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Home My WebLink AboutX2019-2234 - Permitswl�r City of Newport Beach - Building Division *X2019-2234* COMB Permit: X2019-2234 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1615-2019 µ Permit Counter Phone (949)644-3288 U -`A Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : Inspection Arearea :z019 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: 10 TIMOR SEA NB Description: SFR REMODEL KITCHEN & MASTER BATHROOM, REPLACE FIREPLACE MANTELS (800 SF) INSPECTOR Legal Desc.: Owner: MARX NANCY Contractor: DAVID CLOSE HOMES Architect: JEANNETTE BRION S Address: 10 TIMOR SEA Address: 1501 WESTCLIFF DR #300 Address: 470 OLD NEWPORT BLVD NEWPORT COAST CA 92657 NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92663 Phone: Phone: 949-246.3313 Phone: 949-645-5864 State Lic:0008012 Applicant: CLOSE DAVID Can State Lic: 789703 Engineer: Address: 711 W 17TH ST El Lic Expire: 01/3112021 Address: COSTA MESA CA 92627 Bus Lic: BT03050538 Phone: 949-625-6125 Lic Exp Date: 02/2812020 Phone: State Lic: Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/1.1 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: Construction Building Permit Fee: $1,708.00 Plan Check Fee: $1,485.96 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $8.00 TOTAL FEE: $4,372.56 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9166430 Expire: 09120/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $119.56 $68.32 $153.72 Designer: Address: Phone: Special Conditions: VHFSZ, LANDSLIDE AREA 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 Zone: N Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $4,372.56 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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 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 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 (_) 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 Ii-m-roved for the purpose of sale). LI 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). ❑ I 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 legall) 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 oft IS 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://ww .leginfo.ca.gov/calaw.hti Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under ponalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S c n 700 o�'�?Ivision 3 of the Bura nd P EessieR Code, ense is in full force and effect. License Class License No Da a TTi Contrto Sig WORKERS' CCMPENSATION DECLARATION NARNINr„ 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 I$100,000d, IN ADDITION TO THE COS-9F COMPENSArION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm. under penalty of perjury one of the following declarations: ❑ i nave 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 thi ..e,'O.mance 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' ra.Ice carrier and policy numbel are: of Agent if I Policy Number Expiration Date Ice of th ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the to the l IV,,ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLAFLTION GA CONST4CDCTION LENDING AGENCY sreby affirm un penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section tder'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 property owner's behalf. I have read this application and the information I have pro 'ded is correct. I agree to comply with all applicable city and county o Inanc Late laws relating to building construction. I authorize representatives of this city un n r th - tified property for inspection purposes. Signature of Property Owner or Authod d A Print Property Owner's or Authorized Ag ACTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFIC4TEOF _1 OCCUPANCYISSUED TO compensation laws of California, and Civil Code).