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Home My WebLink AboutX2019-2795 - Permitsrywr„4 City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ti s Permit Counter Phone (949)644-3288 ar Inspection F3equest-s Phone (949)644-3255 Combination Type - BLDG PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-2795 x 2 0 1 9 2 7 9 5 Project No : 1985-2019 Issued Date: 09/0912019 Inspection Area : 5 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: 616 POINSETTIA AVE NS Description: DEMO SFR 950 SF (2 BEDROOMS) Legal Desc.: CORONA DEL MAR BLK 643 LOT 18 Owner: PAM CAPITAL MANAGEMENT Contractor: OWNER/BLDR Architect: Address: 13600 MARINA POINTE DR# 1208 MARINA DEL REY, CA 90292 Address: AUTHAGENT: Address: NO RYO SAKAMOTO f� CONSTRUCTION /'� NOSE Phone: 310-591-9402 Phone: Phone: State Lic: Applicant: SAKAMOTO RYO Con State Lic: O/B Engineer: Address: 13600 MARINAPOINTE DR#1200 Lic Expire: Address: MARINA DEL REY, CA 90292 Bus Lic: ON THEWEEKEND Phone: 310-591-9402 Lic Exp Date: Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer:^�� Type of Construction: V-B Occupancy Group: R3 Carrier: Policy No: Address: VV S`f' Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 _ No of Stories: 1 Building Setbacks Rear: / Special Conditions: O/B FORM ATTACHED No of Units : 1 Front: I JD DEMO TO HAUL. . Bldg Height: 0 Left: I ACKNOWLEDGMENT SIGNED Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $208.00 Additional Fee : $0.00 Plan check Fee : $90.00 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 : $4.00 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 $210.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 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 %: $9.27 $0.00 TOTAL FEE : $2,343.27 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,343.27 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: IZIU PLAN CHECK BY: 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 70001 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 kp ements 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 ed for the purpose of sale). 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 o 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 hapersonal 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 i s not been constructed in its tirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the Business and Professions Code, is available upon request w"licensedunder ubmitted wing Web site:http://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized AgDa SPOT ,IGENSED rONTRACTOR'S DECLARA I hereby affirm uI,oe, penalty of perjury that I aions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force and ef`ect. License Class o Date Contractor Signature COMPENSATION DECLARATION 'nRNINO: FAILURE 7G .,ECURE 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 OS r OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and wall 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 ertormance of 'he 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' rar.ce carri6.- and policy number are: ier Policy Number Expiration Date me of Agent rnone s I certify that, in the perf ance of the work for which thi permit is issued, I shall not employ any person in any manner so as to become subject to the workers' laws of California, and agre t, if I should becomes bject to the workers' com a n r tion 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant � �, 'zOA� CLARATION REG DIN CO RUCTION LEN G AGENCY I =.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 (Section 30 7, Civil Code). ider'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 h e provided is correct. / I agree to comply with all applicable city and cou y ordinances and state laws relating to building construction. I authorize representatives of this city or county ent_gLtthe above-igBofieO property for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ACTION DATE BY LARATION OF CO LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REPULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED QMD PERMITFINAL D ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF F PROPOSED DEMOLI ON n OCCUPANCVISSUED ,� NATURE: /(