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Home My WebLink AboutX2018-3850 - Permits,ewtP City of Newport Beach'- Building Division 4v 100 Civic Center Drive, Newport Beach, CA 92660 n Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type -BLDG INSPECTOR COMB Permit: X2018-3850 Project No : 2970-2018 Issued Date: 1 010 31201 9 Inspection Area: 1 ,E OR LAST VALID INSPECTION. �/�, •. V from 8:00 a.m. to 6:00 p.m. No work on Sundays or Hollrity.�• ° m ° Added /New sq. ft. Garage: 0 ` No of Stories: 1 BuildingSetbacks Rear: yr J c' S No of Units : - 0 Front: 0 Bldg Height: 0 Left: I..S J j n L` �v Som d Bldg Sprinklers: N Right: 61 Flood Zone: PERMITS EXPIRE 180 DAYS AFTER Use Zone: Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Job Address: 112 VIA SAN REMO NB Demolition Fee Description: COMM STORAGE UNIT 261 SF @ SAN REMO PARK Legal Desc.: TR 907 LOTS 215 TO 218 INC _ Owner: LIDO ISLE COMMUNITY ASSN Contractor: OWNER/BLDR Address: 701 VIA LIDO SOUD Address: AUTH AGENT: Overtime Plan Ck: NEWPORT BEACH, CA 92663 DAVID RAHN Phone. W • ® ° Phone: Applicant: TIMISIGOURNEY BRYCE Con State Lie O/B Address: 3552 E PAVO ST Lie Expire: Grading Permit Fee: LONG BEACH CA 90808 Bus Lie: Phone $0.00 Lie Exp Date: Code Edit: 2016 Worker's Compensation Insurance Type of Construction: VB Carrier: - Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 261 Expire: COMB Permit: X2018-3850 Project No : 2970-2018 Issued Date: 1 010 31201 9 Inspection Area: 1 ,E OR LAST VALID INSPECTION. �/�, •. V from 8:00 a.m. to 6:00 p.m. No work on Sundays or Hollrity.�• ° m ° Added /New sq. ft. Garage: 0 ` No of Stories: 1 BuildingSetbacks Rear: yr J c' S No of Units : - 0 Front: 0 Bldg Height: 0 Left: I..S J j n L` �v Som d Bldg Sprinklers: N Right: 61 Plumbing %: TOTAL FEE : $2,074.76 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 Plan Check Fee Flood Zone: X Use Zone: Parking Spaces: Fire Plan Rev Construction Valuation: $80.000.00 Demolition Fee $0.00 .. Building Permit Fee: $973.00 Excise Tax: $0.00 Plan Check Fee:. $846.51 Additional Fee: .$0.00 O •OOe••UJ Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 W • ® ° Investigation Fee: $0.00 Grading PC Consultant: $0.00 Record Management: $40.00 Grading Permit Fee: $0.00 ANDREASEN JEREMY Energy Compliance: $0.00 Grading PC Fee: $0.00 �+s • moo omm CA Seismic Safety: $0.50 WO Insp. Fee: $0.00 �mmomoo Disabled Access `. $87.00 •• m m • ° momo Hazardous Mat $0.00 . Electrical %: $0.00 Building Green Fee: $4.00 Mechanical %: .$0.00 Plumbing %: TOTAL FEE : $2,074.76 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 Plan Check Fee OIB FORM ATTACHED NOISE FORM RECEIVED Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $123.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department oJ e•oe � me•000 $0.00 Fire Plan Rev eeeo Demolition Fee $0.00 Building Dept Adm 0 L.om Z Y'' . o LU a e o o Refund Deposit Grading Bond: Architect: Address: SIGOURNEY BRYCE 3552 EPAVO ST O •OOe••UJ LONG BEACH CA 90806 i-- • • W • ® ° Phone: State Lio:C036936(mm`•: �.••••oo ao•oo Engineer: ANDREASEN JEREMY rY ° Ujem•am° Address: 3301 CST BLDG #100-B �+s • moo omm m o 0 �® c SACRAMENTO CA 96816 �mmomoo Phone:. 916.341-7760 State LieS-005123 •• m m • ° momo oom Z Designer: 0• 0 Address: Phone: Z Special Conditions: LIQUEFACTION AREA OIB FORM ATTACHED NOISE FORM RECEIVED Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $123.75 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $846.51 Fee Due at Permit Issuance ; $1,228.25 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: �� 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 $846.51 Fee Due at Permit Issuance ; $1,228.25 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 penaltynf not more than five hundred dollars ($500). e ❑ 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 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 ald Adtl1tended or offered for sale. If, however, the building or improvement is sold within one year ofcompletion, the Owner -Builder will have the burden of proving that it was not built or ii jgvgo for the ggrpise of sale). ❑ I, as owner %fhepfoperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not _ 04y than owner sf property who builds or improves thereon, and, who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I%tn exempt trpgr licensure under the Contractors' State License Law for the following reason: V grySignature belowl acknowledge that, except for 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 legal th sell astructure at Mave built as an owner- builder if' has not een constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectof the Business and IJw1wions CoQa„is 2yailable upon request when th' appli on' ub Itted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. $Wpglpfe of PrOpertyOwner or Authorized Agent �/ ��d71� Date/3 Z� �LggV;ED CONTRACTOR'S DECLARATI� 1,hareb affirm uwder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Coy license is in full force and effect. LicoeAletaiss License No Date Contractor Signature IVORR RS' CQMP6NSATION DECLARATION NARNING: FAILURE7G 6GCURE 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 TH' COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: J 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. ]I 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' compensatioi Isurance carrier and policy number are: :arrier Policy Number Expiration Date lame of Agent Phone # 11 certify that, in the pe rmance of a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and ogre rat, if I should become s bject to h wo ke ' pmpensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / % - ignatureofApplicant �-” Dat DECLARATION REGA DIN O TRUCTION LENDING AGENCY hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the I have read this application and the information I h: I agree to comply with all applicable city and cou I authorize representatives of this city or county tfi owner's behalf. e9d is correct. :es and state laws relating to building construction. gaye-identified property for inspection purposes. FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED QMD PERMITFINAL �..f r?� p��I WSBESTOSN IFI TION IS NOTAPPLICABLE TO CERTIFICATE OF I PROPOSED DE 00 PON OCCUPANCYISSUED GNATURP: