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Home My WebLink AboutX2019-1677 - Permitsd Io City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1677 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 6 7 7 Project No : 0158-2019 Permit nter Phone . Inspection Requests Phone (949)644-3255 �'IurniL`' "'. Combination Type - BLDG PLUM Issued Date : 05/24/2019 Inspection Area : 1 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1734 MIRAMAR DR NB Description: DEMO 1304 SF,3 BDRMS SFR WIATT GARAGE " INCLDSSEWER CAP" Legal Desc.: N TR 518BLK K LOT 9 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 2q'- Owner: CEFALIAJIM Contractor: SHORELINE DEVELOPERS Architect Address: PO BOX 551 Address: P O BOX 551 Address:i i NEWPORT BEACH CA 92661 NEWPORT BEACH CA 92661 Phone: 949-476-2593 Phone:. 949-697-3993 Phone: State Lic: Applicant: SHORELINE DEVELOPERS Con State Lic: 890871 Engineer: Address: P O BOX 551 Lic Expire: 01/31/2021 Address:.. NEWPORT BEACH CA 92661 Bus Lic: BT30041079 Phone: 949-697-3993 .Lic Exp Date: 10/3112019 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction: V -B Carrier: STATE COMP Address: ° • • ° e m ° • o � Occupancy Group: R31U Policy No: 9038773 0 o c o Added /New sq.ft. Bldg: 0 Expire: 0110112020 Phone: ° • m Added /New sq. ft. Garage: 0 ° ° ° • °I, No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: / moo° r Bldg Height: 0 Left: / o o Bldg Sprinklers: Right:. I .... o®®oo ° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5.000.00 ° .Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee : $0.00 Fire Inspection: m $O.Ob• ° ° ° •.° ° Overtime Plan Ck:. $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev U16 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 Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $210.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,127.00 Disabled Access : .$0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 - Electrical W $0.00 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $9.27 $0.00 TOTAL FEE : $1,476.22 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,476.27 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 U 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). 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 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). IJ I am exempt from licensure under the Contractors' State License Law for the following mason: 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, I cannot legal 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 appI cable 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 70 ') of i Sion 3 of the Busines and P`rofessioTl de, a license is in full force and effect. License Class License No Date 12 he Bu i r ian Prd` WORKERS' COMPENSATION DECLARATION ure .... WARNING: FAILURE TO SECtlRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,000), IN ADDITION TO TH'. COST OF FOMPENSOVION!DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .HET ffirm Mer penalty of perjury one of the following declarations: ve 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 tl Ito9nce of thEFwork for which this permit is issued. Policy No. k�''' "ave and will melrKain 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' compensetic iesureace carrier and policy number are: Gamlen Policy Number Expiration Date 30f Agent ri iui=n_ %?t1!y that, in the plirformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject if I Should Deddlil s uJ3jeet464Wke workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provi sreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (! 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 1 have provided is correct. I agree to comply with all applicable city and c R ordinances and state laws relating to building construction. I authorize representatives of this city or coun to ant bove-identifie oparty for inspection purposes. s o...,.va„ nu.,gar„rh�rhen Aaun1 Print Prooertv Owner's or Auth lof zed,WenVa Name BY f [ DECLARATION OF COMPLIANCE WITH CODE OF FEDERALI FOR OFFICE `-- 1 REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE ASBESTOS PERMIT EMENDED QMD PERMITFINAL 7f/(7 S drtiESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF / SED DEMOLITION OCCUPANCYISSUED (/' IGNATUBEJ Civil Code). laws of California, and