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Home My WebLink AboutX2019-0470 - Permits/ City of Newport Beach - Building DivisionI $ IIIIIIIIIIiillllll�llllllllllllllllllllllllllll�IIII COMB Permit: X2019-0470 a 100 Civic Center Drive, Newport Beach, CA 92660 ..Permit Counter Phone (949)644-3288 Project No Inspection Requests Phone (949)644-3255 `�'a rhx�49 Combination Type- SFP ELEC MECH PLUM - Issued Date: 0 2/1 212 01 9 Inspection Area : 3 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 Holidays Job Address: 1315 SANTIAGO DR NB or Description: - SFR -KITCHEN ALTERATION 400SF-'CITY STANDARD" Legal Desc,: N:TR 3851 LOT 48 - Owner: HOULIHAN KATE Contractor MR BUILD HOME IMPRV CO Architect: Address: 1315 SANTIAGO DR Address:. 8391 BEVERLY DR #340 - :...Address: NEWPORT BEACH C 660 " LOS ANGELES CA 90048. Phone: Phone 888-792-8453 Phone: State Lie: -. Applicant: MR BUILD HOME IMPRV CO Con State Lie:. 439166 Engineer: Address: 8391 BEVERLY DR #340. - Lie Expire: 02/29/2020 Address: - LOS ANGELES CA 90048. Bus Lir '. BT30049270 Phone: 888.792-8453. Lie Exp Date. .10/31/2019 Phone: State tic: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B - Carrier. CA INSURANCE CO. Address: Occupancy Group:. R3/U - - Policy No: 4600941902 $0.00 - Added /New sq.Tt. Bldg: 0 ' Expire. 0811612019 - Mded /New sq. ft. Garage: 0 Phone: No of Stories: 0 Building Setbacks Rear / : Special Conditions: No of Units: "I < < 1 Front: / Bodfj(rreigfn: `:c c ` 0 0 Left: / BL1g,GPl iklers. < rsl�ha r 9 , G ' :! ° PROCESSED BY: ZONING APPROVAL: MSQ GRADING APPROVAL: °, 1.;g Mm Flood one: v �> o 0 0 - Use Zone: . Parkin Spaces: 0 Fire Hazard Zone: N a G0FlStfaction.Valuation:. 525.000.00 BuioFSQg'Permit,.,Fee� ` $472.00 Excise Tax: .$0.00 PlanningDepartment Check Fee:° $4i6 64 P Fire Department Additional Fee : $0.00 Plan check Fee; - $40.00 Fire Inspection. $O.OD Glver€iinn Plan Ck $0.00 Gradin Bonds Fee: $0.00 Fire Plan Rev $0.00 < < <: 9 .$0.00 Fair.Share Intiestigation Fee;. < $0.00 Grading PC Consultant: $0.00 SJH. Trans : $0.00 Demolition Fee Recpkr&Management. $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Enarg1PComplianFP: $0.00 Grading PC Feer.. : $0.00 Public Works Department-. ...General Service .$0.00 ' GA Seismic Safety..<< $0.00 WQInsp. Fee: $0.00 : Park Dedication; $0.00 Refund Deposit $0.00. t,,li§ablad Access ; $0.00 p PM Plan Check`. $0.00 Gradin Bond: Grading $0.00 Hazardous Mat u ° $0.00 Electrical %: $33.04 San Dist: $0.00 Building Green Fe`e`:0 c $1.00 Mechanical %: $18.88 NMUSD Fee: $0.00 $0.00 Plumbing %: $42.48 .$0.00 TOTAL FEE: PUBLIC WORKS APPROVAL: PLAN CHECK BY: CY� APPROVAL TO ISSUE: $1,018.04 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,018.04 PROCESSED BY: ZONING APPROVAL: MSQ GRADING APPROVAL: °, 1.;g Mm Flood one: v �> o 0 0 - Use Zone: . Parkin Spaces: 0 Fire Hazard Zone: N a G0FlStfaction.Valuation:. 525.000.00 BuioFSQg'Permit,.,Fee� ` $472.00 Excise Tax: .$0.00 PlanningDepartment Check Fee:° $4i6 64 P Fire Department Additional Fee : $0.00 Plan check Fee; - $40.00 Fire Inspection. $O.OD Glver€iinn Plan Ck $0.00 Gradin Bonds Fee: $0.00 Fire Plan Rev $0.00 < < <: 9 .$0.00 Fair.Share Intiestigation Fee;. < $0.00 Grading PC Consultant: $0.00 SJH. Trans : $0.00 Demolition Fee Recpkr&Management. $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Enarg1PComplianFP: $0.00 Grading PC Feer.. : $0.00 Public Works Department-. ...General Service .$0.00 ' GA Seismic Safety..<< $0.00 WQInsp. Fee: $0.00 : Park Dedication; $0.00 Refund Deposit $0.00. t,,li§ablad Access ; $0.00 p PM Plan Check`. $0.00 Gradin Bond: Grading $0.00 Hazardous Mat u ° $0.00 Electrical %: $33.04 San Dist: $0.00 Building Green Fe`e`:0 c $1.00 Mechanical %: $18.88 NMUSD Fee: $0.00 $0.00 Plumbing %: $42.48 .$0.00 TOTAL FEE: PUBLIC WORKS APPROVAL: PLAN CHECK BY: CY� APPROVAL TO ISSUE: OWVIER-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 items) lection 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 ie 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 ofthe Business and rofessions 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 apermit subjects the applicant to a civil penalty of of more than five hundred dollars ($500).t he I, as owner of the property, or my employees. with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or. personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, However, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or n roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License law does not ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuantto the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: Mmy signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) ell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3//''of the Business and Pr�qfqg�sSion$ CC de, annd y licens],n ll force effect. License Class License No. Da�� Contractor Signatur&L ✓d(� VORKERS' COMPENSATION DECLARATION i IARNING: 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 1$100,0001,ON TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 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 LCode, for th ormance of the work for which this permit is issued. Policy No. I ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My a •r•pensatio isu nice carrier and policy numberare: °. ° < ' ,_learner Policy Number PhoneExpiration Date lamb of Agent _ . .�I certify that, in the performance of th work for which this permit is issued, I shall not employ any person io any manner so as to become subject to the workers' compensation laws of 0�rbd�zgrchat, if I should become subject to the rkers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision• °„�Dat signature of Applican ]ECLARATION REG ING CON CTIO LENDING AGENCY hereby affirm under penalty of pe' ry 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 NameLender's Address• Jo• c3ymy. signature below, I certify to each of the followingI am the property owner or authorized toact on the property owner's behalf.• �� I have read this application and the information I have provided is correct Ir„el,� �, • • • • `• ° - u'W1,�4 LCALY I agree to comply with all applicable city and county ordina s and tate laws relating to building construction. ...... •••• I authorize representatives of this city or county to enter th ove-i entifiedproperty forinspection purposes. ' • ° Signature of Pr Derty Owner or Authorized. en Print Pro ertOwner's or Authorized Agents Name Date C:< ACTION DATE BY �!ECLKRkfION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ! RGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL 7 3 S ASBESTOS NOTIITIO N IS NOTA PLICABLE TO CERTIFICATE OF ROPOSED DEMOLITION - OCCUPANCY ISSUED SIGNATOR . ..:>