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Home My WebLink AboutX2019-2061 - Permits9Y1y7 City of Newport Beach - Building Division 9OB • p0 ® O OO® 00 & 100 Ciw�r.c Center Dnve, rtlewpoK Beach•CA 92660 '+ Permit y.0untermPhone (114 fi44=3268 sir Inspe(it@n ftteStg PhCro(Q59 64$,$255 m }wyp> Combination Type - MFP iiiiiiiiiiii1ii II COMB Permit: X2019-2061 Project No: 1488-2019 Issued Date : 06/2812019 Inspection Area : 2 Building Permit Fee: $412.00 Plan Check Fee: $0.00: Overtime Plan Ck: $0.00 Investigation Fee: m m m m • • • • m • PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.. :Cmn;tructio Hour Il90 qday s F riday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work an Sundays or Holidays Job Address: 325 COLLINS AVE NB $0.00 CA Seismic Safety: Description:. MFR- BLOCK WALL USING CITY STANDARD 6'X 10' INSIDE P/L - Disabled Access: Legal Dese.: BALBOA ISLAND RESUB SEC 1 LOT 3 BLK 10 SIN 30 FT(AND SW 30 FT LOT 4 BLK Hazardous Mat Owner:. BENDETTI BOB Contractor: OWNER/BLDR Architect: WALKER BARRY Address: 325 COLLINS AV Address: WALKER BARRY Address: P.O. BOX 11658 BALBOA ISLAND CA 92662 $0.00 NEWPORT BEACH CA 92658 Phone: Phone: Phone: 949-246-4085. State Lic:C019637 Applicant: WALKER BARRY Con State Lie: O/B Engineer: Address: P.O. BOX 11658 Lie Expire: Address: NEWPORT BEACH CA 92658 Bus Lie: Phone: 949-246-4085 Lie Exp Date:. Phone: State Lica Code Edit : 2016 Worker's Compensation Insurance Designer: - " Type of Construction: Carrier: Address: Occupancy Group: U - Policy No: Added/New sq.ft. Bldg: 0 - Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 - Building Setbacks Rear: 3' Special Conditions: No of Units : 0 Front: 5' Bldg Height: 24 Left: 3' Bldg Sprinklers:Right: 3' ri•'� Flood Zone: - Use Zone: R -BI Parking Spaces: 0 Fire Hazard Zone : N Building Permit Fee: $412.00 Plan Check Fee: $0.00: Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: - $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 11 TOTAL FEE : PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee Grading Bonds Feer Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical W Plumbing %•: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.00 Plan Check Fee: Planning Department - Fire Department Plan check Fee: $0.00 Fair Share; $0.00 SJH Trans: Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: .$0.00 $0.00 Fee Due at Permit Issuance : $413.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GtJ APPROVAL TO ISSUE: Fire Department $0.00 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 $0.00 Fee Due at Permit Issuance : $413.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GtJ 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 reason(s) indicated below by the cheoorierk(4)sl 1-14 plask next to $a applicable item. (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any str*tLte, pr:)r 03 ij$ i$su�anQe„alsorequires 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 (commerfcfig0dilh Section FOOD) of D"#on 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 struotume islet inteelad or offfferePt6sa ee Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personl4elffortsbuiltis yl' jplptgvesthe�prppdrtyf 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 -Builds j wi -have tile burden -of proving ter at•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 app 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). ❑ I m exempt from licensure under the Contractors' State License Law for the following reason: By signature below I acknowledge that, except for my per onal esidence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally a structure that I have built as an owner -builder if it has earn 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 p a' ubmitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent \ /) 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 Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT 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( )erformance of the work for which this permit is issued. Policy No. 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' 'ance carrier and policy number are: Policy Number of Agent Date rtify 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 tI shot ld become su e workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.natuDare � � CLARATION REGA CONSTRUCTION LENDING AGENCY v` Ireby 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 Code). 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. J/ I agree to comply with all applicable city and county ordinances and state laws relating to building construction. q ,I r,2Y �/VA-4 Yv�/� 1 authorize representatives of this city or county to erfi'th �ove-identified property for inspection purposes. �f� I nature of ProDertv Owner or Authorized ADent ��✓•��% Print Property Owner's or Authorized Agent's Name/') Date ACTION - DATE BY EnARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED LJAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF (�n41. /I .,� PROPOSED DEMOLITION OCCUPANCYISSUED �IIVV // W SIGNATURE: FM IF W" q �n ) F ww z x " U � CN � Vo W my A O °-V N ® N Z I o CCOO C! O W r U W m ) W H0 p q PQ ® U U 0 O FM IF W" q �n ) y a> m 3 a� ami O 4- ♦N � y � U Ri � QJ N r o pr, r� c T" FM IF W" q �n )