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Home My WebLink AboutX2019-2692 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2692 Building Permit Fee: $328.00 Plan Check Fee: $285.36 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 $0.00 100 Civic Center Drive, Newport Beach, CA 92660 x 2 9 1 9 2 6 9 2 Project No: 1922-2019 a Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM Issued Date : 0911912019 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construe r11Jonday - 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: 240 NICE LN NB Description: MFR KITCHEN & BA O M EMODEL (198 SF) Legal Desc.: TR 8336 LOT 14 UNIT 117 OF PROJECT LOCATED ON AP 423.011-22 TOGETHER - cc 6®L Owner NORTH DONNA Contractor: ZIETHING ANDY - GEN CONTR Architect: Address: 8885 PLUMAS CIR #1120D HUNTINGTON BEACH CA 92646 Phone: Applicant: ZIETHING ANDY Address: 16082 CRAIG LN HUNTINGTON BEACH CA 92647 Phone: 714.448-7924 - Code Edit : 2016 Type of Construction: V -B -SPR Occupancy Group: R2IU 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: $15.840.00 Building Permit Fee: $328.00 Plan Check Fee: $285.36 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 : $1.00 TOTAL FEE: $769.21 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Address:. 16082 CRAIG LANE Engineer: HUNTINGTON BCH CA 92647 Phone: .714.448.7924 Con State Lic: 603579 Lic Expire: 09/30/2020 Bus Lic: BT30052114 Lic Exp Date: 08/31/2020 Worker's Compensation Insurance Carrier. STATE FUND Policy No: 9234973 Expire: 0711712020 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: l Front l Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $22.96 $13.12 $29.52 Address Phone:. State Lic: Engineer: CARDOSO MICHAEL Address: 3317 RAMONA DR. SJH Trans SANTA ANA CA 92707 Phone: 714-926-6250 State Lic:C-059415 Designer: Park Dedication : Address: PAN Plan Check: Phone: Special Conditions 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: $41.25 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $352.69 Fee Due at Permit Issuance : $416.52 •o •mo or aco oo -s-o-s- c stet s a• a se E ` . 0ALI6 W 6RK.S 4PPROVAL: _ PLAN CHECK BY: aARPRO\S/CLTMSSUE: 2 6 c U08 `aL O. O .Y ovU CPa 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $352.69 Fee Due at Permit Issuance : $416.52 •o •mo or aco oo -s-o-s- c stet s a• a se E ` . 0ALI6 W 6RK.S 4PPROVAL: _ PLAN CHECK BY: aARPRO\S/CLTMSSUE: 2 6 c U08 `aL O. O .Y ovU CPa 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) (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 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 (_) 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 im 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 apply to an owner of 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 exempt from licensure under the Contractors' State License Law for the following reason: By 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, Icannot legall sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) f Division 3 of the Business and Prof ion ode, my I in ful ce and effect. - License Class License No Date ' — (contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR E'10 0), ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 3 0 he Labor Code, for the 7ermance of the work for which this permit is issued. Policy No. (It ave and will maintai 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' compensatior nsurance carrier and poli �Oumber are: i )arrier f Pl��.l�lu a Z/ Expiration Date Name of Agent Phone # :1I 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 agree .hat, if I should become sub act to rs' c p mnsation provisions o coon 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat )ECLARATION REGAR ING cbNarRuc ENDING CY hereby affirm under penalty of perjury that t is aconstr o lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each the owin I am the property owner or authorized o act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordi es and a4ate4aws relating to build; onstruction. I authorize representatives of this city or county r th e-identifi pr y for in coon purposes.) () �G�_l G signature of Property Owner or Authorized Agent Print PropertOwner's or Authorized Agent's Nam 2� !� ( D Z I ACTION DATE BY DECLA ATION OF60PLIANCE VfH ODE OF FEDERAL FOR OFFICE USE ONLY ` REGULATIONSP OFTIT 40A DAQMDRULE 1403 •+,••. a ••• •• PERMITEXPIRED ISUBM ESTaS IFICATIOA TO • •• ••• PERMIT CANCELLED EPA • • •+ • • •• • a PERMITEXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION TAPPLIC CERTIFICATE OF PR POSED E OUTION • ••+ • °e° OCCUPANCVISSUED SIGNATURE; + • • • • °+�