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Home My WebLink AboutX2019-2072 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII� COMB Permit: X2019-2072 A: +ts' 100 Civic Center Drive, Newport Beach, CA 92660.. x 2 0 1 9 2 0 7 2 Project No : 0345-2016 Permit Counter Phone (949)644-3288 x'" Inspection Requests Phone (949)644-3255 "�tsnw'ex� " Combination Type - SFP ELEC MECH PLUM Issued Date: 0710212019 9 Inspection Area : 6 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: 18 BELCOURT DR N8 Description:. SFR REMODEL KITCHEN 8 BATHS 400 SF Legal Desc.:. TR 11451 LOT 1 UNITS OF PROJECT LOCATED ON AP 442-371-05 TOGETHER Owner: Address: Phone: Applicant: Address: Phone COLE DIXIE 18 BELCOURT DR NEWPORT BEACH, CA 92660 DIAL GARY 18 BELCOURT DR NEWPORT BEACH CA 92660 Code Edit : Type of Construction:. Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: 2016 V -B R31U 0 0 Building Permit Fee: $833.00 Plan Check Fee: $61.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $1,111.60 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: GARY GENE DIAL Architect: Address: 18 BELOCURT DR Address: NEWPORT BEACH CA 92660 Phone: 949-633-1465 Phone: State Lic: Con State Lia 254690 Engineer: Lic Expire: 02129/2020. Address: Bus Lic: BT30066705 Lic Exp Date: 0413012020 -. Phone: State Lic: Worker's Compensation Insurance - Designer: -BLACKMORE JASON Carrier: WC EXEMPT Address: 2735 DE SOTO AVE Policy No:. (NO EMPLOYEES) COSTA MESA CA 92626 Expire: Phone: 949-274-6585 Building Setbacks Rear: I Special Conditions: Front: I Left: Right: Use Zone: 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: Grading Bonds Fee: $0.00. Fair Share : $0.00 Fire Plan Rev 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 Grading PC Fee: $0.00 Public Works Department- General Service WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit PAN Plan Check: $0.00 Grading Bond: Electrical W $58.31 San Dist: $0.00 Mechanical %: $33.32 NMUSD Fee: $0.00 Plumbing %: $74.97 $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 : $1,111.60 `PLtBL1CW6RkS4PP#,OJAL: 4 GEJ4 4 4 B B PLAN CHECK BY: "c `. i`P.PRIfOV2L`dO`d�SUk:`e. s O &GL UU e, 4 VVC vV 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 U 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 m roved 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 legally yell 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.html. Signature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of per'ury that I am licensed under provisions of Cha ter 9 (commencing with Section 700) of D,iv�iory3 oof the Business and Profeeeiiij igi s Code nd my liceyse-ia I rce and effect. License Class License No .:� Ll/_ g'r, Date �W_Z /a, a Contractor Signature � YORKERS' COMPENSATION 6ECLAPATION / IARNING: FAILURE TO SECURE 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 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: I 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' rance carrier and policy number are: of Agent Policy Number Expiration Date Phone # certify that, in the performance of the work for which this ermit lsjIqued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree Qf I should become subject to the ww9r ' compens n ovi ' of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant/ Dat CLARATION REG CONSTRUCTI N LENDING A ENCY baby 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. �� / h I have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and cou ty ordinances and state law relating to building construction. '/ ,es 1 authorize representatives of this city or count enter the -identif' o rty for inspection purposes. �'/'// J/( w nature of PrODertv Owner or Authorized ADent Print ProOertv Owner's or Authorized AGent's Name /� t ACTION DATE BY DEC TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY G-- REGULA NS PART 61 OFTITLE 40AND AQMD RULE 1403 \ •• aa• ••• J PERMIT EXPIRED UISUBMI BD•ASBESTOSNOTIf'ICATIONT PERMIT CANCELLED UEPA • • •c • a PERMIT EXTENDE QMD PERMITFINAL SBESTO NOTIFICATIO SNOTAP CAB TO CERTIFICATEOF PROPOSED MQililO• • •:• OCCUPANCY ISSUED SIGNATU • Y • Y •• •Y• • • ••• of •••