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Home My WebLink AboutX2018-2303 - Permits�y,WPp� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII II COMB Permit: X2018-2303 A4 t 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 3 0 3 Project No ti r Permit Counter Phone (949)644-3288 Inspec!.,oc va uests Phone (949)644-3255 Issued Date : 07131/2018 4q�r ,Yp�b Combination Type - SFP ELEC PLUM 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: 24 TIMOR SEA NB Description: SFR - BATH REMODEL 50 SF Owner:Desc.: NTR15818LOT27 AVERSANO RICKContractor: JACK INMITCHELL Architect:y F,�t" Address: 24 TIMOR SEA Address: 2902 CALLE HERALDO Address: _ iii C '`?�' LR C NEWPORT COAST, CA 92657 SAN CLEMENTE, CA 92673 Phone: Phone: 949-496-3127 Phone: State Lie: Applicant: LORE MITCHELL Address: 2902 CALLE HERALDO SAN CLEMENTE, CA 92673 Phone: 949-498-3127 Code Edit : 2016 Type of Construction: VB 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: Construction Valuation: Building Permit Fee: $172.00 Plan Check Fee: $0.00 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 -� $240.02 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 988218 Lie Expire: 1113012019 Bus Lie: BT30055847 Lie Exp Date: 07131/2019 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: al W 1%: Rear: I Front: I Left: I Right: I 'arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.04 $0.00 $15.48 Plan Check Fee Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 PUBLIC WORKS / PLAN CHECK BY: APPROVAL TO IS: State Lie: Fire Department $37.50 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Du * mit Issuance : $240.02 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 is 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 'rofessions Code) or that he or she is exempt from Iicensure 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply-to,dh 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 Iicensure under the Contractors' State License Law for the following reason: ly 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, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Date .ICENSED CON'i RACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisiorr��,s o ha ter �,j�ommencing with Section f Di 'Sion 3 of the Business and Profes 's ode, and my license is in full force ItG offr.c:. License �'as License NZ Mrk9S Dat \ \u Contractor Signature VORKERS' COMPENSATION DECLARATION IwRKING: S=AILURE TO'SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,600), IN ADDITION TO THE UST OF COMPENSATION, nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby Pffirm uhder n?nalty of perjury one of the following declarations: J I have and wi0 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 ertormance of the work for which this permit is issued. Policy No. 31 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' compensatioi raurancr; carrier and poslcy number are: ner r Policy Number Expiration Date hsyrme of gent , _ Phone # ce Ify that, in the performance of t ork 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 agre to I should become ��subject to t orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of AppllcaDat� IECLARATION RE ARD CONST CTION LENDING AGENCY hereby 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). ender's Name Lender's Address 'y 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 ordin s and state laws relating to building construction. I authorize representatives of this city or county t e above -identified property for inspection purposes. Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NanlfeD 3 ACTION DATE IDE(,CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AQMD RULE 3 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL O / jj (ASBESTOS NOTIFIC N IS NOT APPLICABLE TO CERTIFICATE OF lv �POSED DEMO N OCCUPANCY ISSUED NATURE: -50