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Home My WebLink Aboutx2019-3483 - PermitsRio r "r4 City of Newport Bead, -Building Division ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIg �� COMB Permit: X2019-3483 100 Civic Center Drive Newport Beach CA 92660 x z 0 1 9 3 4 8 3 Project No: 1279-2018 Permit Counter Phone -(949)644 3288 1Inspection Requests Phone (949)644 3255 Combination Type - BLDG PLUMIssued Date :10/31/2019 Inspection Area : 2 - 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: 41 BEACON BAY NB Description' DEMO (E) SFR WIATT GARAGE (3) BEDROOMS 1,600 SF Legal Desc.: - RBK9 PG 42 PAR 41 ' Owner: CITY OF NEWPORT BEACH Contractor ROSTEN BUILDERS Architect: Address: 41 BEACON BAY '. Address' 2418 HOLLY LN Address: NEWPORT BEACH, CA NEWPORT BEACH CA 92663 Phone ` 0 Phone: 949-554-5719 Phone' State Lie: O°°•° ° Applicant. ROSTEN BUILDERS Con State Lie: 760719 Engineer: • °° Address: 2418 HOLLY LN Lie Expire. 03/31/2021 - Address: NEWPORT BEACH CA 92663 Bus Lie: BT30055282 Phone' 949-554-5719 Lie Exp Date: 06/30/2020 Phone: State Lie: » Code Edit 2016 :Worker's Compensation Insurance -Designer: ° f•h,°•I; Type of Construction VB Carrier. EXEMPT Address Ka' Occupancy Group: -. R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: 'Phone, *» ° , ° ° Added /New sq. ft. Garage: 0 • �.' No of Stories' 1 Building Setbacks Rear: I ` Special Conditions: HAULER: TIGHT QUATERS No of Units . 1 Front' / : NO CITY TREES ON SITE Bldg Height: 0 Left / LIQUEFACTIONAREABldg Sprinklers: N -Right: / Flood Zone X Use Zone : Parking Spaces' '. 0 -: Fire Hazard Zone . N - - uonsiruction a ua ion: Budding 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 1 Fire Inspection. $0.001 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 $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 $210.001 CA Seismic Safety; ',$0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access :' $0.00 PNV 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 %: $9.27 $0.00 TOTAL FEE'. $2,041.27 Plan Check Fee`: $0.00 Fee Due at Permit Issuance : $2,041.27 PROCESSED BY: `. PUBLIC WORKS APPROVAL: ZONING. APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 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) action 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 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 fessions 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 more than five hundred dollars ($500). 1, 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, ainess 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 )rovements 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 )roved 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. fly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: - my signaturp 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 legally a struGturetRAI Dave 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Travre of PrUerty.Owrier or Authorized Agent Upte TENSED CbNiRACTOR'S DECLARATION •refry affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Dials 3 of the Business and ZE e, and Ice se is in full force feifect. Lieense•Class License No Date — / /y Contractor SignatI X NERS' EOICIPENSATION DECLARATION iNING: FAILURE.TSI,V�URE WORKERS' COMPENSATION COVERAGE IS. UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNOLLARS ($100,000(, IN ADDmON TO THE 470 �COMPErTATION.ZAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES Neby affirm under penalty of perjury one of the following declarations: '`nave and vrill Mntain 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 thI form'ance ofVe wort for which this permit is issued. Policy No. I�have and 411'IUainlain 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' compensatior urancecarrier %Rdpolicy number are: mer Policy Number Expiration Date Te of Agent - Phone # ertify that in the performance pf the work fo`ivhich 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 agrei t, If I should become su ec'to, wo ers"c yii�on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —Z (nature of Applicant- Da' J� ICLARATION REGA DING C°O S UCTION LENDING AGENCY 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 (Section 3 97, Civil Code). ider's Name i 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. 1 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 coon, ty tp-an� he above -identified property for inspection purposes. t� +nature of Prooertv Owner or Authorized Agent Print Property Owners or Authorized Agent's Name/� Da DATE I BY Y I RE�AATIONS PF T0MPLIANCE WITH CODE OF 610 TIITLE 40 AND AOMD RULE AL I FOR OFFICE USE ONLY NOTIFICATION TO ,� i TO I