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Home My WebLink AboutX2014-2603 - Permit ApplicationCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 "re o*;erg+ Combination Type - SFP MECH ELEC PLUM Job Address: 375 NEWPORT GLEN CT NB Description:SFR REMODEL (ADD BATHROOM) DELTA 2, REV14-0918 Inspector Area: 3 Owner: WOOD,RANDY D TRUST Address: 291 ESTHERST COSTA MESA CA 92627 Phone: Applicant: GALLAGHER SHAUN Address: 30031 CENTRAL AVE NUEVO CA 92567 Phone: 951-326-4069 Code Edit 2013 Type of Construction: VB Occupancy Group: R3/U Added /New sq ftBldg: 0 Added /New sq. ft. Garage: 0 No of Stories 2 No of Units . 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X 11 Construction Valuation: $ Legal Desc.: N TR 9776 LOT 1 no,� Building Permit Fee: $159.00 Plan Check Fee: $114.48 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Fee Increase: Fee'. $0.00 Additional Fee: $0.00 Hazardous Mat: $0.00 Building Green Fee: $1.00 TOTAL FEE: $381.21 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: Address: Phone Con State Lic: Lic Expire: Bus Lic: Lic E ate: COMB Permit: X2014-2603 Project No 1625-2014 Inspection Requests Phone (949)644-3255 Issued Date : 09/10/2014 <"�fieoa�oteTHE ELECTRICIANICO CO11t!c /�� 30031 CENTRAL \� a�� AddrOe� NUEVO CA 9 nI 951-326 a�FRone: State 0 v Engi - HADIDI-TAMJED HASSAN 0 331/2014 s: 35 GOLF RIDGE DR BT30046 DOVE CANYON CA 92679 0313 15 +' Phone: 949-632-6047 State Co' "Vant : $0.00 i - Pe - ing .,e: $0.00 $0.0'k Insp. ee: al%: " 3 c,$:F3,�� ra cal $ tbin %: $1N1. Plan Chdick ` Designer: RICHART JASON s� I�S - Address: 1041 W 18TH ST # 1t�� `@ COSTA MESA C -� hone: 949-022-91 t.. °30- Special Conditionsi13°0S2) Planning Department - P Pheck Fee x are r Trans : . t, \ In -lieu Housing Fee Rtfblic Works Dena nt - neC14 D Fee: i! Fee : t$0.00, r'eln lion: $0.00 .it an Rev $0.00 olition Fee Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $381.21 PVJBLIC'NORK3 APPROVAL: PLAN CHECK: BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS A�l'ER ISS!IANCE OR LASLOPLID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE I7ETFLTOR.; /r7 UMHING FIXTURES TO BE UPGRADED 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 ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repai permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chap fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703 by I 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 iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thro 'ovements are not intended or offered for sale. If, however, the building or improvement is sold within one year c "oved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the proje action 7� ly to an owner of property who builds or improves thereon, and who contracts for the projects with ' ensed Cpp J I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must h resid d ell a structure that I have built as an owner -builder if it has not been constructed in its anti by licenX 'rofessions Code, is available upon request when this application is submitted or at th owing Web site ;ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions hapter 9 (c mencing with nd effect. License Class License No tKERS' COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37W hereby affirm under penalty of perjury one of the 31 have and wi -- intain a certificate of con: art rmance of th work"for which this permit i have and will aintain,workers corn nsatir Is r ce carrier a policyinumber ark:`" wrier lame of Agent ]I certify that, in the performance of the'work lot, if I should become snub/sect to rg'cc ignature of Applicant hereby affirm under penalty of perjury that there is a con Ender's Name ,, y my signature below, I certify to each of the following: I am the property owner or authorized to act on the prl I have read this application and the information I have I agree to comply with all applicable city and county or I authorize representatives of this city or county �/tyiff ignature of Property Owner or Authorized Agent x ACT"l IM7F rk(s) I have placed next to the applicable item(s) prior to its issuance, also requires the applicant for g with Section 7000) of Division 3 of the Business and for a permit subjects the applicant to a civil penalty of W6work, and the stru re7s';nc employees' or persr6al oft'kb cletion, the Ow wilder 'll A Busin��%nd Professia Cc r p=t to the Con ctors' St Fear prior to pletion of the in iderstan at a copy of the app Ifo.ca v/calaw.html. O 9 f the Business and Contractor Signa intended or offered for sale (Section 7044, Ids or improves the property, provided that the E the burden of proving that it was not built or Contractors' State License Law does not ense Law). KLAWFU AND ALL SU�,IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE (R VWrHC F THE LA DE, INTEPEST, AND ATTORNEYS FEES am for w fS. compensation Issu th -fire ' r of Industrial Relati 16provided for by w (} 0.dT�� qqQJ as re y Chon 3700�rr•wl�^abtl.;) L for the perfoi. laCoe $he wpigf8r which this JmL�r .w+,isn rygyltlon Date u I" all employ any person in anyNa so as m bec< I_ f the Labor Cade, I shall f with comply with y ency for the perfo F, �f the work for which t permit i Lende' s behalf. r #E 1 IPFRMFTFXPIRFD LI-7—r-/5- 1 G 1 PERACT EYT€NLIEO 'ERTiFrCATFCF OCCUPANCy'i UELD for 14ME, ik/ f w&: �erty Gm¢ N or Authorized Agent's Name APUN'ICE WITH CODE OF a T/aA15 PART 61 OF TiTLE40 AND b ASIYSTnS NL'T1rKATKIN TO ORRCA - OTAPPLICAELE TO 7044 of the Business and a my licens is in full force S'($100,000), IN ADDITION TO THE i I77 'o a Labor Code, for th< N�Ge� y workers' compensation 4or " compensation laws of California, and agref " D Dacr'�/o//� t 3097, Civil Code). hON UPHIZ Mk GWY