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Home My WebLink AboutX2020-1906 - Permitsarok City of Newport Beach - Building Division .'t �+ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u y„ It,Inspection Requests Phone (949)644-3255 Combination Type - SFP PLUM III 111111111111111111111111111111111111111l II111111111 COMB Permit: X2020-1906 Project No : 1522-2020 Issued Date : 0310812021 Inspection Area: S_ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310812024 OR PERMIT WILL BE INVALID 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: 406 GOLDENROD AVE NB Description: SFR -CREATE BOX IN EXTERIOR WALL FOR GAS CONNECTION TO FIREPIT Legal Desc.: CORONA DEL MAR BLK 334 LOTS Owner: ROBERTS LUKEIJESSICA Address: 406 GOLDENRON AVE CORONA DEL MAR CA 92625 Phone: Applicant: ROBERTS MICHAEL Address: 6 CALLE ALIMAR RSM CA 92688 Phone: 949-858-7540 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $110.00 Plan Check Fee: $161.70 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $330.85 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: MICHAEL ROBERTS HOME Address: 6 CALLE ALIMAR RSM CA 92688 Phone: 949-858-7540 Con State Lic: 681116 Lic Expire: 09/3012021 Bus Lic: BT30060668 Lic Exp Date: 0913012021 Worker's Compensation Insurance Carrier: FALLS LAKE FIRE Policy No: MIWC255788 Expire: 01/24/2022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic Designer: GU9Y ARTHUR Address: 3185 C AIRWAY AVE COSTA MESA CA 92626 Phone: 714-545-2B98 Special Conditions: HIGH DENSITY AREA Fire Hazard Zone : N $0.00 Planning Department- Fire Department $0.00 Plan check Fee : $46.25 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $9.90 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $330.85 PUR-.IC WORKS APPROVAL: PLAN CHECK BY: AVPROVAL TO ISSUE: 0 signature of Property Owner or Authorized Agent - L6g6t7g=Print Proper ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERA REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TC PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL (� r�/1/� A EST S NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF '� (� - P OSED OLITIO J!i OCCUPANCY ISSUED GNATURE: 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 he 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 licensors 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 iot 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 i�m 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 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty ofAp�,rjury that I am licensed under provisions of ter 9 (commencing with Section 0 ) o Division 3 of the Business and Prgqlfes�IaDa Codera d m lic a in full force and effect. License Class —K License No Lii� Date'I� Contractor Signature�c..r� WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST 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: ❑ 1 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 9pe rmance of the work for which this permit is issued. Policy No. I have and will a� Intain 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' compensatiol insurance carrier a olicy nupbtlr are: _ A Number Date is of Agent %� 1 1, J1 !/7-- vnone rr 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 ogre if I should becom�e /subject to the-wor a compen ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applica;n �� CLARATION REG RDING CONSTRUCTION LENDING AGENCY rreby 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 3097 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to can ffl,9 abov�1cienqqedyroperty for inspection purposes. , /—/ FOR OFFICE USE ONLY Civil Code).