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Home My WebLink Aboutx2019-3344 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIII�IIIVIIIIIIIIIIIII�IIIIIIIIIIIIII II� COMB Permit: X2019-3344 ?* 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 3. 4 4 - Project No 6 Permit Counter Phone (949)644-3288 '. ' -- .Inspection Requests Phone (949)644-3255 '. Combination Type - BLDG Issued bate . 10/2212019 Inspection Area : 4 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: 10 REGENTS NB- - - Description: SFR DEMO (E) SPA, CITY STD, METHOD:'A' -' - Legal Desc.: N TR 15409.LOT 4 -' Owner MIYAHIRA JOHN Contractor: OWNER/BLDR Architect:. f r Address: 10 REGENTS Address: MIYAHIRA JOHN Address:q�, NEWPORT BEACH, CA 92660 Phone: - Phone:. Phone: State Lie: �® Applicant: MIYAHIRA JOHN Con State Lie: O/B 'Engineer: Address: 10 REGENTS Lie Expire:. Address: � p�� NEWPORT BEACH, CA 92660 Bus tic ` - I R Phone. 714-422-9555 : Lie Exp Date. - < Phone: State Lie: DL Code Edit: 2016 Workers Compensation Insurance Designer. 1r ^ Type of Construction. Carrier: Address: Occupancy Group: Policy No: Added /New sq.ft Bldg: 0 Expire: Phone: , Added /New sq. ft. Garage: 0 No of Stories:. 0 Building Setbacks Rear:'/ Special Conditions No of Units : 0 Front: / Bldg Height: 0 Left:. / j Bldg. Sprinklers:.. Right: a Flood Zone: X - Use Zone: Parking Spaces: p 0. Fire Hazard Zone : N Construction Valuation: $2,500.00 Building Permit Fee:... $120.00. Excise Tax: $0.00 - Planning Department-. Fire Department.' Plan Check Fee: $104.40 Additional Fee : $0.00 Plan check Fee`. - $0.00 - 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: $2.00 - 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 : $227.40 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $227.40 PROCESSED ZONING APPROVAL: GRADING APPROVAL: d o a J F'U9L1V*ORKS1APDPOVALi _ _ kAN`CFHE&S�'. _ 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 mason(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 U 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 provements 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 I p ad for the purpose of sale). I s 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 y 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 1 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 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 Businesand Professions Code, is available upon request whe Is a lic33tt��oon is s bmitted or at the follow in b site:htt ://www.le Info.ca. ov/calaw.html. J) �. Signature of Property Owner orAuthorized Agent PP p 9 g Data% / V �2 Z LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section- of Division 3 of the Business and Pmfe=ions Code, and my license is in full force and effect. License Class License No Dat Contractor Signab. ORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. have 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' rance carrier and policy number are: Policy Number of Agent Date 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 agre if I should become ubjec ))the/uprkers' compensation provision of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J /i lature of Applican�\ / C( wemr�ne� oer_�nisid e<nmlerol Irn�'emmu - r_eury 1 areby affirm under penalty bf perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rider'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 I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or coun`tv to r P/h/�,aabov - r�(fiad �a arty for inspection purposes. T / nn, mature of PrODertv Owner or Authorized AoenK A!ir�.� Print Property Owner's or Authorized Agent's Na�l 6 ILL. n /;'A, PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED DATE BY JAECLARATION OF MMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE •14 UEPA •• +�' �- QMD ••� . • • • • •�. ASBESTOS NO11FI'CATI®N IS NOfAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: • • �� ea a o e• e s e c e e o e m c c e e m< ? o o ° coo co coo c