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Home My WebLink Aboutx2019-3616 - Permits�� t City of Newport Beacn - Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� 10 COMB Permit: X2019-3616 c'1 100 Civic Center Drive Newport Beach-, CA 92660 X 2 0 1 9 3 6 1 6 Project No: 2483-2019 E �_ Permit Counter Phone (949)6443288 0 'v Inspection Requests Phone (949)644-3255 °urtiu* Combination Type - SFP ELEC MECH PLUM Issued Date : 11/1212019 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. Job Address: 1584 OCEAN BLVD NB to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Description: SFR -REMODEL KITCHEN CONVERT BDRM TO DINING; ADD LAUNDRY ROOM 250 SF @6 Legal Desc.: N TR 518 BLK I LOT 22 .,r®1• ,p0� Owner: BRADFORD MITCHELL Contractor: Address: 1584 OCEAN BLVD Address: OWNERIBLDR Architect: SIGOURNEY BRYCE BRADFORD MITCHELL Address: 3552 E PAVO ST NEWPORT BEACH CA92661 O/B AUTH ATTACHED LONG BEACH CA 90808 Phone: Phone: - Phone: 714-754-4500 State Lic:C036936 Applicant: SIGOURNEY BRYCE Con State Lic: O/B Engineer: WEBB EARL v ° ° ° ° ` Address: 3552 E PAVO ST Lic Expire: Address: 1299 COLUMBIA AVE #E-7 LONG BEACH CA 90808 Bus Lic: RIVERSIDE CA 92507 o • • • • ; ""` °: Phone: 714-754-4500 Lic Exp Date: Phone: 951-788-2050 State Lic:C-037384 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: VB Carrier: New _ Addr®��-r c°e°°° a o Occupancy Group: R31U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone:®' ° • � o ,, Added /New sq. ft. Garage: 0 ...... W • • No of Stories: 2 Building Setbacks Rear: / Specions: '��' ,,,,,• No of Units: 1 Front: / ��)��N Bldg Height: 0 Left: / •YAA® Bldg Sprinklers: Right: / '° Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone: N o,+• "J° Construction Valuation: $50,000.00 Building Permit Fee: $746.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $649.02 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: $24.00 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 %: - $52.22 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $29.84 NMUSD Fee: $0.00 $0.00 Plumbing %: $67.14 $0.00 TOTAL FEE : $1,610.22 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,610.22 PROCESSED BY: i PUBLIC WORKS APPROVAL: In c ZONING APPROVAL: �i /� ' 1N,,r/ PLAN CHECK BY: ( I 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). I, as owner of thofe 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 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 fo ersonal sidence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) sell a structure that I have built as an owner -builder if it has en constructed ' its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busi es and Professions Code, is available upon request when this at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prqperty pwner or Authorized Agent Date LICENSED 015NTR4CTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force S'erfect. Lia&%eCAass License No Date Contractor Signature ORKERS' COMPENSATION DECLARATION DST OF: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL REST,SUBJECTAND EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPEr�SAjIQI{ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. horrebyaffirm under pl5nalty of perjury one of the following declarations: .I•have andwvill 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 Q%r(oi n9nce of tli ND& for which this permit is issued. Policy No. 111.1revs 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 Ibsdranr•E carrierewd -policy number are: Policy Number Date Aarve ofAgent • Phone # I 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 that, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date_ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby 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). Lender's Name Lender's Address By 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 0 ceu o es d slat laws relating to building construction. I authorize representatives of this city or county fled property for inspection purposes. n, (/,' nn Sicnature of Prooertv Owner or Authorized ADent Print Prooertv Owner's or Authorized ADent's Name 1 ' ! I C II �l 94 ACTION DATE BY" I REGULATIONS PARTCOMPLIANCE O TIITLE 40TAND AQMD RULE FEDERAL DECLARATION OF CODE OF PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EMENDED QMD PERMITFINAL jA BESTOS 0 N NOTAPPUCABLE TO CERTIFICATEOF J`� POSEDD OCCUPANCYISSUED SIGNATURE: l FOR OFFICE USE ONLY