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Home My WebLink AboutX2019-1643 - Permitsr., City of Newport Beach -Building Division Illllllllllllllllllllllllllllllllllllllllllllllllu COMB Permit: X2019-1643 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 6 4 3 Project No: j- Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date : 06123/2019 Inspection Area ; 8 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: 39 OCEAN VISTA NB Description: MFR - R/R DECK. DEMO TILE, INSTIL NEW TILE, RIR DRAIN TOPS, POLYCOAT DECK. ESR# 2785 - Legal Desc.:. TR 9676 LOT 5 UNIT 39 OF PROJECT LOCATED ON AP 442.361-31 TOGETHER Owner: VOLPE SUE Contractor: BROWN CONSULTING & CONSTRUCITON Architect: Address:. 39 OCEAN VISTA Address: 1961 E MIRALOMA AVE #C Address: NEWPORT BEACH, CA 92660 PLACENTIA CA 92870 Phone: Phone: 714.223.0531. Phone: State Lie: Applicant:. BROWN CONSULTING & CONSTRUCITON Con State Lic: 725404 Engineer. Address: 1961 E MIRALOMA AVE #C . Lie Expire: 07/3112020 Address: PLACENTIA CA 92870 Bus Lie: BT30064971 Phone: - ...714-223-0531 Lie Exp Date: 10/3112019 Phone: State. Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: .Type of Construction: V -B Carrier: STARSTONE NATL INS CO Address: Occupancy Group: R2 Policy No: T20180146 > •, "174 4 Added /New sq.ft. Bldg: 0 Expire: 07101/2019 Phone: 117 1 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / - Special Cond�tio yt '' "�.` 1 �` No of Units : 4 front: / n Bldg Height: 0 Left: f Bldg Sprinklers: Right: f Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25.000.00 Building Permit Fee: $472.00 Excise Tax: $0.00 Planning Department - - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck $0.00 .Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 ' Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans'. $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Feer $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat - $0.00 Electrical %: $0.00 San Dist: : $0.00 Building. Green Fee: - $1.00 Mechanical%: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $473.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $473.00 °m PROCESSED BY:: PUBLIC WORDS �PPWVALo • i a ` ° o0 0 ZONING APPROVAL: PLAN CHECK BY:Ci GRADING APPROVAL: APPROVAL TO kSt7JE9Oo m°m ••• m°o °o° �om moo m o. mm mm mem OWNER -BUILDER DECLARATION y 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 '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 toa civil penalty of lot more than five hundred dollars ($500). 1, 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, 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) 1, 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 Ip ly to an ownerof property who builds or improves thereon, and who contracts for theprojects. with a licensed Contractor. pursuant to the Contractors' State License Law). _ 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 have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh yell a structure 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions o e, a my evils 0 full force Ind effect. License Class License No DaV�Contractor Signature\,% YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ;OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: _ !ave 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 once of the work for which this permit is issued. Policy No. re 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' compensatiol ce garner and policy number are: 00 r9 b! (0 Z&—� Ex ff1V1L�✓)q�IP( Policy Number Expiration Date me of Agent —r'hone a certify that, in the performance of the work for which 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 t, if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,I' ' ' nature of Applicant 6�� DS &"1-,_23 ogee CLARATION REGA I CONSTRUCTION LEN NG AGENCY �reby 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). Ider's Name Lender's Address 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 provided is correct. I agree to comply with all applicable city and coupjy ordinances and state laws relating to building construction. I authorize representatives of this city or countg ante t e above-ide ied jhperty for inspection purposes. L�(rj— _ 9 nature of Prooertv Owner or Authorized ADent I n Print Property Owner's or Authorized Agent's NaA //��11('X_7 J Date %iJ 1) ACTION I DATE I BY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF y I 0•Z9 •�' OCCUPANCVISSUED •_• DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION CiribATIlift- 000 00 ••• •• •• • • ••• •• A rn T v C CD 4 O CD a o �CD 5� c a° CD (o m a CD O � �o y ,+ �CD 0 m N h o C S 0. c Z3' 3 0 CDC CD CD 0 n y O CD 0 CD 0 (D 1. N W 9 a Irl rt Cll S 0 ((D O ;u =�. 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