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Home My WebLink AboutX2019-0941 - PermitsCity of Newport Beach- Building Division *X2019-0941* COMB Permit: X2019-0941 ' �. 100 Civic Center Drive, Newport Beach, CA 92660 Use Zone: Project No: 0646-2019 Construction Valuation`.. 910.000.00 9.; H '`t Permit Counter Phone (949)644-3288 Fair Share:. - $232.00 Inspection Requests Phone. (949)644-3255 General Service Plan Check Fee;. $201.84 Additional Fee: C'r�srxnu�� ,.Combination Type - BLDG; PLUM Overtime Plan Ck: Issued Date : 03/26/2019 Grading Bonds Fee: _. :Investigation Fee: Inspection Area : 2. Grading PC Consultant $0.00 Record Management: $4.00 Grading Permit Fee: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Grading PC Fee: Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays $0.00 Job Address: 921 CLIFF DR NB Disabled Access :- $0.00 Description: SFR 4' 6" TALL FIREPLACE Legal Desc.: N TR 1218 LOT 96� Hazardous Mat - $0.00 - Owner: MASLINATI MANNAWI Contractor: LAND ART BY SAEMAN INC Architect: �. $1.0 Address: 25376'PACIFICA AVE Address: _ PO BOX 929 Address: .... • - MISSION VIEJO, CA 92691 .DANA POINT CA 92629 • e ...... Phone: Phone: 949-701-3826. Phone:: State Lie: •„"°; ° Applicant: SAEMAN BRYCE-. -- - Can State Lie: 1028864- Engineer: Address: 356. CANYON ACRES DR- Lie Expire: 0713112019 Address: ,° ' LAGUNA BEACH, CA 92651 Bus Lie: BT30058441 • ° • ° ° ° ° ° c Phone:. 949-541-1226 Lie Exp Date: 03131/2019 Phone: State Lie: a -- • • ° ° v .Code Edit: 2016 Worker's Compensation Insurance -` Designer:PEDERSEN DAVID Type of Construction: Carrier:. SECURITY NATIONAL Address: 20271 ACACIA ST STE 120 Occupancy. Group: U Policy No:. SWC1191916 NEWPORT BEACH, CA A c ° v °. .. ° o Added /New sq.ft. Bldg: 0 Expire: 0410112019 Phone: 949.251-8999 ° ..... Added /New sq. ft. Garage: 0 ° No of Stories: 0 Building Setbacks Rear: I Special Conditions: ° .... ..... ® ° No of Units : 1 Front: I Bldg Height: 0. Left:. / Bldg Sprinklers: Right: / PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 Flood Zone: $40.00 Use Zone: Plan check Fee Construction Valuation`.. 910.000.00 $0.00 Fair Share:. Building Permit Fee:: $232.00 Excise Tax: General Service Plan Check Fee;. $201.84 Additional Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee: Park Dedication: :Investigation Fee: $0.00 Grading PC Consultant $0.00 Record Management: $4.00 Grading Permit Fee: $0.00 Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access :- $0.00 Hazardous Mat - $0.00 - Electrical %: Building Green Fee : $1.0 Mechanical %: Plumbing %: TOT PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 Planning Department - $40.00 $0.00 Plan check Fee Fire Plan Rev $0.00 Fair Share:. $0.00 $0.00. SJH Trans: General Service $0.00 In -lieu Housing Fee: $0.00 Public Works Department - $0.00 Park Dedication: $0.00 P/W Plan Check: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $20 88 Plan Check Fee: $241.84 Fee Due at Permit Issuance PUBLIC WOR SAPPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $257.88 Fire Department $40.00 Fire Inspection:. $0.00 Fire Plan Rev $0,00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee: $241.84 Fee Due at Permit Issuance PUBLIC WOR SAPPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $257.88 OWNER -BUILDER DECLARATION 1 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 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 3rofessions 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). _ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure 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 property who, through employees' or personal effort, builds or improves the property, provided that the mprovements 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 m 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 3y my signature ATow (.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 ,gill a strycture th'dtlhave 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 ':dfh1s9Jns Co*, Ls awjilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. >1 nature of Propert)•®wner or Authorized Agent Date M �9ISED CONTRACTOR'S DECLARATION hereby affirm Unger Welty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of ivisi n 3 of the Business and Pr dS, and my license is in full force IPB�ff9Gt. Lic�ryS�Cl�ss License No Date 3 Contractor Signature @OR*KERS' CCWF?ENSATION DECLARATION VAr Nl�d:FAILURE:TeSZ90RE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE M611614COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Yle Aeby affirm under penalty of perjury one of the following declarations: I hale and w110rMitain 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 Bice of thg porl�for which this permit is issued. Policy No. and wijl.malAin 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' compensatiol ns ce carrier and policy number are: :arrier Policy Number Expiration Date Jame of Agent Phone # :1I certify that, in the perfor work r which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre hat, if I should become su tact to h wor s' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. / p, signature of Applica )ECLARATION REARDING STRUC NLENDING AGENCY hereby affirm under penal f perjury 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 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 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 ordina c s!ajplaws relating to building construction. I authorize representatives of this city or county to enter i en roperty for inspection purposes. ( ap l 3i nature of Property Owner or Authorized Agent int Property Owner's or Authorized Agent's Name �NCe fML DaJLNJ,D ACTION DATE BY DE TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED QMD - PERMITFINAL _ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF S �� PROPOSED DEMOLITION OCCUPANCY ISSUED , SIGNATURE: _