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Home My WebLink AboutX2019-1543 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1543 100 CivicCenter Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 4 3 Project NO : 0327-2019 a Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type- BLDG PLUM IssuedDate: 05116/2019 Inspection Area : 1 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: 1714 PLAZA DEL NORTE NB Description:. DEMO (E) SFR W/ATT GARAGE 843 SF (2 BEDROOMS) Legal Desc.:: N TR 518 BLK L LOT 4 Owner:. CLAYTON MATTHEW Contractor: CLAYTON BUILDERS INC Architect:. AUST ERIC ,. Address: 250 LUGONIA ST Address: 736 FARAD STREET Address:. 62 BALBOA COVES "•_ NEWPORT BEACH CA 92663 COSTA MESA, CA 92627 NEWPORT BEACH CA 92663 Phone' 949-279-5910 Phone: 948.279-5910 Phone: 849-637-5220. State Lic:CO29374 '+ Applicant: CLAYTON MATTHEW Con State Lic: 846631 Engineer. Address: 250 LUGONIA ST Lic Expire: 09/30/2020 Address: NEWPORT BEACH CA 92663 Bus Lic: BT30043010 Phone: 949.279-5910. Lic Exp Date: 04/3012020 Phone: State Lic: � Code Edit, 2016 Worker's Compensation Insurance Designer. '. Type of Construction: VB Carrier: NO EMPLOYEES Address: Occupancy Group: R3IU Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone:" Added /New sq. ft. Garage:. 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: HAULER: JD DEMOLITION No of Units : 1 Front: I (1) CITY TREE ON SITE Bldg Height: 0 Left: / Bldg Sprinklers: N .Right: / Flood Zone: - X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $7.500.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - - .Fire Department Plan Check Fee:. $0.00 Additional Fee: $0.00 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 i $0.00 Demolition Fee Record Management: $0.00 ` Grading Permit Fee: $0.00. In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: - $0.00 -. Grading PC Fee: $0.00 Public Works Department- General Service $210.00 CA Seismic Safety: $0.00 WO lnsp.Fee: $0.00 Park Dedication: $0.00 Refund Deposit $1,127.00 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 [ $1,00 Mechanical %: $0.00 NMUSD Fee: $0.00- $0.00.. Plumbing W $9.27 $0.00 TOTAL FEE : $1,476.27 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,476.27 PROCESSED BY:. m a. o IDUBLIDWORKS APPROVAL: ZONING APPROVAL: ° - ° ` • PLAN t:hECK &Y: I GRADING APPROVAL: o APPROVAL r a.ISa JJE: a ooc v E c 0oc o0 a eoo €oma . 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 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 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 not more than five hundred dollars ($500). ❑ 1, 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, 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 improvements 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 improved 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 apply 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: By 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 legally sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION f I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 ' ' p f the Business and Pr a ionsf o E, n 1 ,i in u rce and effect. License Class License No Date l Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PRO=ED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 the )erformance 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of t work for whiC ennit 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 I. if I should becomXDI ct t rke 'comp s Io rovlsi s frSeG(lon 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Da CLARATION REGAG CONSTRUCTION LENDING AG CY weby 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 3 , Civil Code). rder'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 correct. I agree to comply with all applicable city and county ordinancesand state law relating to building construction. I authorize representatives of this city or coLlnty tpenjo ttjk y�eJdpntifIe9FVtaPTrTy7br inspection purposes. Sianature of Prooertv Owner or Authl ACTION DATE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF —9-1� OCCUPANCY ISSUED 1403 /-�-O Print Prooertv Owner's or Authorized OF COk9UANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE FOR OFFICE USE ONLY