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Home My WebLink AboutX2019-4034 - Permits�;gSY1 City of Newport Beach - Building Division k. 100 Civic Center Drive, Newport Beach, CA 92660 Ek. Permit Counter Phone (949)644-3288 r-- Inspection Requests Phone (949)644-3255 Combination Type - SFP COMB Permit: X2019-4034 IIIIIIIIIIII�III�IIIIIIIIIIIIBIIIIIIIIIIIIu Project No: 2777-2019 Issued Date : 06/17/2020 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED SY OCV1812023 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: 706 MARIGOLD AVE NB Description: TEMP. SHORING FOR NEW SFR W/BASEMENT Legal Desc.: Owner: INOUYE WAYNE Contractor. JOHN STEED HOMES Architect: JEANNETTE JEFF Address: 703 HELIOTROPE AV Address: 16252 CONSTRUC. CIR EAST #C Address: 325 QUINCY AVENUE CORONA DEL MAR CA 92625 IRVINE CA 92606 LONG BEACH CA 90814 Phone: Phone: 949-697-5652 Phone: 562-987-9139 State Lic:C030598 Applicant: OSORIO STEPHANIE Con State Lic: 769804 Engineer: CHOI DAVID Address: 209 TEMPLE AV Lic Expire: 1013112021 Address: 1327 LOMA AVE LONG BEACH CA 92803 Bus Lic: NEW LICENSE LONG BEACH CA 90804 Phone: 562-987.9139 Lic Exp Date: 0613012021 Phone: 562-961-5600 State Lic:S-004784 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: V-BSPR Carrier: BENCHMARK INS COMPANY Occupancy Group: R3/U Policy No: CST5017088 Added /New sq.ft. Bldg: 0 Expire: 09N5/2020 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parkino SDaces: 0 Construction Valuation: $76.000.00 Building Permit Fee: $573.00 Plan Check Fee: $948.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 Designer: I Ida q P E Address:tl y3 +' Phone: Special Conditions: HIGH DENSITY AREA NO CONSTRUCTION NOISE Excise Tax: $0.00 Planning Department - Additional Fee, $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $1,524.00 Plan Check Fee •1 0 000 a 000 0 PROCESSED BY: e e o a o e 000 00�' 0W0 0 ZONING APPROVAL: GRADING APPROVAL: 0 0 0 °0 0 00 0 0 ® e o 0 0� o ea oeo $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $917.00 Fee Due at PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $607.00 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 to 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nproved for the purpose of sale). 7 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy 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:// v .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 Profes;ions�Code, and my license is in full force nd effect. License Class a License No Z 6 `1FOy Date 6 -Q-10 Contractor Signature� �?� VORKERS' COMPENSATION DECLARATION VV 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: TI 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 thI ,Ihrr rmance of the work for which this permit is issued. Policy No. All ve 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 isprice rice 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 agree t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �l nature of Applicant 'l r� �l Date 6'17-7A CLARATION REGARDING C NSTRUCTION LENDING AGENCY )mby 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 ant the the ar��vy� Identified property for inspection purposes. nahlre of Prnnerty Owner or Authorized ADent TAIL_ ,>D`�- Print Prooertv Owner's or Authorized ADent's Named __J eL� JUJ 6�G7-vT0 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••• • ••• PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO ' • '� PERMITCANCELLED EIEPA ' PERMIT EXTENDED UAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 8'�Z-1 Fn PROPOSED DEMOLITION ••. • • • ••• •• • • • • • • • • • • OCCUPANCY ISSUED ? SIGNATURE 00o Joo Vee o e o00 00�