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Home My WebLink AboutX2018-2581 - Permit Application (3)City of Newport Beach - Building Division III T4_ 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v 'yn Inspection Requests Phone (949)644-3255 `Orr �rx p Combination Type - MFP ELEC MECH PLUM PERMITS EXPIXDAYST ISS Construction Hours: Monday - Friday 7:00 a.nd S tJob Address: 32 VIENNA N13Description: MFR INTERIOR REMODEL (KITCHEN, BATHROOMS) 500 S21 Qy F Legal Desc.: TR 9859 LOT 1 UNIT 10 OF PROJECT LOCATED ON AP 461*Owner: CLEAR VIEW PROPERTIES Contractor:CC Address: 32 VIENNA NEWPORT BEACH, CA 92660 Phone: Applicant: MORENO MARTIN Address: 12751 SUNNY MEADOWS DR MORENO VALLEY, CA 52553 Phone: 951-484-5179 Code Edit: 2016 Type of Construction: V-B f Occupancy Group: R2/U Added /New sq.ft. Bldg: 200 Added /New sq. ft. Garage: No of Stories: 2 No of Units: 1 Bldg Height: Bldg Sprinklers: N Flood Zone: Building Permit Fee: $1,328.09 Plan Check Fee: $1,084.04 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $46.00 Energy Compliance: $56.00 CA Seismic Safety : $9.79 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 PROCESSED BY: &II�I1I1III11q[ COMB Permit: X2018-1482 2,e' 1 4 2 Project No : 1153-2018 Issued Date : 07/26/2013 `e��tryi Inspection Area : 4 {9FE OR7AATFRPROOFING VALID I PECTIO • ^i,_ fay a.m. 6:00p.m. wixl ut Sundays or Holidays R :T7TIO" Architect: AddresOr 11100-8 SEPULVED44*LVD #561 Address: ISSION HILLS, (�b91345 one: / a18-832-9407 Phone. � State Con Sta Lic: 988451 _' Engineer: `STi�tgLIN JOHN Lic E ve: 11/30/2019 Address: fN73 VALLEY CTR B Lic: BT30063962 .[ A Y CENTER 92 is Exp Date 07131/2019 „� Phorylf�` 9- 1722 ,y A,, Workers Compensation Insurance S1�(e�r' +k- EDIN AND W . y' /' Carrier. BENCHMARK INSURANCE �5dres%b 42119 VI EEES�EtL L 0^^�� ``Policy No: CST5012604 �t TEM LA4 92 ,` _-Expire 04/16/20191;,. �{�O : \� >s- Building Setbacks Rear I \Special Co ItioCq�Q Front '/ /LaVl-e_ Left: I.-��a�— r�s" Right: I Use Zak: J'° Parking Spaces: -:.0 VV5 `(.._g fi.bv. i y c � Ex ' Tax �te� $0 00 a$� Planning Do p m Fee $0.00 ? Plan the Fee ds Fee: $000 -"' r�1 Fair S re ra ng onsultant : . " $0.00 ;`LZ SJ rans strait Fee: a :.,.$0.00:i" -lieu Ho in G PC Fee: ublic r ep WO Insp. Fee p`0.00 Par e ation v n Check ''- E trical ,,Mec nical `$92.96 $53.1 an at: SO Fee: Plumb %: $1 .52 TOTAL FEE: $3,019.43 ZONING APPROVAL: GRADING APPROVAL: $1,328.04 21 Fire Department $150.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm ant - General Service $0.00 Refund Deposit $76.00 Grading Bond: $0.00 $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 W. 10,u9, $0.00 $0.00 $0.00 $0.00 $0.00 $1,691.39 OWNER -BUILDER DECLARATION '•a¢. ^• I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the a son(s).ihdicated llel tiy' checkmark(s) I have placed next to the applP�abt. star.^;�) ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, r, improve', demolis {fir re ic'astructure, 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 Contr rs' Sta(e License La+{J hapter (cou`tBlencing 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 exemp' . Any violation of 57031.5 by a app' giant for a permit subjects the applicant to a civil penalty of rot more than five hundred dollars ($500). \., 010 .,_� I, as owner of the property, or my employees with wages as their sole compensation, do L) a{11Dr (� p{,s of the wo ,and the st tLre.Senot intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to owner pero, through a oyees' or person ffofl;builds or improves the property, provided that the mprgvements„are not intended or offere_ d for sale. If, however, the building or impr mart is sc�l wdhinOool ear of tom tion, the Owner -Built de ill irdve the burden of proving that it was not built or mproved for the purpose of sale). �QZ ` I, as owner of the property, am exclusively contracting with licensed Co ctons to construct t r�fact (Secti 044, Business and Professions C e: The Contractors' State License Law does not app� to an owner of property who builds or improves thereon, and who racts for the proje a liceri ontractor pursuant to the Contractors' S e License Law). I am exempt from licensure under the Contractors' State Licens aw, for the f owing reas n: 3y my signature below I acknowledge that, except for my person esidence in ich I must have red( for at least one year prior to completion of the impro marts covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has n een constr ad in its entirety by &Ysed contractors. I understand that a copy okNapplicable w, Section 7044 of the Business and Professions Code, is available upon request when this ap ation is sub ted or at the following°Web site:http://www.leginfo.ca.gov/calaw. t Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATIO -- hereby affirm under penalty of perjury that I a tensed provlsods of Chapter 9 (commencing withS Io . 7000 i Busines ofe Io e a my license is in full force and effect. License Class I\ icenseNo Dat Z Cyntract ignatu NORKERS' COMPENSATION DE ARATION kZd / NARNING: FAILURE TO SECURE WORKERS' OMPENSATIO OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEA TIES Dt PrNES U TO HU4qp- HOtIBAND DOLLARS (870(1,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES Ago OVIDEDFOR SECTION9746 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. • [;-y�� .off hereby affirm under penalty erjury one the following. declarations: 1 have and wX nalUlten a ceaific of consent to self -insure for workers' compensation, issued a or ofSI�IQdustrial Rel ons \provI d for by Section 3700 of the Labor Code, for IN le ff�ormance of th- v' for whl�I�ttls permit is issued. Policy Na ' have and will in;ain�irjers cnmpensation insurance, as required by Section 3700 of the Lab e, for the perform Be of,dvor Dior which this permit is issued. My workers' compensation nsurance car and licy numberyre \ :arrier 400P Policy Number. E tion Date V.ame of Agent. yyyy''..,,one # 71 e3ify that, in the perfor Be or�work foilwhich this permit is issued, I shall` o ploy any person in a anner as become subject to the workers' compensation laws of California, and Signer ha];:rf I should ,beromP s(hb)ect the workers c pensation"-prrovisions of Sects of the Labor Code, I all rth ply with those provision a // Slgnat lirant ;x - Date_ e 5E gliATlO R IN ty0, N RUC ENE NG AGENCY he b a under Fsnalty of penury at th '°a constructi I gens rthe perfor ce of th or r which this permit is issued (Sectio 097, Civil Code). -a:rder's Name 9 Lender's dress Py my signature'be,Dw, I certify to eai6 of following: �``O� 'z I am the prdpeRj owner or authorized to ton t owneII* ehalf. I have read this application and the ih rma n I h e Ided is correct. I agree to comply with all applicable oity,and unity inances nd state I s relati o ding construction. I authorize representatives of this city or county enter the ove-ide prop y f nspection purposes. signature of Property Owner or A orized gent- Print Property Owner's or Authorized A s Name (� dY�u D to O�I�L Z° ACTION DATE BY D IA OF COM A ITH CODE OF FEDERAL FOR OFFICE USE ONLY REG IONS PAR 1 TILE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED NOTIFICATION TO 15 NOT APPLICABLE TO r�,