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Home My WebLink AboutX2019-0821 - Permits0-1 N'I•o4 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 M. 4 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM *X2019-0821* COMB Permit: X2019-0821 Project No: 1973-2017 Issued Date : 03/13/2019 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: 3 BORDEAUX NB Description: SFR INTERIOR REMODEL KITCHEN & (2) BATHROOMS 1500 SF "REPLACE EXPIRED X207.2832" -� Legal Desc.: TR 9858 LOT 13 UNIT 64 OF PROJECT LOCATED ON AP 461-131-39 TOGETHER 8 '$4 '°'•'� Owner: CRAMER PEYTONICRAMER TR Contractor: WILLIAMS ANDREW & ASSOC INC Architect: ' •*� c:e B ';� Address: 51 HARBOR RIDGE Address: PO BOX 216 Address: NEWPORT BEACH CA 92660 LAGUNA BEACH CA 92651 Phone: 310-721-2655 Phone: 949-376-8201 Phone: State Lic: Applicant: WILLIAMS ANDREW Address: PO BOX 216 LAGUNA BEACH CA 92652 Phone: 949-376-8201 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R3I11 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: Con State Lic: 435004 Engineer: Lic Expire: 08131/2020 Address: Bus Lic: BT30056496 Lic Exp Date: 09/30/2019 Phone: Worker's Compensation Insurance Designer: Carrier: EVEREST INS Address: Policy No: 7600004672191 Expire: 01/01/2020 Phone: Building Setbacks Rear: I Front: / Left: / Right: I SABERI MEHDI 2182 DUPONT DR #202 IRVINE CA 92612 949-833-9900 State Lic:S-005528 , WILLIAMS ANDREW PO BOX 216 LAGUNA BEACH CA 92625 949-376-8201 Special Conditions: LANDSLIDE AREA GOODWIN ENTERPRISES TO HAUL DEBRIS ood Zone: X Use Zone: Parking Spaces: 0 Fire H Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee : $1,184.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $0.00 ^ Mechanical %: $0.00 NMUSD Fee: $0.00 / \Plumbing %: $0.00 TOTAL FV : $1,184.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $0.00 PUBLIC PLAN APPROVALTO Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $6.lbb $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,184.00 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 :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 Drofessions 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 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 it 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 legal) sell a structure that I have built as an owner-bui[der 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.htmi, Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perry that I am licensed under provisions gf��apt c ncing with Section 000 sio 3 f the Business and Professions e y li e f II force and effect. License Class 'rJ License No `'{'� Dated//ye� Contractor Signature WORKERS' CON] PiNSATION DECLARATION WARNING; FAILURE lv SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000i, IN ADDITION TO THE GCS' Or romPENPATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm inter Penalty of perjury one of the following declarations: hate 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, forth nce of the wort. for which this permit is issued. Policy No. ha'�' 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' compensation insuran carrier and policy number are: Carric!F Policy Number Expiration Date Phone # Name of Agent I certify that, !r. t:u d-3rformanc f the k for w ich this der 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` nt,'f : should become subject t e w k ' com ens Ion p ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican� L Dat DECLARATION REG RDING TRUCTION LENDING AGENCY I hereby 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). Lender's Name Lender's Address By 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 provide is correct. 1�L I agree to comply with all applicable city and tour o inane a state law ing to building construction. r.'\�r ( I I authorize representatives of this city or county t o h ve d I d y.(or inspection purposes. W 1 i Si nature of Property Owner or Authorized Agent Print Pro erty Owner's or Authorized Agent's Name Dat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE PERMIT EXTENDED ERML Cp CERTIFICATEFICATE OF OCCUPANCY 155UED NOTIFICATION TO L14LlMu ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO POPOSED DEMOLITION SIGNATURE: