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Home My WebLink AboutX2018-0408 - Permitssx�,yk City of Newport Beach - Building Division o A 100 Civic Center Drive, Newport Beach, CA 92660 r. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 °'+trrniti'P*> Combination Type - MFP *X2018-0408* COMB Permit: X201 Project No : 0339-2018 Issued Date : 0310612018 Inspection Area : 5 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: 309 112 IRIS AVE NB Description: MFR INSTALL (1) NEW WINDOW OVER THE EXTG STAIRWELL Legal Desc.: CORONA DEL MAR TRACT BILK 235 OF PROJECT 930-25 LOCATED ON AP v '� Owner: DOMENICO ANTHONY Contractor: OWNER/BLDR Architect: MENARD NATHAN L. 9 Address: 309 IRIS AVE 112 Address: Address: 206 W 4TH STREET SUITE 226 CORONA DEL MAR, CA 92625 SANTA ANA CA 92701 Phone' Phone: Phone: 714-552-2722 State Lic:CO27019 Applicant: DOMENICO ANTHONY Address: 309 1/2 IRIS AVE CORONA DEL MAR CA 92625 Phone: 949-279-4336 Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: _$1 Building Permit Fee: $97.00 Plan Check Fee: $84.39 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $279.89 PROCESSED BY: ZONING APPROVAL: Con State Lic: O/B Lic Expire: Bus Lic: Lic Exp Date: 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: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire 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 State Lic: Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: .nd.00' , $0.30 :$0.00 ' gp,.on, "SO.JO ' i0.00 $0.00 $0.00 Plan Check Fee : $279.89 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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). ❑ 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 ments area of 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 I oH� purpose of sale). Ia 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: By my signature below I acknowledge that, except for my personal residence i h I must 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 own - uilder if it has not begA con ru d i Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 f the usiness and Professions Code, is available upon requestw n t i " lica' is su a wing Web site:http://www.leginfo.ca.gov/calaw.html. �� Signature of Property Owner or Authorized Age ( to LICENSED CONTRACTOR'S DECLA TIO I 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 Prof s' ode m s is in full force and effect. License Class License No Date 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: ❑ 1 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 3erformance of tte vrcrk for which this permit is issued. Policy No. hav= and will namtain 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 aduce carrier andpolicy number are: rier Policy Number Expiration Date n,= or Agent Phone # c�,.3i(y that, in the,performance of the wor r which thi rmit is issued, I shall not employ any person in any manner so as to become subject to the rkers' compensation lWs of California, and agreE If 1 1hould become subject a wo COmp9p&atl6rL&rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions // natu� ofApoliigrtt Date /_ � // C�ARATION REGARDI ON5TRUCTIOMLEWNG AGENCY .racy 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 , Name Lender's Address i my signature below, I certify to each of the following: I Pm the prnN@fLy 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 coa 1-applicable city and county ordinan an - state laws relating to building construction. I authorize repr entati s of this cityor count me a entified property for inspection purposes. nature of Pro erty Owner or Authorized Agent n Pro erty Owner's or Authorized Agent' ama TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED Li 16UBMITTED PERMIT CANCELLED EPA PERMITFINAL CERTIFICATE OF J OCCUPANCYISSUED NOTAPPLICABLE TO