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Home My WebLink AboutX2019-3201 - Permits1 City of Newport Beach - Building Division II I�I�IIIII ��III�IIIIIIIIIIII�IIIIIII�III� II COMB Permit: X2019-3201 6 ` 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 2 0 i Project No : 2211-2019 r. Permit Counter Phone (949)644-3286 i3 Inspection Requests Phone (949)644-3255 Pr {aa Combination Type - BLDG Issued Date: 10/08/2019 0 Inspection Area : 3 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 an Sundays or Holidays Job Address: 1600 KENT LN NB Description: EXTEND HEIGHT OF EXTG WALL FROM ST" TO 7'9" MAX x 136 LF Legal Dese: N TR 1896 LOT 48 Owner: SORENSEN CHRIS & CATHY Contractor: NEWAVE CONSTRUCTION Address: 1600 KENT LN - Address: 769 NEWTON WAY NEWPORT BEACH CA 92660 COSTA MESA CA 92627 Phone: Phone: 949-293-9507 Applicant: NEWAVE CONSTRUCTION/GORY Con State Lic 987857 Address: 769 NEWTON WAY Lic Expire: 10/31/2019 COSTA MESA CA 92627 Bus Lic: BT30069218 Phone: 949-629-5005 Lic Exp Date: 10/31/2020 Code Edit : 2016 Worker's Compensation Insurance Type of Construction: Carrier: STATE COMP Occupancy Group: U - Policy No: 9084846 Added /New sq.ft. Bldg: 0 Expire: 0110412020 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 10 No of Units : 0 Front: 20 Bldg Height: 0 Left: 4 Bldg Sprinklers: Right: 4 Flood Zone: Use Zone: R-1 Parking Spaces: 0 Construction Valuation: $8,000.00 Building Permit Fee: $412.00 Excise Tax: $0.00 Plan Check Fee: $365.00 Additional Fee : $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 Record Management: $10.00 Grading Permit Fee: $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Else ical %: $0.00 Building Green Fee : $1.00 Mach nice] %: $0.00 Plum ing %: $0.00 TOTAL FEE`. $82'$.00 I Plan Check Fee PROCESSED BY: ZONING APPROVAL: !1 Na�LzGTQR Architect Address:. • ° Phone: State Lic: a•a• Engineer: WANKET NEAL ••°° ...... Address: 30095 WILLOW DR RIVERSIDE CA 92591 ° Phone: 951-506-6507 State Lic:C-068856 •°-°•• 00 Designer: Address: a• . Phone: Special Conditions: 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 $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due PUBLIC WORKS PLAN CHECK BY: GRADING APPROVAL: IF APPROVAL TO ISSUE: Qoa nova° $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Issuance: $828.00 aeon °vaa. ° Guu A° o °ma°e a ° ° • 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 he 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 3rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation ofiSection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall7 sell a structure ttlat I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, -is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nignatuce of Property owner or Authorized Agent Date „rCE10$ED COWMCTOR'S DECLARATION 4ere4y affirm ur?W1 penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70b0) of Division 3 of the Business and Profess' S Cydc+ and my license is in full force Ind ef ett. License Class License No 6L90 Qj5 c7 Date O Contractor Signature 14AR�ERS' Ca,OMPE;NSATION DECLARATION rAFM!FAILURE Sa? SEtURE 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 :DST OF COMPENS4TIC94DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'9 FEES. `lie'relry affirm u`rrJec penalty of perjury one of the following declarations: ••• ,.Jeep and wiltmaintain 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 th rmance of the work for which this permit is issued. Policy No. E and will mainlain 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 Mauna carriej9l� policy number are: ��]] ;ame S`�'CS"`t—.Jr+L� Policy Number -1 n Li Qi I-lG Expiration Date e of Agent Phone # :1I 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 agre hat, if I should become subject /to,}ke workers c--o-mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant D �0 -8•-1 )ECLARATION REG G CONSTRUCTION LENDING AGENCY hereby affirm under ally 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). -enders Name Lender's Address 3y my signature below, 1 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. 1 authorize representatives of this city or county to enter the ve-identified property for inspection purposes. Signature of Property Owner or Authorized Agen-----Print Property Owner's or Authorized Agent's Name ti e_ mog:: D ACTION DATE BY D LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART61 OF TITLE 40 AND AOMD RULE ' PERMIT EXPIRED V I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED OMD PERMITFINAL BESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF —'Q.Z 7 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: