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HomeMy WebLinkAboutX2018-2590 - Permitsygi1'1 �, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC COMB Permit: X2018-2590 X 2 9 1 8 2 5 9 0 Project No: Issued Date: 0812912018 Inspection Area : 1 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: 109 VIA VENEZIA NB Description: SFR - RESTUCCO HOUSE & UPDATE EXTERIOR LIGHTINGLegalINSPECTOR Owne Desc.: ZANDER OLM SITEENELY112LOT281Contractor: SCHMIDT ERIC CONSTRUCTION Architect: Address: 109 VIA VENEZIA Address: 448 PROSPECT ST Address: - NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92663 Phone: 714.403.4141 Phone: 949-335-2380 Phone: State Lic: .... Applicant: SCHMIDT ERIC Con State Lic: 695406 Engineer: 0 o•eo ° Address: 448 PROSPECT ST Lic Expire: 08/31/2018 Address: ° ° • ®° ® • ° • ° NEWPORT BEACH CA 92663 Bus Lic: BT30023771 Phone: 949-335-2380 Lic Exp Date: 0 613 012 01 9 Phone: State Lic: • • e °. Code Edit: 2016 Workers Compensation Insurance Designer: ° ° ° ° • ° ° Type of Construction: VB Carrier: EXEMPT Address: Occupancy Group: R31U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: .... ° Added /New sq. ft. Garage: 0 ° No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: I " Bldg Height: 0 Left: I ° ° ... Bldg Sprinklers: Right: / W ° ° ° • •. ° ° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $42.000.00 Building Permit Fee: $612.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 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 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $42.84 San Dist: $0.00 -Building Green Fee : $2.0 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOT FEE : $656. Plan Check Fee: $0.00 Fee Due at Permit Issuance : $656.84 PROCESSED BY: PUBLIC WO S APPROVAL: ZONING APPROVAL: PLAN CHE K BY: GRADING APPROVAL: APPROVAL TO Sl1E• OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also require$ the app icant 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 improved for the purpose of sale). ❑ I, a58wnei of T elproperty, 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 S'Sgnature 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 legalh sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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 P160"jOwner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I.haeab, affirm vndof penalty of per. r that I a nsed under provisions of Cha ter 9 (commencing with Section 00 f Di isio 3 of the Business and Pro od m ens is in full force and effect. Liconse-Class License No 61 f7 Date Contractor Signature &OFNERS' COMPENSATION DECLARATION NARNING: FAILURE -TO SEQURE 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 MAT AF COMPEIQSATIGN.•1)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - reby affirm upger penalty of perjury one of the following declarations: 1•11sue and•wiNmmaintain 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 drfhance of the work for which this permit is issued. Policy No. .• ave and %%I plait2ain 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' compensatlo. nce carrier and policy number are: • • • • Policy Number Expiration Date o gent • Phone # y that, in the performan or this rm' ' ed, I shall note loy any person in any manner so as to become subject to the workers' compensation laws of California, and agre should become subject t w c pe Ion on of Section 37 of the Labor Code, I shall forthwith comply with those provisions. Lure of Applicant areby affirm underbenalty of perjury that t—haillWaconstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder'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 provid IT t. I agree to comply with all applicable city and county or ' nces St aw ting to ding cc ruction. I authorize representatives of this city or county to enter ve-Iden ' 1 rope oses. nature of Pronertv Owner or Authorized Aaent _ t Property Owner's or Authorized Agent's ACTION DA7EI BY I REGULATIONS PART DECLARATION OF O610 TITLE 40 AND AQMD RULECE WITH CODE OF �L FOR OFFICE USE ONLY PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED N rn E C m Lom rn" Uo �o m W m A Z e ®av �Am°� 0 yea C �I U U U 0 0 W 13O CO C Q Z z OLL w Q � p V H Z W m Q W o OC 0 U � O LL c V W o WCO w ® v LLJ h V/ 6 Q m C N a) U N C N w w 0 +'� O 'O. pl L aS O O E. LL m j m 0 m 2. a) N cw a) m 7 w `� h O O. y a) a o a1 N O m m Q m N X ` O 0 Qm 0 O O 0:�i N Q1 '� •C .,..o m'aa. -O Ow N ta. a N o N D o c m c 2 y m cc)o� ° mma� ma) X Lo aa)i�a n. = oc p M O D)0 aF) ca ik O� CL m a a)L w C. 42 O C O a) -y C �N. m O48 Oa0. o0 o a ` 7 OQUUU Nn a) Oo m e O "m ..aN:3 a Q k y. 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