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Home My WebLink AboutX2019-1808 - Permits (3)rwnoq City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ti Permit Counter Phone (949)644-3288 U y Inspection Requests Phone (949)644-3255 , Combination Type - SFP ELEC MECH PLUM ' l!IIl1111!#1111111111111111111111111111111111l JillCOMB Permit: X2019-1808 Project No Issued Date: 06/10/2019 Inspection Area : 6 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: 18 MARISOL NB Description: SFR -(CITY STANDARD) INTERIOR ALTERATION OF 2ND FL BATH 65 SF Legal Desc.: N TR 16486 LOT 19 Owner: HOLMES LAURA Contractor: PATRIOT CONSTRUCTION Architect: Address: 18 MARISOL Address: 17650 VAN BUREN LANE Address: NEWPORT COAST, CA 92657 HUNTINGTON BEACH, CA 92647 Phone: Phone: (714) 580-4351 Phone: State Lic: Applicant: PATRIOT CONSTRUCTION Address: 17650 VAN BUREN LANE HUNTINGTON BEACH, CA 92647 Phone: (714) 580-4351 Cade Edit : 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Con State Lic: 1022347 Lic Expire: 01/3112021 Bus Lic: BT30066222 Lic Exp Date: 02/29/2020 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: Building Setbacks Rear: / Front: I Left: I Right: I Engineer: Address: Phone: State Lic: Designer: REYNOLDS CHRIS Address: 17650 VAN BUREN LN HUNTINGTON BEACH CA 92647 Phone: 714-580-4351 Special Conditions Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $152.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $132.24 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: $0.00 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 W $10.64 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $6.08 NMUSD Fee: $0.00 $0.0o Plumbing %: $13.68 $0.00 TOTAL FEE : $355.64 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $355.64 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter improve, demol!,h, 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 Conf,tctors' State Ucen�e 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 e::en.ption. Any � ol6tion 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 L) 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 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 1 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 0 o IDOM' �o�l 3 of the Business and R,rofessiorgs ense is in full force and effect. License Class License No Dat ``II Contractor Signatum Z E . Mn,t"�"'/nl I) NORKERS' COMPENSATION DECLARATION NARNING: 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. 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 'ormance 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' compensa Trance carrier and policy number are: Policy Number Agent Date cerify 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 t, if should become subject to the wSrkkeerss' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� / 'Inature of Applicanb�, C � �-f c ',0 � / DSpS— � j DECLARATION REG ING CONSTRUCTION LENDING AGENCY ' I hereby affirm under p na y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C' I 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 owners 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 cou to enter t e above-identifie property for inspection purposes. �,.0 [} Signature of Property Owner or Authorized Agen I ` rJ V Print Property Owner's or Authorized Agent's Na Ctlf tS , �1n10 0 S Date (,11101 t ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AgMD RULE 1403 PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED UAQMD PERMITFINAL {� (� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF ^ Z ' �l P PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: