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Home My WebLink AboutX2019-1297 - Permitsrr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 IIIIIuIIII COMB Permit: X2019-1297 X 2 0 1 9 n Permit Counter Phone (949)644-3288 1 2 9 7 4. Inspection Requests Phone (949)644-3255 Project No: 0919-2019 Combination Type - MFP .. Issued Date: 0412412019 Inspection Area : 3 ER V "AYZifilf-TER ISSUANCE OR Construction Hours: Monday - F�day 7.00 a.m. to 6.30 p.m. and Saturday from 8.00 a.m. Dfo 6:00 p.m. No work on Sundays or Holidays Job Address: 23 ODYSSEY CT NB Description: MFR BALCONY REPAIR Legal Desc.: TR 7817 LOT 1 UNIT 111 OF PROJECT LOCATED ON AP 424-041.01 TOGETHER Owner: NEWPORT CREST HOA Contractor.. SMITH ANGUS CONSTRUCTION ° �'" Address: 201 1NTR T B C Address: 12342 CANYON TERRACE Architect: � NEWPORT BEACH CA 92663 Address: ' CT09"',� Phone: SANTA ANA CA 92705 Applicant:. SMITH ANGUS Phone: 714-538.1191 Phone: State Lic: Address: 12342 CANYON TER Con State Lic:. 637440 Engineer: XIAO OIANG . SANTA ANA CA 92705 Lic Expire: 02/29/2020 Address: 1520 BROOKHOLLOW DR #45 Phone: . 714-538-1191 Bus Lic: BT01101101 Lic Exp Date: 09/30/2019 SANTA ANA CA 92705 Code Edit :Phone: 714-662-0510 State Lic:S-005289 2016 Worker's Compensation Insurance Designer. Type of Construction: VB Carrier: EMPLOYEE SERVICE Added /new Grousq. ft. R2/U - Policy No: AMX080003000 Address: Added /New sq.ft. Bldg: p - Added /New sq. ft.: Garage: p Expire: 10/01/2019 Phone: No of Stories: 2 Building Setbacks Rear: / No of Units: Bldg Height: 0 Front: / Special Conditions: ° .... ° Bldg Sprinklers: N - Left: / o°o° °°OBO°°. Flood Zone: Right: I ° ° C ° Use Zone: Parkin S aces: 0 ° ° FCheck ruction Valuation: $9800 00 Fire Hazard Zone : N o ° °° g Permit Fee: $232.00 - heck Fee: $201.84 Excise Tax:$0.00Planning Department - Additional Fee : $0.00 Fire Department o°°°e Plan Ck $0.00 Grading Bonds Fee: Plan check Fee < $0.00 gation Fee: $0.00Fair Share: Fire inspection: $Og!pp$0.00 Grading PC Consultant : $0.00 $0.00 Fire Plan Rev ° °$ppp Management :. $0.00 SJH Trans: $0.00 Demolition Fee° Compliance Grading Permit Fee: $0.00 In -lieu Housing Fee$0.00 Grading PC Fee: $0.00 °$0 08ismic Safety : $0.00 $0.00 Public Works Department - Building Dept Adm °d Access : WO Insp. Fee : $0.00 Parkbedication : General Service ° $0.00 eoo° $0.00 $0.00 Refund Deposit.SO.Opous Mat $0.00 Electrical %: PAN Plan Check : $0.00 Grading Bond:uding Green Fee: $0.00 San Dist: $0.00 $0.00 $L00 Mechanical %: $0.00 Plumbing %: NMUSD Fee: $0.00 $0.00 $0.00 TOTAL FEE : $434.84 $0.00 Plan Check Fee : $434.84 Fee Due at Permit Issuance: PROCESSED BY: $0.00 PUBLIC WORKS APPROVAL: ZONING APPROVAL: - GRADING APPROVAL: PLAN CHECK BY: - APPROVAL TO ISSUE: OWNER -BUILDER DECLARATIONissuance, also count that requires a permit to construct, alter, improve, demolish,or repair (commencing ng priorto itsSection 7000) of Division 3 of the Busiicant ness end I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) with action 7031.5. Business and Professions Code: Any city or Y I permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter �fessions 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 apermit subjects the applicant to a civil penalty o 44, I more than five hundred dollars ($500). all of or portions of the work, and the structure is not intended or offered for sale (Sectionprovided that hat the I, as owner of the property, or my employees with wages as their sole compensation, will do (_) (, Isiness 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, provemend 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 roved for the purpose of sale). ed Contractors to construct the project (Section 7044, I, as owner of the property, am exclusively contracting with licensed Business and Professions Code: The Contractors' State License Law does no Ipl1, to an owner of property who builds iv improves thereon, and who contracts for the projects t to the Contractors' Slate License Law). ivtwith a licensed Contractor pursuan 11 not I am exempt from licensure under the Contractors' State License Law for the following reason: 311 aystructusr thatlow l halve built els aneowner--builder f i hasa of belen clonstructed in in It Imust It, entirrety by licensed ave m—s—idedor I understand that a cop)�of the happl cable law, Section 7044tof the Business his permit, I nand lega rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.9ov/calaw.html Date ignature of Property Owner or Authorized Agent ;.�--- ;� dyc/ ICENSED CONTRACTOR'S DECLARATION Contaa for Signature �� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Segttpt 700q� of ivision 3 of the 8usmess nd Professio s C de, d license is in full force License No nd effect. License Class ((VVryry O THE VORKERS' COMPENSATION DECLARATION 1ARNINF COMPENSATION, FAILURE TOURE WOS AS PROVIDED SATION IN SECTION GE IOU TRAWFUL AND SHALL SUBJECT AN EMPLOYER TO S UNL E LA60R CODE, INTEREST, AND ATTORNEY'S FEES. DSTRIMINAL PENALTIES AND CNIL FINES U O ONE HUNDRED THOUSAND DOLLARS (E700,0001, IN ADDITION T DAM 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 tf telance oft he Nord for which this permit is issued. Policy No. ve, and wiA maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performan ce of the work for which this permit is issued. My workers' compensa Ic cm ee carriel'shtt policy number are: Expiration Date .... ••• Policy Number Ph # „arrier and a r IJarflg ptAgent .. I shall forthw=097 p visions. 01 cekify that, M trE pQrformance of the work for which this permit is issued, I shall not employ any person in any manne'act to the workers' compensation laws of Cali ornla, `Qat; If 1'should become subj to th orkAm, compensation provisions of Section 3700 of the Labor Code,Date •••• SiQd2tdre a APplicaot. • I DBQL•ARA (ON RFGARDIN)b CONSTRUCTION LENDING AGENCY I JIe�'aff un..... er penalty of perjury that there is a construction lending agency for endeer Address of the work for whied Section 3097, vii Code). L$nder'sIlame . • • •_ Byr4X;lpnature below, certify to each of the To • 1ag14horized to act on the property owner's behalf. he propgdyowner or aut I have read this0 lication and the information I have provided is correct. / I agree to comply with all applicable city and coun ordinances and state laws relating to building construction. !ice Dat a` I authorize representatives of this r county toe ter eabove -identified property for inspectionP rtP Owner s or Authorized Agents e Name /. Signature of Pro arty Owner or rized A ant a DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USOifLY ACTION AT RFr.I n ATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED ' PERMIT FINAL t17 StR-( ONOTIFIC ION IS OTAPPLICABLE TO CERTIFICATE OF 4�RE OCCUPANCY ISSUE V N N �=rC OD 0 ((p0 wm (D C x n 1 w oma 3=0o B. 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