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Home My WebLink AboutX2019-1673 - PermitsSfi1 City of Newport Beach Building Division 4040 100 Civic Center Drive, Newport Beach, CA 92660 .PermibCounter Phone (949)644-3288 to Inspection Requests Phone (949)644-3255 "X2019-1673* COMB Permit: X2019-1673 Project No '°narros*a �' Combination Type - MFP Overtime Plan Ck: $0.00 Plan check Fee Issued Date: 05124/2019 Inspection Area : 8 $0.00 $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $2.00 In -lieu Housing Fee :- Construction Hours: Monday - Friday 7:00 a.m. to 8:30 p.m. and Saturday from 8.00 a.m, to 6:00 p.m. No work on Sundays or Holidays $0.00 Job Address: 427 VISTA SUERTE NB' CA Seismic Safety: $0.00 PAN Plan Check: $0.00 ;tea a9a Description: MFR - REPLACE GARAGE HEADER Hazardous Mat .$0.00 Building Green Fee : Legal Desc.: N TR 7146 LOT 26- � o r Owner: SELLINGER LLOYD. Contractor: ESTATES GENERAL CONT Architect: = ¢- ` • .. ° • ... e Address: 427 VISTA. SUERTE Address: 3001 RED HILL AVE, #5.105 Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Phone: 925-787-5527.. Phone: 714-448-9823 Phone: e State Lie: • • e Applicant: CISNEROS CHARLES .Con State Lie: 958012 Engineer. e e' • ° e o Address: 3001 RED HILL AVE, #5-105 Lie Expire: 02/28/2021 Address: es•.` COSTA MESA CA 92626 - Bus Lie: - BT30042497 Phone: 714-448-9823 Lie Exp Date: 0313112020" Phone: oeom State Lie: e e - .Code Edit: 2016 Worker's Compensation Insurance Designer. 000000 Type of Construction: VB Carrier: EVEREST NATL INS CO Address: • Occupancy Group:- R31U " Policy No:. 7600017585191 ..... ° Added /New sq.ft. Bldg:. 0 Expire: 04/29/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks ..Rear: '/ Special Conditions: No of Units : -.. 3 Front: Bldg Height: 0 Left: / Bldg Sprinklers: Right: / '.. Flood Zone: Use Zone: Parkin g Spaces: 0 Fire Hazard Zone i N 11 Construction Valuation: $2.000.00 - Building Permit Fee: $104.00 Plan Check Fee: $90.48 IITOTAI EE : $237.48 PROCESSED BY: f ZONING APPROVAL: GRADING APPROVAL Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WD Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 Overtime Plan Ck: $0.00 Plan check Fee Investigation Fee: $0.00 $0.00 Record Management : $2.00 In -lieu Housing Fee :- Energy Compliance: $0.00 $0.00 CA Seismic Safety: $0.00 PAN Plan Check: $0.00 Disabled Access- $0.00 Hazardous Mat .$0.00 Building Green Fee : $1.0 IITOTAI EE : $237.48 PROCESSED BY: f ZONING APPROVAL: GRADING APPROVAL Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WD Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 Planning Department - $0.00 Plan check Fee $0.00 Fair Share : $0.00 SJH Trans : $0.00 In -lieu Housing Fee :- $0.00 public Works Department- $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS PLAN CHECK APPROVALTO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $237.48 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: $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS PLAN CHECK APPROVALTO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $237.48 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) lection 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 rbquires4he applicant for is 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 'rofessions 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 of more than five hundred dollars ($500). 7 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, lusiness 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 nprovements 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 n roved 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 pply to an owne>; bfarbgerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason: IQ Ws'Idlature D0160 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 legallt elLa sttucture 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Iignafu*re of Propgrty Q yner or Authorized Agent 4CENSED CONIWTOR'S DECLARATION Aere5f affirm uggefpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' 7000 of Di io of the Business and Pr fe s Code, a Q my Ii ense is in full force ndeffect. License Class License No Da Contractor Signatu� VOKKI RS' CORW NSATION DECLARATION JI(lA Qd: FAILURE T SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL S ($100,000), IN ADDITION TO THE j55T OF CjIMPENSQ�9% P4MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. yarVWij jffirm under peAalty of perjury one of the following declarations: I•I•MaOe d will neairitain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 0 e of the work for which this permit is issued. Policy No. I he a and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi Isu ce carrier and policy number are: .arrier Policy Number Expiration Date lame of Agent Phone # 3 certify that, in the perfo nce f th work for whi this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should become s Iect t the wo ers' compe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �,,$�� 'signature of Applicant D"_ 57/Z 11// ' IECLARATION REG DING ONSTRUC ION LENDING AGENCY hereby affirm under p a is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's Address ly,my signature below, I certify to each of the following: I am the property owner or authorized to act on the property Shelf. I have read this application and the information I have p Ided i co ct. I agree to. comply with all applicable city and county inance and sta la:e)building construction. I authorize representatives of this city or county to nter the ove-identi nspection purposes. �� L� .. / ....,..,,,.e -f or,.sa„ n,., r ..r n,nh. rleed Anent Print Prooertv Owner's or Authorized Agent's Name,, �lc.w-�flrc CJ Jam/ at L ACTION DATE BY REGULATION EGULAT 050110 61 LIAt E WITH CODE OF RUDERAL FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I LIAOMD PERMITFINAL - ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: