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Home My WebLink AboutX2019-3320 - Permitst°r City of Newport Beach - Building Division IIIIII'IIIII�I�III�Illlllll�lllll�lll II COMB Permit: X2019-3320 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 i.. 9 3 3 2 0 a.. p Project No: 2306-2019 t+ .t �. Petmit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 o Issued Date ^'�rrou�� Combination Type - SFP MECH ELEC PLUM Inspection Area : 8 - PERMITS EXPIRE180 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: 29 EGRET CT NB Description: SFR REMODEL 1,000 SF (KITCHEN, MASTER BATH, POWDER ROOM) CAHBGE OUT (E) WATER HEATER & F.A.U., CHANGE OUT (3) WINDOWS & (2) DOORS w Legal Desc : N TR 12530 LOT 31 Owner:. BRUNO STEPHEN Contractor DYE JONATHAN D Architect: Address: 29 EGRET CT Address '23411 CAMBRIDGE ROAD Address: NEWPORT BEACH, CA 92660 YORBA LINDA CA 92686 Phone: Phone: 714-334-4775 Phone: State Lic: Applicant. DYE JON Con State Lic: 375529 Engineer: LANGSTONJIM L Address 23411 CAMBRIDGE RD - - Lic Expire' 0513112021 Address:603 N PARKCENTER DR#108 j YORBA LINDA CA 92887 Bus Lic. BT30065083 SANTA ANA CA 92701 -1 Phone: 714-336-4775 Lic Exp Date. 11/3012019 Phone: 714-836-8655 State Lic:C-029373 Code Edit: 2016 Worker's Compensation Insurance Designer. 3 Type of Construction: VB Carrier WC EXEMPT Address: Occupancy Group: R3IU Policy No: (NO EMPLOYEES) Added /New sq.ft. Bldg: 0 Expire: : Phone: Added /New sq. ft. Garage: 0 No of Stones: 2. Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height:. 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N .Construction Valuation: $80,000.00 - Building Permit Fee: - $973.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $846.51 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rem $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans `. $0.00 Demolition Fee Record Management: $14.00 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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $68.11 San Dist: $0.00 Building. Green Fee :. $4.00 Mechanical %: $38.92 NMUSD Fee: $0.00 $0.00 Plumbing %: $87.57 $0.00 TOTAL FEE : $2,072.11 ^ Q dPlan Check Fee: $0.00 Fee Due at Permit Issuance : $2,072.11 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: o,< ® a® a ' d aPUDLI',r. WORKS APPROVAL: ` ePLAN CHECK BY: .v A?PROVALTO ISSUE: i 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 requites 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 (_) 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: 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 legally 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 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 'visi of the Business and Prof at ns ode and y license is in full force and effect. License Class License No Date 10 Z! / Contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: 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 ATTORNEYS FEES. I hereby-affirrn under penalty of perjury one of the following declarations: 111 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: IS of Agent certify that, in the performance . if I should become subject to I of Policy Number Expiration Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ate JDe /29 CLARATION REGARDING CONSTRUCTION LENDING AGENCY ;reby 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 Ider's Name Lender's Address my signature below, 1 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 ordi nces an ate laws relating to building construction. I authorize representatives of this city or county tj enter th aboveeNifed property for inspection purposes. (� _ work DATE BY If DECLARATION OF II REGULATIONS PPA PART OF IT E 40 AND QMD RULEE WITH CODE OF FOR OFFICE USE ONLY PERMIT EXPIRED. U I SUBMITTED ASBESTOS NOTIFicQON TC1 PERMIT CANCELLEDLIEPA . • • • • + • • x PERMITEXTENDED EIACIMD PERMITFINAL ASBESTOS NOTIFIC TION IS N APPLICABLE TO CERTIFICATE OF �,jZ. PROPOSED DE LITIO •• ••• • • • es• OCCUPANCY ISSUED"' SIGNATU a e n o • o• e 0 0 = Civil Code).