vopf, penalty of perjury that I am license r provisi ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force d de ct. License Olass Licenso Date Contractor Signature iA/ORKERS' COMPENSATION DECLARATION NARMNIG: FAILURE TOVCURE 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 QF COMPEVAMN,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herpp? affirm ut%penalty of perjury one of the following declarations: .• . 1.I.have and•will •�Udfntain 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 the ?9ri(YDn%nce of tuie work for which this permit is issued. Policy No. rZ21-Mal and wiU 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' compensation ilsuranae carrier anVi plicy number are: Policy Number Dale Vam cf Agent •y,•_• Phone# I�I ce ify 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 subject to the workers' compensation laws of California, and agree hat, if should become lec�compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Stu of Applican Dat h 0 9 QP j )ECLARATION REG RDI CON T CTI N LENDING AGENCY. hereby affirm under penalty ry ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code). -ender's Name Lender's Address 3y 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. I authorize representatives of this city or coty t ter the a -id ntified property for inspection purposes.^J signature of PropertyOwner or Authorized A ent Print Property Owners or Authorized Agent's Name tD5 e ACTION DATE BY DECIA ION OF C MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I R TIONS PAR fit OFTITLE40ANDAQMD RULE I1 - PERMIT EXPIRED PERMIT CANCELLED SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL I(/ l -(1 j 7 tWl ', UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF `` t W PROPOSED DEMOLITION OCCUPANCYISSI. SIGNATURE: