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Home My WebLink AboutX2019-3902 - Permits"X20193902" COMB Permit: X2019-3902 Project No : 2695-2019 Issued Date: 1 210 912 01 9 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY OR PERMIT WILL BE INVALID 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: 421 POINSETTIA AVE N8 Description: MFR DRYWALLIFRAMING REPAIR IN KITCHEN AND BATHROOM 150 SF Legal Desc.: CORONA DEL MAR BLK 442 LOT 15 Owner: City of Newport Beach - Building Division Address: 421 POINSETTIA AVE 8 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone Phone: (949)644-3288 Applicant: Inspection Requests Phone (949)644-3255 r�x,nnns Combination Type - MFP ELEC MECH PLUM "X20193902" COMB Permit: X2019-3902 Project No : 2695-2019 Issued Date: 1 210 912 01 9 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY OR PERMIT WILL BE INVALID 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: 421 POINSETTIA AVE N8 Description: MFR DRYWALLIFRAMING REPAIR IN KITCHEN AND BATHROOM 150 SF Legal Desc.: CORONA DEL MAR BLK 442 LOT 15 Owner: MOSICH GINA & NICHOLAS Address: 421 POINSETTIA AVE Z NEWPORT BEACH, CA 92625 Phone: 714.812-6818 Applicant: ALLENSWORTH SAM `- Address: 26021 PALA ST#150 Bus Lie: MISSION VIEJO, CA 92691 Phone: 949492-1161 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Contractor: DRYMASTER Address: 26021 PALA #150 Z MISSION VIEJO CA 92691 Phone: 949.492-1100 Con State Lie: 959916 Lie Expire: 0413012021 Bus Lie: BT300613173 Lie Exp Date: 05/31/2020 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9217814 Expire: 0912412020 Building Setbacks Rear: I Front: I Left: I Right: I Architect: .o Use Zone: Address: Z Fire Hazard Zone : N Construction Valuation: 930.000.00 Phone: State Lie: W 'LJ Engineer: WICKSTROM ERIC ' r� Address: 26581 VIA PRIMAVERA /�q�� Planning Department- SAN JUAN CAPISTRANO CA 92675 � t 1t�^'•Jy Fire Department Phone: 949-454-8045 State Lic:S-00398n Additional Fee : Designer: Plan check Fee : _ Address: Fire Inspection: $0.00 Phone: $0.00 Grading Bonds Fee: Special Conditions Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: 930.000.00 Building Permit Fee: $526.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $457.62 Additional Fee : $0.00 Plan check Fee : $40.00 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 : $6.00 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $36.82 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $21.04 NMUSD Fee: $0.00 $0.00 Plumbing %: $47.34 $0.00 TOTAL FEE : $1,136.82 Plan Check Fee: $1,136.82 Fee Due at Permit Issuance : $0.00 PROCESSED BY: - PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 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). 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, lusiness 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 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). J 1, 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 pply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 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) of Division 3 of the Business and Professions Code, and my license is in full force nd: affect. License Class License No Date Contractor Signature VORKERS' 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 CbMPENSATION, 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 the erformance of the work for which this permit is issued. Policy No. 11 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' compensatior Isurance carrier and policy number are: Policy Number of Agent Date certify 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. of Dale CLARATION REGARDING CONSTRUCTION LENDING AGENCY weby 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. 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 laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. nature of ProDertv Owner or Authorized Aqent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY a REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMITCANCELLED PERMITEXTENDED PERMITFINAL !/ ` Dom' U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF "y PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: