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Home My WebLink AboutX2019-3810 - Permits�6t'rr4, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - SFP IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-3810 X 2 0 1 9 3 8 1 9 Project No : Issued Date : 11/27/2019 Inspection Area : 1 PERMITS EMPIRE 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: 112 VIA KORON NB Description: SFR -WINDOW C/O THROUGHOUT (64) LIKE FOR LIKE Legal Desc.: TR 907 LOT 647(AND NELY1/2 LOT 646 ' ^iC (V�� A Owner: KING MICHAEL & MARY Contractor: ATI Architect: Address: 112 VIA KORON Address: 3360 E LA PALMA AVE Address: NEWPORT BEACH, CA 92663 ANAHEIM CA 92806 Phone: Phone: 714-283-9990 Phone: State Lie: Applicant: VILLA LOUIS Con State Lie: 671784 Engineer: 0 Fire Hazard Zone : N Address: 3360 E LA PALMA AVE Lie Expire: 06/30/2021 Address: ANAHEIM CA 92806 Bus Lie: BT30003010 Phone: 714-283-9990 Lie Exp Date: 03131/2020 Phone: State Lie: o„o % v°v°vc Building Permit Fee: $636.00Excise Tax: 0 Planning Department- Code Edit: 2016 Worker's Compensation Insurance Designer: ° Plan Check Fee: $0.00 Type of Construction: VB Carrier: ZURICH AMERICAN INS Address: $0.00 Occupancy Group: R3/U Policy No: WC444664100 $0.00 Grading Bonds Fee: $0.00 Added /New sq.ft. Bldg: 0 Expire: 0810112020 Phone: $0.00 Investigation Fee: Added /New sq. ft. Garage: 0 Grading PC Consultant : $0.00 SJH Trans : $0.00 No of Stories: 2 Building Setbacks Rear: / Special Conditions: Grading Permit Fee: $0.00 No of Units : 1 Front: Building Dept Adm $0.00 Energy Compliance: Bldg Height: 0 Grading PC Fee: Left: I Public Works Department- e°° °o•a°o Bldg Sprinklers: CA Seismic Safety: Right: I WQ Insp. Fee: ,. ®o°a Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $40.000.00 v°v°vc Building Permit Fee: $636.00Excise Tax: $0.00 Planning Department- Fire Department 00 ° Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: 0$00 d0 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 : $2. Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TO L FEE : $638.0 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $638.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS PLAN CHECK BY: APPROVALTO 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 U 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 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 tothe-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 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) Mar n 3 f the Business and Prof aian, Co e, ar�d my Dose is in full force and effect. License Class .r� License No `i 110 `-1 Date Zrz �QContractor Signatur 1 �� WORKERS' C&PASATION DECLARATION APARNING:CAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Vf CPJOMPENSp.:iPV,.*MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hgreby affirm under penalty of perjury one of the following declarations: ®. have and will'maintam a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi JY6foriltjance of tht vVIC for which this permit is issued. Policy No. •. . he and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa Lor IR we carries aRrrpollicy number are: 3araier• 0 Policy Number Expiration Date ame of -Agent �I certiry that, WNT$hould ignature of Ap Ice of the work for which this Remnit 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( to the workers' compensatiovlslons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i✓1/dlr-.r-,-- w`� ate 1 12-? A i )ECLARATION REG RDING CONSTRUCTION LENDING AGENCY hereby affirm under enalty 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). -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. 1 authorize representatives of this city or cou t t an r e above-identif' property for inspection purposes.1! 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name�10 LC1f`s V` 14^ ate ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED SUBM ITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL�U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF my,py pt�+N PROPOSED DEMOLITION OCCUPANCY155UED SIGNATURE: