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HomeMy WebLinkAboutX2019-3494 - Permitst City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-3494 CA c: 100Civic Center Drive, Newport p Beach, 92660 X 2 9 1 9 3 4 9 4 Project No: 2009-2019 y. �. Permit Counter Phone (949)644-3288 - 9rrnv sr Inspection Requests Phone (949)644-3255 ":g y, Combination Type - SFP Issued Date : 11/0612019 Inspection Area : 3 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: 1823COMMODORE RD NB Description: . SFR "ADDITIONAL SCOPE" NEW SLIDING DOOR WI NEW PAD FOOTINGS AND BEAM Legal Desc.: N TR 3763 LOT 8 'Owner: GOODING BRIANIKRISTEN Contractor: HAWKER CONSTRUCTION Architect: SHINDELUS BRUCE Address:: 1823 COMMODORE RD .Address: 1531 LOWER LAKE CT ' Address: 2623 ANTONIO DR #206 a"®• NEWPORT BEACH, CA 92660 CARDIFF BY THE SEA, CA 92007 CAMARILLO CA 93010 O O OYeee °. Phone: Phone: 714.743-7110 -Phone: 805-404-8216 State Lic:C015918. - Applicant: HAWKER IVAN Con State Lic: 930312 Engineer: FORBES DALE L Address: 1531 LOWER LAKE CT Lic Expire: 01/3112021 - Address: 1800 E 16TH ST #B CARDIFFCA 92007 Bus Lic: BT30063937 SANTA ANA CA 92701 epee . e ro Phone: 714-473-7110 - Lic Exp Date: 07/31/2020_ Phone: 714.835.2800 State Lic:C-030407 .... 0O Code Edit: 2016 Worker's Compensation Insurance Designer: •V ® .ammo Type of Construction: V-B - barrier: STATE FUND Address: Occupancy Group: R31U Policy No: 9123340 ; _ a, • e „ i " Added /New sq.ft. Bldg: 0 Expire. - 01/27/2020 Phone: Added /New sq.ft. Garage: 0 ...... o No of Stories: 1 Building Setbacks Rear: 6 Special Conditions: NSPE No of Units: 1 Front: 20 Bldg Height: 0 Left: 6 Bldg Sprinklers: Right:. 6 Flood Zone: X. Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $232.00 - Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $201.84 Additional Fee : $0.00 Plan check Fee : $40.00 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: $18.00 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 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 : $492.84 Plan Check Fee : $241.84 Fee Due at Permit Issuance : $251.00 PROCESSED BY: _ PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: (1 /� 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 Iicensure 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 improved 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). LJ I am exempt frpm licgnsure under the Contractors' State License Law for the following reason: By my signature balBwi ccknowledge 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 thi. sail 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 PJAdIstIDbs Code„ % jAlable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Siggature of Property Owner or Authorized Agent ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm undes penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 fivion 3 f the Business and Pr e i Code, and • Df Contractor Signal e agdsffect LiceASgQlafss License No Date / g ArORktRS' COMF18NSATION DECLARATION / ! and force MW(3 5AILURE iO 9CCi12E WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINJL PENALTIES AND CIVIL FINES UP TO ONE HU)7DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE '"COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. robyaffirm under penalty of perjury one of the following declarations: ha • and All; mat lain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 94ce of th%)Vork jor which this. permit is issued. Policy No. • ve and will c4ritain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol ran carrier and policy number are: ier Policy Number Expiration Date is of Agent Phone # certify that, in the pert no a work for which this permit is issued; I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree if I should become b'ec a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / /� IatureofApplic t /De /& V )reby affirm under�enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectior�097, Civil Code). lder's Name // Lender's Address // my signature bow, I certify to each of the following I am the property owner or authorized to act on the I have read this application and the information I N I agree to comply with all applicable city and count$ I authorize representatives of this city or county ¢J ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY ier's behalf. is correct. a�nd:tatie la relating to building construction. 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