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HomeMy WebLinkAboutX2019-3855 - PermitsCity of Newport Beach - Building Division IIIIIIIIII�II�IIII�IIIIIII���II��I�III�III�IIII COMB Permit: X2019-3855 Project No: 2660-2019 Ac Permit Counter Phone (949)644-3288 Inspection Requests Phone(949)644-3255 Issued Date: 01/13/2020 Combination Type - SFP Inspection Area: 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAUD INSPECTION. Construction Hours: Monday - Friday 7. 00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 pares. No work on Sundays or Holidays Job Address: 11 MONTEREY CIR NB Description: SFR - R/R POSTS @ (2) PATIO COVERS & ADD STEEL BEAMS, ADD T GLASS WALL O/EXTG 2' BLOCK x 17 LF & 75 LF INSIDE P/L, ADD NEW 2' BLOCK W/2' GLASS ABOVE Legal Desc.: N TR 7510 LOT 1 Owner. NAVRAN ASHLEY Contractor: OWNER/BLDR Architect: SHIVELY JACK III Address: 11 MONTEREY CIR Address: NAVRAN HAMID Address: 24910 LAS BRISA #112 CORONA DEL MAR, CA 92625 MURRIETA CA 92562 Phone: Phone: 04�Nvzdl 1+45-,, Phone: 951-293-4526 State Lic:C033467 Applicant: SHIVELY JACK III Con State Lic: O/B Engineer. Address: 24910 LAS BRISA #112 Lic Expire: Address: MURRIETA CA 92562 Bus Lic: Phone: 951-293-4526 Lic Exp Date: Phone: State Lic: Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $25,000.00 Building Permit Fee: $472.00 Plan Check Fee: $410.64 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 Worker's Compensation Insurance Carrier. Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear. 10f Front: Jae Left: 5' Right: 5' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 IITOTAL FEE: $941.64 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Designer: Address: Phone: Special Conditions: 0 Fire Hazard Zone: N Planning Department - Plan check Fee: $40.00 Fire Departme t Fire Inspection f 0 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans: $0.00 Demolition Fee In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $450.64 Fee Due at Permit Issuance : $491.00 Sa e PUBLI! 001OokB APP,iOVA6:o PLAN CHECK AY" a o Os e- °pQ ° APPROVAL TO ISSUE: 00 �� o n U o _ o J OWNER -BUILDER DECLARATION 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, Businessil'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 7000) of Division 3 of the Business Ind 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ^ Business and Professionstode: 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). as owner of the property, am exclusively contracting wi licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 2"," py o an owner of property who builds or improves tht on, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). am exempt from licensure,under the Contractors' St to License Law for the following reason: By my s nature below I acknowledge that, except for rdy er Wresidencewhich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)sell a st cture that I havebuili as an owner -builder if it has otein its entirety by licensed contractors. I understand that a copy of the applicable law, Section 704; f th Business and Profe Ions Code, is avallabl upon request when his `pp cati� nr at the following Web site:http:/lwww.leginfo.ca.gov/calaw.html. DaLi 1' �Y Signature of Property Owner or Authorized Agent ((( LICENSED CONTRACTOIWSI DECLARATIQ I hereby affirm under penalty of perjury that I am license der ter •.( provisions of Chapter with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Classd Pi 'k I License No Date Contractor Signature WORKERS' COMPENSA. ,ION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML 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: J I have and will mairtain'' 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 )erformance of the work for hic this permit is issued. Policy No. �I have and will maintain `Norkers 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' compensatio nsurance carrier and policy'number a�. carrierI Policy Number Expiration Date Jam of Agent ` e - - ,Phone # r ce ify that, in the performance of theworkNdwh,ich 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 agrehat, ifshould become sublee to t e wo kersnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p ature of Applicant Date,�� DECLARATION REGARDINP(C6k6Q1tLR1ICTION LENDI 3skGENCY hereby affirm under penalty 'Of perj ry that there is a con truc lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below I certify to each of the following: ' I am the property owner or authorized to act on the pro Lrty oner s behalf. I have read this application and the information I have provide is correct. I agree to comply with jiallapplicable city and county ordinance pan a laws relating to building construction. I authorize representattive's of this city or county to/ eater t e abo�e-identifie roperty for inspection purposes. � Signature of Property Ow�er or Authorized Agent i r Print Property Owner's or Authorized Agent's Names\) A NM r ) �/� �J�,� � Date ACTION DATE BY r DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFii ATION TO PERMIT CANCELLED PERMIT EXTENDED ❑AQMD? 4-;?e ° o PERMITFINAL (,d.- " ", ASBEST06 NO�fFJCATION IS NOTAPPLICABLE TO CERTIFICATE OF '3: PROPOSED DEMOLITION OCCUPANCYISSUED '' SIGNATURE: