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Home My WebLink AboutX2020-0490 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MIFF PLUM 111111111111111111111111p11111111p1111111111111p1JillCOMB Permit: X2020-0490 X 2 0 2 0 0 4 9 0 Project No: Issued Date : 02/24/2020 Inspection Area : 8 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: 419 VISTA FLORA NB Description: MFR RE -PIPE (E) DWELLING (13) FIXTURES Legal Desc.: TR 6740 LOT 7 & FOR OF LOT 76 _ Owner: CROSS JOHN/SARAH Contractor: NEWPORT COAST ELITE Architect: Address: 419 VISTA FLORA Address: - 20701 BEACH BLVD #52 Address: NEWPORT BEACH, CA 92660 HUNTINGTON BEACH CA 92648 cc Phone: Phone: 949.873-3255 Phone: State Lic: 0 Applicant: JOHNINEWPORT COAST ELITE Con State Lic: 1018582 Engineer: Address: 20701 BEACH BLVD 952 Lic Expire: 09130/2020 -. Address: HUNTINGTON BEACH CA 92648 Bus Lic: BT30071152 Phone: 949-873-3255 Lic Exp Date: 02/28/2021 Phone: State Lic: Uj Code Edit: 2019 Worker's Compensation Insurance Designer: �! Type of Construction: VB Carrier: NO EMPLOYEES Address: Lam• Occupancy Group: R2/U Policy No: Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 Expire: Phone: No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 4 Front: / Bldg Height: 0 Left: I .. Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,250.00 Building Permit Fee: $168.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 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 WO 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 %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $15.12 $0.00 TOTAL FEE : $184.12 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $184.12 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: c u e.cc t o` 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 Iicensure 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). - ❑ 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 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 improved 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 apply 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 Iicensure under the Contractors' State License Law for the following reason: By 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 legall, sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Nisi n 3 of the Business and Profs ions Nee se is in full force and effect. License Class License No Date La2o Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 COST 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: 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 xmance 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' compensal rance carrier and policy number are: ie of Agent certify that, in the performance of if I should become.suDlect to the Policy Number Date 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 agre a7lon-pEqvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 1 s Dat� V24 ? ZA CLARATION REGARDING CONSTRUCTION LEN ING AGENCY lreby 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,"hate-la ting to building construction. I authorize representatives of this city or county t e Eer the ab / - B tM e y for inspection purposes. \ 1 1/ `�j/ �/ nature of Prooertv Owner or Authorized Aoent _ Print Property Owner's or Authorized Agent's Nam c.A 1.+- k (aih �� Z Z 7,� ACTION DATE BY 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( ' REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO •.• u• ° • • • ' " • ' PERMIT CANCELLED EIEPA " • • PERMITEXTENDED qMD : ° . PERMITFINAL ZD ASBESTOS NOTIFICA ?1&T ABL�•TO° CERTIFICATE OF PRO OSED E OLITION _ OCCUPANCYISSUED SIGNATURE: