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Home My WebLink AboutX2017-3851 - PermitsgNto r City of Newport Beacj, -.Balding Division ' rah 100 Civic Center Dd0> N€+hoort°Babd GA y26600 Permit Counter Phone,(949)6�432,8� • •„ :•• v Inspection Requestskone E949)@44-35 ''zrxna's`' Combination Type - MFP ELEC MECH PLUM �X I�I� 2�Ill 0�ul 11 111 7�u 3 l�l�l 5llll 1 II • , AERMIT6 E!PIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction 6q;:,Monl y - Rriday is 0 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work Job Address: 3408 MARCUS AVE Nff • • Description: MFR - KITCHEN & BATH REMODEL 345 SF & REPIPE "WORK IN PROGRESS" Legal Desc.: CANAL SECTION BLK 334 LOTS Owner: WU ERIC Address: 1206 E LEXINGTON AVE POMONA CA 91766 Phone: 909-538-7347 Applicant: LEE JAMES Address: 2511 CASATA GLEN #25 ESCONDIDO CA 92025 Phone: 858-201-8826 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units: 2 Bldg Height: 0 Bldg Sprinklers: Valuation: Building Permit Fee: $592.00 Plan Check Fee: $515.04 Overtime Plan Ck: $0.00 Investigation Fee: $592.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 Contractor Address: Phone: Con State Lie: Lie Expire: Bus Lie: Lie Exp Date: OWNERIBLDR O/B Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $41.44 $23.68 $53.28 II TOTAL FEE: $1,856.94 Plan Check Fee 1 PROCESSED BY: ZONING APPROVAL: (�C/ COMB Permit: X2017-3851 Project No : 2701-2017 Issued Date: 12/1312017 Inspection Area : 1 I' # S�tq�a}r� er,�olidays i, Architect: LEE JAMES Address: 2511 CASATA GLEN #25 ESCONDIDO CA 92025 Phone: 858-201.8826 State Lic:CO29009 Engineer: Address: Phone: Designer: Address: Phone: State Lie: Special Conditions: O/B FORM ATTACHED Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $37.50 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $515.04 Fee Due at Permit Issuance : $1,341.90 PUBLIC WORKS 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 beldtby thachDcT0m Vrk{s)1 Rave paced 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 gdy stlticturq j7ridr 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 byany 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 U all of or L) portions of the work,.1nd4he s1rgplure is not intgild0d os®ffered for sale (Section-7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' oc 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-Builler R flave tine bump of proving that it was not built or improved forth - a purpose of sale). ❑ I, as ownerof 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 licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence i ich- ust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been cons t in its tirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request whe t is application is sub he following Web site:hftp://www.leginfo.ca.gov/ralaw.html. 1 ,� Signature of Property Owner or Authorized Agent Da LICENSED CONTRACTOR'S DECLARATtOttll� I hereby affirm under penalty of perjury that I am licensed under provisions Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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. I 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 performance of the work for which this permit is issued. Policy No. I 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' compensatiol insurance carder and policy number are: Policy Number of Agent Date �ertify that, in the performance of the work for is rmit 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 if I should become subject to the workers' Ir pen ti provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ( Y ignature of Applicant Date �'/I b` iECLARATION REG ING CONST N G A ENCY hereby affirm under penalty of perjury that ther is construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address Iy 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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinance s e la relating to building construction. I authorize representatives of this city or cour+jy�o enter the a0 ve-iden roperty for inspection purposes. .;....n, -f D. 4,, n,.rno r A..fhnn,,.d Anent Y Print PrODertv Owner's or Authorized AGent's Name Date DATE I BY CLARZEGULATIONS PART 1 OFTIIT E 40AN AQMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY NOTIFICATION TO PERMIT CANCELLED PERMIT EMENDED PERMITFINAL tj.Zq.-J J Nry I UASBESTOSNTIFICA GNISNOTAPP CABLE TO CERTIFICATE OF I 1 PROPOSED DE OLITION OCCUPANCY/SSUED SIGNATURE.