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Home My WebLink AboutX2019-0226 - PermitsCity of Newport Beach ® Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIilllllllllllllll COMB Permit: X2019-0226 ` 100 Civic Center Drive,!Nemwrt B2aach,' 1`•a 9Z6.60 m �, x 2 0 1 9 0 2 2 6 Project No: .. q � rw . Permit Counter Phone �n949)644-3289 • • • • • lro 1. v,. Inspection Requests Rhone (9d9)A4d3;!56° m • ° o . �' • yzAcF Combination Type - SFP ELEC Issued Date ... • Inspection Area : 6 .. a •m .° • . i °° o ° ° • iPERM17:',EX)lE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction u Mo ork on Sundays qr Holidays Job Address:.10 KINGSPON. ). Description. SFR REMOV 7 WINDOWf S AND 6 FR.DOORS AND REPLACE WI WINDOWS AND 9 FR DOORg "NOH ADE tR THANGES• RMV CRIPPLE Ifa�3 Ql; T1�N U� E_ -EC Legal Desc.: ®u`a e: '-% % {� !i app is aul8. A' a 7 Owner: GHADIMI11M Contractor. RE:Ar1DgFSEN O�t7��o)S[cl}itpct-1 100%refUradAddress: 10 KINGSPOR DR res 100 dr s.NEWPORTBE CH, A 92657 P, 6532hnu Phone tOWhVil le: S eLl •� Applicant: RENEWAU 4BY NO C Con State Lie: 990416.. Engineer: Address:. 22982 ALULD DR #100 Lie Expire: 02/2912020 Address: LAGUNA HILL CA 9 Phone. 714-259-51'b E Phone: S to Li A Code Edit /�� 20 6 eJpensal ur Designer: Type of Construction. }J..V-. CarrEVEREST NATIONAL Address: Occupancy Group: )e;. R3 U Policy. No: MWC31416800 Added /New sq.ft: Bldg: �� 0 Expire: 10/01/2019 Phone: Added /New sq. ft. Garag}i: 0No of j'� No of Units : 31 S ca( n9 l f Rront: / D r: Ii s i.d fa dl �I a 1 0 BldgHeight: Pro Left: / (no work started) BldgSpink dg Sprinklers: (work started) Right I Flnnd 7nna- Ilse 7nna: Parkinn Snaeeat n Fire Hazard 7nne< N Construction Valuation:R26.00 .00 d Building Permit Fee: 't$48 .00 Excise Tax: $0.00 Planning Department - Fire Depa e Plan Check Fee: $419.34 Additional Fee :. $0.00 Plan check Fee : Insp. ini¢gadlg; Insp It $0.00 Overtime Plan Ck $ ..0 air are $0.00 Fire Plan v i $0.00 Investigation Fee: $ nn11b. Ite Record Management: $0.00 Grading Permit Feer $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 PIN Plan Check :. $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical%: $33.74 San Dist: $0.00 Building Green Fee ; $2.00 - Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $977.08 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $977.08 PROCESSED BY: y 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 ohesk mark(sl thaveplaced next to the applicable item(s) an (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, & repair ystriicture, poor 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 (Ch*terV(tomRlencifig witR SeCtlbb 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 penalty of not more than five hundred dollars. ($500. • • • • • b ❑ I, as owner of the property, .o¢'mY mployees wl wag °LTR@ r. portions of the w(f�k �and�he structure is not intended or offered for sale (Section 7044, Business and Professions CoddThe ontractors' State License Law does not apply to an owner of props y w e�0>rpafgggata_ff_.(ui builds qr im($ro;as the property, provided that the improvements are not intendadrof off red f Afid however, the building or imp^ovement is sold within one year of completion, y� Q�per-Buy'l'�aer�w il�ila�'fj�� purtlglT of roving that it was not built or im roved for the purpose of sal. — ''{{ � r� 5.,1 i? 1, as owner of the property, am a lust vel contracting with licensed Contractors to construct the project (Sec ion 7044, gu �U�a cions Code: The Contract ' St; Je License Law does not ap ly to an owner of property Afio b ds o arson o c cts the. ojec ith a licensed Contractorr�ursuant to the Contractors'. State License La I am exempt from licensure',-bnd the ontracto Stat cense La Y he i r on:L1 0 By my signature below I ackno�Nledg that xcapt f y pe nal i ave resiEcontr e year prior to comp a Ion o t p co red y this permit, I cannot legally sell a structure that 1 have built:as a own has n - s m it it understand that a copy of the applicable law, Sec n 70 4 of the Business and Professions Code, is availableupon quest when this application is submitte or a the Ilo ebgitcgKf§w.html. 1s1 Signature of Property Owner or Aut rize e LICENSED CONTRACTOR'S D C hereby affirm under penalty of perj th I c ed u vis of apt 9! o e 1 0� of 9Q,Ivision 3 of the Business and Profession de, y,license is in full force and effect. License Class icense ', t 5j ^ Contractor Signature INORKERS' COMPENSATION EC NARNING: FAILURE TO SECURE WORKER COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TOC PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN 'DOL I S ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES ASP ONDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of pe :11 have and will maintain a ce ierformance of the work for which �^ have and will maintain worker compensation rancecarrier andaoli"numbe are: g declarations: Policy Number, 1e of Agent I VIJLC certify that, in the perfompance f e work for which this permit is . if I should become subie o mpensation provisic ' sation, issu by a toj of Industrial Relations as provided for by e6 t1g S Section 3700 of the La da, h� mfdwopl Iai 0 s pe M / (_yc �,4 �� cp (no work sta{�n Date (� Phone # ued, I shat no emp r41R.a o as to become subject to the workers'( of Section 3700 of the Labor Code, I shall forthwith comply wl _ nature of Applicant—'r CLARATION REGAR ING C STRUCTION LENDING AGENCY'- Heby affirm under penalty of perjury that there. is a construction lending agency for the performance of the work for which tni. 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 o dinanc and state laws relating to building construction. I authorize representatives of this city or county to anta,i�rttified property for inspection purposes. nature of ProDertv Owner or Authorized ADent 17 11YYYY`��`�� - Print Property Owner's or Author ACTION DATE BYREGULAATTIONS PART 61 O TION OF COMPLIANCE TIITLE 40 AND QMD RULE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED I I I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED UAQMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: of the Labor Code, for My workers' laws of California, and 1 • 19