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Home My WebLink AboutX2018-1379 - Permitsw w7 City of Newport Beach - Building Division `. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 e Inspection Requests Phone (949)644-3255 Combination Type - SFP COMB Permit: X2018-1379 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No: 1195-2016 Issued Date: 05/0912018 Inspection Area : 4 PERMITS EXPIRE 780 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: 4 CANYON FAIRWAY DR NB Description: SFR RAISED PATIO W/ GLASS GUARDRAIL 100 SF *ADDITIONAL SCOPE* . • e Legal Desc.: N TR 10814 LOT 15 Owner: PREMIER VISION HOLDING LTD Contractor: WESTERN PACIFIC DEV INC Architect: BAILEY DAVID Address: 4 CANYON FAIRWAY DR Address: 18552 MACARTHUR BLVD #102 Address: 23183 LA CADENA DR #101 Hazardous Mat NEWPORT BEACH, CA 92660 Building Green Fee : IRVINE CA 92612 $0.00 LAGUNA HILLS CA 92653 Phone: Phone: 949-278-8937 Phone: 949-573-1050 State Lic:CO27404 Applicant: BAILEY DAVID Con State Lie: 882643 Engineer: HAKIM FADY Address: 23187 LA CADENA DR #101 Lie Expire: 08/31/2018 Address: 124 PEONY LAGUNA HILLS CA 92653 Bus Lic: BT30038827 IRVINE CA 92618 Phone: 949-573-1050 Lie Exp Date: 04/30/2019 Phone: 310422.1536 State Lic:C-07573 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $337.00 Plan Check Fee: $244.50 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $629.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: EXEMPTION ON FILE Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: REFER TO PLANS FOR SETBACKS PER MSW Planning Department - Fire Department Plan check Fee Fire Inspection:' Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 ooee•b 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $282.00 Fee Due at Permit Issuance : $347.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: eoeoc 0 ObbOO 003®Co ® e o 0 0 ooeooc c a 000a 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: ooee•b 0 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $282.00 Fee Due at Permit Issuance : $347.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: eoeoc 0 ObbOO 003®Co ® e o 0 0 ooeooc c a 000a 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'!j� (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 apVant 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 L) all of or L) 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 pyrppse of sale). ❑ I, as owner ot;t ,property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not JpaXtp an ownAgf 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 exeml fropylbinsure under the Contractors' State License Law for the following reason: 99 ply%lgnature bglow 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 legall) sell astructure 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 Co4e*,-Is tayailable upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw. himl. $ig%tpl'e of Pro{T@tWwner or Authorized Agent Date L4CWSED CMR$CTOR'S DECLARATION L 41rg¢yaffirm uRd"enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section, 700 Dilis! 3 of the Business and Profe ions C lic full force andel eTT##act. License Class License No Date l Contractor Signature �ff4ff QVG Pf CRS' gffl ENSATION DECLARATION NARNING: FAILURE TO SEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE �89e 2'OMPENSII DAMAGES AS PROVIDED FOR IN SECTION 8705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Wr9By affirm %ftp@nalty of perjury one of the following declarations: :11 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 th Jerformance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: of Agent Policy Number Expiration Date Phone # in the perjormance of rk for ch this per tt'�TT�� Issued, I shall not employ any person in any manner so as to become subject to the become.�ubiect t orkers�o n reai5(ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant l C_/ DECLARATION RE, E RDING CONSTRUCTION LENDING AGENCY 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 -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is corr ct. I agree to comply with all applicable city and cou ordinanc sta '3wsR ler afinrr� to building construction. I authorize representatives of this city or county en o -ide ified a for inspection purposes. 3i nature of Property Owner or Authorized Agent rint Property Owner's or Authorized A sot's Nam ACTION DATE eY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS PERMITCANCELLED QEPA PERMITEXTENDED EIACIMD PERMITFINAL S& lit C 5 j(/ ASBESTOS TIFICATIOI CERTIFIC4TEOF PR OSEDDf/MOUTI OCCUPANCYISSUED SIGNATURE) , Civil Code). laws of California, and qIl�g