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Home My WebLink AboutX2019-3754 - Permits,„ City of Newport Beach - Building Division COMB Permit: X2019-3754 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 7 5 4 Project No :1911-2019 H :.'_. �: Permit Counter Phone (949)644-3288 0 Inspection Requests Phone (949)644-3255 r'd<areta�`` Combination Type - SFP ELEC PLUM Issued Date : 1112512019 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: 1030 SANDPIPER OR NB Description: DELTA 3 -ADDED SCOPE REMODEL ADD'L BATHROOM. R/R SHOWER TILE, FIXTURES (X2019-3754) Legal Desc.: N TR 3660 LOT 31 Owner: LANE FELICIA & PANAY Contractor: OWNERIBLDR Architect: Address: 1030 SANDPIPER DR Address: HART JEFFERY S Address: CORONA DEL MAR, CA 92625 FOR OWNER Phone: Phone: Phone: State Lie: Applicant: STANS CHRIS Con State Lie: O/B Engineer: BOROSSAY ARPAD STEVE Address: 616 S EL CAMINO REAL ST Lie Expire: Address: 5260 HARVEST CT SAN CLEMENTE, CA 92672 Bus Lie: OEANSIDE CA 92507 Phone: 801-547-7017 Lie Exp Date: Phone: State Lic:C-023312 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: INOR EC Added /New sq. ft. Garage: 0 V I TO No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: - Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $152.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $132.24 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $10.64 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $13.68 $0.00 TOTAL FEE : $309.56 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $309.56 e0 eco 0 0m0 000 05,0 PROCESSED BY: cc o -`� E o o 0 0 o e PUBLIC WORKS APPROVAL: e A/� A ZONING APPROVAL: - 1 AIA PLAN CHECK BY: GRADING APPROVAL: ` ` ° ` ` ` v c ` ®� 0 e APPROVAL TO ISSUE: � 00 000 0 0c 000 000 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 1e 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 of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Cade: 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 nprovements 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 n 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 p 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 m exempt from licensure under the Contractors' State License Law for the following reason: ly 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 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 7044of the Business and 'rofessions Code, is available upon request whiK INS application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Age t Ptlie i) .ICENSED CONTRACTOR'S DECLARATION / hereby affirm under penalty of perjury that I am licensed under pr visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature 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 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: Policy Number Date of Agent Phone # �I ertify 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 Ia if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant t�y� 1 DECLARATION RE R ING CONST WL -END NNG AGENCY ,/`jj hereby affirm under penalty of perjurytha here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vil 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 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 county ordinances and state Is I authorize representatives of this city or county toprnterpae-al?ove-idpRttflf BY PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED I= g to building construction. for inspection purposes. Print ProDertv Owner's or Authorized WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• • • ••• SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOTAPPLICABLE TO Name • tip—' ••• ••• •• • • ••• ••