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Home My WebLink AboutX2011-1194 - PermitsCity of Newport Beach Building Division PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Combination Type - SFP/ PLUM/ / / COMB Permit No: X2011-1194 PROJECT NUMBER: 0930-2011 Inspection Requestsrfelephone (949)644-3255 INSPECTOR Job Address: 105 VIA RAVENNA NB Description:C/0 SLIDING DOOR @ MSTR BEDRM W/FIXED SIDELIGHTS & GABLE END WINDOWS, BALCONY REPAIR WHICH MAY INCLUDE PLYWOOD REPLCMNT, RESURFACE DECK W/DEX-O-TEX, R/R OVERFLOW SCUPPER, FLASHING & DECK DRAIN Inspector Area: 1 Owner: SMITH FAMILY TRUST Address: 105 VIA RAVENNA NEWPORT BEACH, CA 92663 Phone: 949-200-9492 Applicant: SMITH MARTIN Address: 105 VIA RAVENNA NEWPORT BEACH, CA 92663 Phone: 949-200-9492 Code Edit : 2010 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: Flood Zone: Issued Date: 05/16/2011 Building Permit Fee: $397.87 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Fee Increase: Fee: $0.00 Additional Fee : $67.68 Hazardous Mat: $0.00 Building Green Fee: $1.00 TOTAL FEE: $512.34 Legal Desc.: N TR 907 LOT 179 Contractor: O W NER/BLDR Address: SMITH MARTIN Phone: Con State Lic: O/B Lic Expire: Bus Lic: Lic Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: / Front: I Left: / Right: I Use Zone: Parking Spaces: 0 Solar System PC : $0.00 Excise Tax: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical W $0.00 Plumbing %: $39.79 Plan Check Fee Architect Address: Phone: State Lic: Engineer: , • , , , Address: Phone: State Lic: , Designer: Address: SUBJECT TO FIELD U415F'�CTO$ S , , REVIEW ANDAii�I20VAL .. Phone: Special Conditions: OWNER -BUILDER AUTH FORM , ATTD W/TRUST DOCUMENTS. ' Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $512.34 PROCESSED BY: �Z PUBLIC WORKS APPROVAL: 1 ZONING APPROVAL: i PLAN CHECK BY: �] GRADING APPROVAL: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 'NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s) :tion 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 `essions 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). 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, iness 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 ei for the purpose of sale). Vys 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). J I am exempt from licensure under the Contractors' State License Law for the followinyseaso� y my signature below I acknowledge that, except for my personal in hic I m� u e real, =_II a structure that I have built as an owner -builder if it has not n constr d-irril an rofessions Code, is available upon request when this ap dlc on is u d or ignature of Property Owner or Authorized Agent !LENSED CONTRACTOR'S DECLARATION I-ernhy affirm under punalty of perjury that I am licensed under provisions of Cha r 9 mencing nd effect. icense Class License No Date COMPENSATION DECLARATION one year prior to completion of the improvements covered by this permit, I cannot legal I understand that a copy of the applicable law, Section 7044 of the Business and .Ieginfo.ca.gov/calaw.html. / Date with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Contractor Signature iCRNING: FAILURE TO Q S=CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST dF COMPE°N$AS ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h,xebr affirm under penalty of perjury one of the following declarations: I have and 'sill 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 e,fom.ance of the work for which this permit is issued. Policy No. ha•re and will ,naintain 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' �apce Carr.Er 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date_ �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, 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 have provided is correct. I agree to comply with all applicable city and county or at to laws relating to Puilding construction. I authorize representatives of this city or county to - f spection purposes. S-- nature of Property Owner or Authorized Agent rint Property Owner's or Authorized Agent's Name r Date ACTION DATE RATION OF COMPLIANCE WITH CO OF FOR OFFICE USE ONLY AL REGULATIONSPART 61 OF TITLE40AND RULE 1403. PERMfT EXPf,RED ;AQMD UBWTTED ASBESTOS NOTIFICATION TO: EPA AQMD PERMITCANCELLED PERMITEXTENDED BESTOS NOIIHCA ONIS NOT APPLICABLE TO SEDDEMOilT(Q . PERMfT FINAL 1 F' 12 D� Foy CER77FlCATEOF OCCUPANCYISSUED SIGNATURE' +�