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Home My WebLink AboutX2019-1801 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 rte. Permit Counter Phone.(949)644-3288 r" Inspection Requests Phone (949)644-3255 "crreu'' Combination Type - SFP IIIIII�IIIIIIIIIIIIIIIIIIIIIIII�IIIII IICOMB Permit: X2019-1801 x 2 6 1 9 1 8. 9 1 Project No: 1301-2019 Issued Date : 0910312019 Inspection Area : 6 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: 29 OVERLOOK DR NB Description:. SFR REMOVE WINDOWS & DOORS, REPLACE W/NEW BI-FIOLD DOOR SYSTEM Legal Deec.: INSPECTOR Owner: DREW MUMFORD Contractor: IMAGINE BEYOND DEVELOPMENT Architect: Address: 29 OVERLOOK DR Address: 45 EDELWEISS Address: NEWPORT COAST CA 92657 RANCHO SANTA MARG CA 92668 Phone: Phone: 949-858-4200 Phone: State Lia Applicant: STARKS CHRIS Con State Lie: 920786 Engineer: BOROSSAY ARPAD STEVE Address: 616 E EL CAMINO REAL Lie Expire: 0813112020 Address: 5260 HARVEST CT SAN CLEMENTE CA 92672 Bus Lia BT30057110 OEANSIDE CA 92507 Phone: 801-547-7017 Lie Exp Date:. 1113012019 Phone: State Lic:C-023312 ... e Code Edit: 2016 Worker's Compensation Insurance Designer: ° Type of Construction: VB Carrier: STATE COMP INS FUND Address: Occupancy Group: R3IU Policy No:. 9023313 Added /New sq.ft. Bldg: 0 Expire: 05/01/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units: 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I o�`wc 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: $410.64 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: ° 40900 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: $12.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $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 P/W 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 : $935.64 Plan Check Fee : $311.44 Fee Due at Permit Issuance: $624.20 PROCESSED BY: �"� PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: BUJ GRADING APPROVAL:. APPROVAL TO ISSUE: 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 ie 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 ot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, tusiness 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 nf�roved for the purpose of sale). J 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 ly 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: 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 legal ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent D e .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secfly( f ivl En3 s and Profes ' ns ode, anQyl) tZ • in full force nd effect. License Class License No IMP o rac r ignSture NORKERS' CpMPBNSATION DECLARATION I ' j J ` NARNING: FAILUR?Jq,gFPORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T 4 USAND DOLLARS ($100,000(, IN ADDITION TO THE 30ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :heTeby:affirm Adaapanalty of perjury one of the following declarations: 0 00 0 1 a wll�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 r f the. fork for which this permit is issued. Policy No. an 111 lnaintain 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 Osur ITce carrief and policy number are: Policy Number Expiration Date 'Jam'e of Agent 99 Phone# tI'ce;i that, lr:tt I pgrf me a of th or f w ch this p Iss I shall not employ any person in any manner so as to become subject to the workers' compensa bn laws a California, and agre hat if I should become. ubj to the or o ensati p ' to f Section 3700 of the Labor Code, I shall forthwith comply with those provisionse097civil - .ei11 iipaature fAppll ; IECLA TI GARD O T U ION LEND' G AGENCY hereby affirm under pe Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (SectionCode). .ender's Name Lender's Address iy my signature belt , I certify to each of the following: I amm the he property perty owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correc I agree to comply with all applicable city and count dinanc s a a laws i to building construction. I authorize representatives of this cit ounty terth a = nti is o for inspection purposes. lignature of Property Owner or Auth iz g n Print Property Owner's or Authorized A e s m ACTION DATE -7-7 Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMITEXTENDED OMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED SB STOSS NSSCA//�LE TO P ED DE 10 1 Ir nlaP• /' W N m 0 2 �. ED XO zo'mQED N°='oo ® ® s n mm m ED oo MED '.'q' �_p WED (D m 3 N C �(L] 7 aw G G Z •O-•. � ED m 3 a o. O ED k a. a °' 9' m n O c Q �7_� ��°a 00 m0 �i mA d o 0 mED Q rn�c4 0��m m 3 N 3 ED wQ mED m N ED =�.' !D .0-. 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