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Home My WebLink AboutX2018-0389 - PermitsCity of Newport Beach - Building D.ivis1®►i HIII�I��I��I�IIIII�IIII�I�III��III�I 100 Civic Center Drive, Newport Beach, CA 92660 ° o° X 2 0 1 8 0 3 8 9 N _ Permit Counter Phone (949)644-3288 . °o . °o a o o ° Inspection. Requests Phone (949)644-3255 °ex�b Combination Type - BLDG Construction Hours: Monday - Friday T:00 a.m. ko 6:20 p.m. 6od': Job Address: 413 MARIGOLD AVE NB Description: DEMO (E) SFR (2 BEDROOMS) 792 SF (CHG OF CONTRACTOR -SEE X2017-0399) Legal Desc.: CORONA DEL MAR BLK 439 LOT 5 COMB Permit: X2018-0389 Project No: 0600-2017 Issued Date : 0210812018 Inspection Area : 5 OR LAST VALID INSPECTION. ,on; 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Owner: ALLADAWI MICHAEL Contractor: TALISSE CONSTRUCTION INC Address: 7040 SCHOLARSHIP Address: 4630 CAMPUS DR #204 IRVINE CA 92612 Construction Valuation: NEWPORT BEACH CA 92660 Phone: 949-272-1111 Phone: 949-4004593 Applicant: ROSEN BRITTANY Con State Lie: 877131 Address: 428 OLD NEWPORT BLVD Lie Expire: 05/31/2018 NEWPORT BEACH CA 92663 Bus Lie: BT30039556 Phone: 949-300-5152 Lie Exp Date: 03/3112018 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: Carrier: STATE COMP Occupancy Group: R3 Policy No: 9038842 Added /New sq.ft. Bldg: 0 Expire: 01/01/2019 Added /New sq. ft. Garage: 0 $0.00 Grading PC Consultant : No of Stories: 0 Building Setbacks Rear: / No of Units : 1 Record Management: Front: / Bldg Height: 0 $0.00 Left: I Bldg Sprinklers: $0.00 Right: I Architect: Address: Phone: Engineer: Address: Phone: State Lie: �° �.9��I State Lie: Designer: Address: Phone: Special Conditions: HAULER: TIM GREENLEAF CHG OF CONTRACTOR SEE X2017-2918 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $3.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM 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 : $33.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $33.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION ••: ••: : I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for$hE:reason(s•) is ted below b� the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, Allej, ifftpvt .ctenldl'sh *or repa+r.eny structure, 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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 lot more than five hundred dollars ($500). - , • • • • • • I, as owner of the property, or my employees with wages as their sole compensation, will do L) all dfpT (,'portions of the work- afl jthe�tr:lcture is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of pro;erV wno, throagh:ernplayees' orpersonal effort, builds or improves the property, provided that the Tiprovements are not intended or offered for sale. If, however, the building or improvement is sold withln•one"ar of cofnpletibn, the DWner-guilder will have the burden of proving that it was not built or m roved 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 Ipply 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 licensure under the Contractors' State License Law for the following reason: 3y 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, 1 cannot legaill yell 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. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivis'o of the Business and Pr es ons @ad..n.Y-11 enae-i in full force Ind effect. License Class License No Date Contractor Signatur // YORKERS' COMPENSATION DECLARATION 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 ($100,000), IN ADDITION TO THE :OST 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 ave 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 in eMmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date me of Agent rnone s I certify that, in the performance of the 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 t, if I should become su the rkers' mp/dation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant) CLARATION RE�A'I f9ING CO RUG- ON LENDING AGENCY LX areby 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). ider's Name Lender's Address 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 torr I agree to comply with all applicable city and county or antes a state la s relating to building construction. I authorize representatives of this city or county to a ter th bo e-iden y for inspection purposes. nature of ProDertv Owner or Authorized ADent % _ Print Property Owner's or Authorized Agent's NdMe; I I,o 1S1R- Date L / 091I B ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE BY - \J DECLARATION I REGULATIONS POA TO 1 OF IITLE 40 AND QMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY /d NOTIFICATION TO 7S NOTIFICATION IS NOTAPPLICABLE TO DEMOLITION