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Home My WebLink AboutX2019-1642 - Permits..IM Ap City of Newport Beach - Building Division .� tP 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ry;gnnr> Combination Type - SFP ELEC "X2019-1642* COMB Permit: X2019-1642 Project No : 1172-2019 Issued Date : 0610512019 Inspection Area : 4 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: 1701 PORT WESTBOURNE PL NB Description: SFR REMOVE BEARING WALL BETWEEN FAMILY ROOM 8 DINING ROOM Legal Desc.: N TR 6622 LOT 53 Owner: DUDDY THOMAS Address: 1701 PORT WESTBOURNE PL NEWPORT BEACH, CA 92660 Phone: Applicant: COUSINS PAUL Address: 6100 SAN FERNANDO RD #211 GLENDALE CA 91201 Phone: 818-507-0282 Code Edit: 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $6,500.00 Building Permit Fee: $184.00 Plan Check Fee: $160.08 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat sro Building Green Fee : 00 FEE: $407 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: COUSENS CONSTRUCTION INC Address: 6100 SAN FERNANDO RD #201 GLENDALE CA 91201 Phone: 818.236-3999 Con State Lic: 535683 Lic Expire: 11/3012020 Bus Lic: BT20052603 Lic Exp Date: 06/31/2019 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1251698 Expire: 0910112019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / 'arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.88 $0.00 $0.00 Plan Check Fee Architect: Address: Phone: State Lic Engineer: HUSZCZ MARIAN JOHN Address: 8 CORNWALLIS IRVINE CA 92620 Phone: 949-551-3316 State Lic:S-003555 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $256.00 PUBLIC WO PLAN CHEC APPROVALTO Zone 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: _T $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $151.96 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 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 (_) 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 1t 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 licensure 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 legally 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.html. 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,7QW of Division 3 of the Business and Pr fes6f0 SC 'se irase_ts_full force and effect. License Class License No D —5--/ Contractor Signature Xn WORKERS' CO.MPF.NSATION DECLARATION WARNING:'�AILUREr0'SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINAL 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 F S. I �erenp affirm under penalty of perjury one of the following declarations: ❑' 1 have and Will maintain a certificate of consent t0 self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, perieFm3nce of the work for which this permit is issued. Policy No. hav). and wire 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' compensation insw a'. a carrier and policy number are: Policy Number Expiration Date of Agent certif, that, in tha 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 [, if I should berets su __ _ _ _ tion_ provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat _ C, CLARATION REG DIN CONSTRUCTION LENDING AGENCY Ireby 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 3 7, 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 coup Inances an s antis relating to building construction. I authorize representatives of this city or county F a action purposes. O of Owner's ACTION DATE BY \,rECLARATION OF COMPLIANCE WITH CODE OF FEDERAL'II' FOR OFFICE USE ONLY r REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I 1 11 U I SUBMITTED A5BE5TOS NOTIFICATION TO PERMITCANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF q OCCUPANCYISSUED 7