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Home My WebLink AboutX2019-4021 - Permitse�rY'6 City of Newport Beach - Building Division a 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 ai Inspection Requests Phone (949)644-3255 r"rdsr�trw'�' Combination Type - SFP COMB Permit: X2019-4021 IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No: Issued Date : 1 211 612 01 9 Inspection Area : 4 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: 1807 PORT MARGATE PL NB Description: SFR T/O (E) 27 SQ, INSTALL BORAL SAXONY 600 SLATE, 5.7psf, CLASS 'B' Legal Desc.: N TR 6621 LOT 51 Owner: BROULETTE Address: 209 BARNES RD Record Management : TUSTIN CA 92782 Phone: $0.00 Applicant: MALIN ERIC Address: 1494 SANDBAR DR Hazardous Mat SAN MARCOS CA 92078 Phone: 424-234-1323 Code Edit: 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $17.550.00 Building Permit Fee: $324.00 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 TOTAL FEE : $325.00 PROCESSED BY: ZONING APPROVAL: Contractor: MALIN DEVELOPMENT INC Address: 1494 SANDBAR DR Bus Lia SAN MARCOS CA 92078 Phone: 424-234-1323 Con State Lic: 1023917 Lic Expire: 02/2812021 Bus Lia BT30070261 Lic Exp Date: 12131/2020 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9202634 Expire: 12/3112020 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: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 rp d p p p P1.1.91 -I0 WORKS APPROVAL: Lpu G G4 pp PLAN CHECK BY: GRADING APPROVAL:pAFr�F20VAL TO ISSUE: o a p p ( ce o. o ao oe o ppc cpp � c up pe poo Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 rp d p p p P1.1.91 -I0 WORKS APPROVAL: Lpu G G4 pp PLAN CHECK BY: GRADING APPROVAL:pAFr�F20VAL TO ISSUE: o a p p ( ce o. o ao oe o ppc cpp � c up pe poo 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 he 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 'rofessions 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 lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 Ipply 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: 3y 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 legall) ;ell 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 )rofessions 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 -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 g jSion �of the Business and Profe s' e, a Iicen is in full force Ind effect. License Class License No Dat ! 4, /!7 Contractor Skmatur YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS ($100,000), IN ADDITION TO THE :OST 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 erlrrmance of the work for which this permit is issued. Policy No. have and will m;�ttltaifl workers' compensation insura?T, 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 an oolic number arab t ie of Agent certify that, in the performance of the work if I should become subje`ct to rker�s' III I/', �./ Expiration Date ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f I , X -reby affirm under pe%alty 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. I agree to comply with all applicable city and count ordin es a d state laws r ting to building construction. I authorize representatives of this city or county t�nter th-identifi perty 1] r inspection purposes. i BY L I DECLARADEIN OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 ••• ••• .. PERMIT EXPIRED I I I ❑ I SUBMITTED ASBESTOS PERMIT EXTENDED ❑AQN PERMITFINAL"� CERTIFICATEOF t2/jiV 12J2/ ASBEST PROPOSED OCCUPANCY ISSUED arNATIIR Owner's or Authorized AD I FOR OFFICE USE ONLY ICATION+fO . .1 . KICABLE TO 12 o a�{ E h 73 O €Qi N X d w a m y ar v P N •, rn M�J d °W °D mc 46 '@ owENa ac0 E 0 .6 —x M o0 ww 9a 2N . 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