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Home My WebLink AboutX2019-4043 - PermitsCity of Newport Beach - Building Division I��IIIIII��III�IIIIIIIIIIIIIIIIIII II COMB Permit: X2019-4043 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 4 0 4 3 p Project No : 1478-2017 `r Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 12/1912019 n >' Combination Type - MFP NO CONSTRUCTION NOSE Inspection Area : 5 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: 602 IRIS AVE NB ON THE WEEKEND Description: TEMPORARY SHORING FOR NEW DUPLEX Legal Desc.: CORONA DEL MAR BILK 636 LOT 4 Owner: WOLVERTON RICHARD Contractor: OWNER/BLDR Architect: ANDRADE STANLEY Address: 704 ACACIA AVE Address: WOLVERTON RICHARD Address: 2880 S COAST HWY CORONA DEL MAR CA 92625 LAGUNA BEACH CA 92651 Phone: 714-493-0434 Phone: Phone: 949-715-7474 State Lic:C018971 Applicant: ANDRADE STANLEY Con State Lic: Ole Engineer: TRAN JOHN DINH Address: 2880 S COAST HWY Lic Expire: Address: LAGUNA BEACH CA 92651 Bus Lic: GARDEN GROVE CA Phone: 949-715-7474 Lic Exp Date: Phone: 714-265-1200 State Lic:C-062653 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: Address: Occupancy Group: R3IU Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone:--' Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: No of Units : 1 Front: 20' Bldg Height: 0 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $554.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $917.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bands Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,471.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,471.00 PROCESSED BY: ZONING APPROVAL: PPIB'-IC WCRK£ APPROVAL: PLAN CHECK BY: GRADING APPROVAL: �_ jr-tZA APPROVAL TC ISSUE: 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, priorto 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 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 not 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 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 maQrovements 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 0 1 p I Nved for the purpose of sale). R aas 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 y 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 Iicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my perso 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 no e n onstructed 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 whe hi pplic io mitte at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent r LICENSED CONTRACTOR'S DECLARATI N T� 7 I hereby affirm under penalty of perjury that I am licensed LWer provisions of Chapter 9 (commencing with Section'"-- of Division 3 of the Business and - ions Code, and my license is in full force and effect. License Class License No Date, Contractor Signat..,, COMPENSATION DECLARATION ING: 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 ($100,000), IN ADDITION 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: I 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 'ormance 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' compensa Trance carrier and policy number are: Policy Number of Agent Date certify that, in the performance th 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 agree rNf I should become bject to e w k s' compensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ``// / nature of Applicant - DPV CLARATION REG ING O UCTION LENDING AGENCY •• \\ Ireby affirm under penalty o ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider'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 owners behalf. I have read this application and the information I have provide correct. I agree to comply with all applicable city and county ordinap6esAnd state laws relating to building construction. authorize representatives of this city or co ty t nter a ified ro arty for inspection purposes. signature of Property Owner or Authorized Age Print Property Owners or Authorized Ag ACTION DATE BY D T0N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40, AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTI FICATiON TO PERMITCANCELLED DEPA PERMIT EXTENDED 0AQMD PERMITFINAL Di. -A- OASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION' - OCCUPANCY ISSUED SIGNATURE: