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Home My WebLink AboutX2019-1293 - PermitsCity of Newport Beach - Building Division IIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Building Permit Fee: -.$232.00 COMB Permit: X2019-1293 100 Civic Center Drive, NewportBeach, CA 92660 x 2 0 1 9 1 2 9 3 Project No : 0919-2019 Permit Counter Phone (949)644-3288 a Additional Fee: $0.00 Plan check Fee :. Inspection Requests Phone (949)6443255 Fire Inspection: $0.00 Combination Type - MFP $0.00 Issued Date: 04/24/2019 $0.00 Fair Share : $0.00 Inspection Area : 3 $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Investigation Fee: $0.00 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 SJH Trans : .Job Address: 7 KAMALII CT NB Demolition Fee Description: MFR BALCONY REPAIR $0.00 Grading Permit Fee: $0.00 Legal Desc.: TR 7817 LOT 4 UNIT 272 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER $0.00 Building Dept Adm $0.00 Owner: NEWPORT CREST HOA Contractor: - SMITH ANGUS CONSTRUCTION. Architect: $0.00 Grading PC Fee: Address: 201 INTREPID ST Address: -12342 CANYON TERRACE Address: General Service NEWPORT BEACH CA 92663 SANTA ANA CA 92705 CA Seismic. Safety'. $0.00 Phone: 'Phone: 714-538.1191 - Phone: II� Stateie��99. Applicant: SMITH ANGUS Con State Lic: 637440 Engineer: XIAO QIANG la; Address: 12342 CANYON TER Lic Expire. 02/29/2020 Address: 1520 BROOKHOLLOW DR#45 a®°° P/W Plan Check: $0.00 SANTA ANA CA 92705 Bus Lic: BT01101101 SANTA ANA CA 92705 000a 000 000 Phone: 714-538-1191 Lic Exp Date: 09/30/2019 - Phone: 714-662-0510 State Lic:S-005289 0 Electrical %: $0.00 San Dist: $0.00 Code Edit: 2016 Worker's Compensation Insurance Designer:. Building Green Fee.: $1.00 Type of Construction: VB Carrier:. EMPLOYEE SERVICE Address: NMUSD Feer $0.00 Occupancy Group: R2/U Policy No: AMX080003000 $0.00 Added /New sq.ft. Bldg: 0 Expire: 10/01/2019 Phone: - - n ° ° ° °o 0 Added/New sq. ft. Garage: 0 $0.00 No of Stories: 2 - Building Setbacks Rear: / Special Conditions: Plan Check Fee: No of Units: 4. Front: /. $434.84 0 00000c Bldg Height: 0 Left: / :. PUBLIC WORKS APPROVAL: Bldg Sprinklers: Right: 1. ° c000°o PI-A 7- I Im 7nnm Dertr'nd Sn°roa n. Fire W.... A 7nn. N Building Permit Fee: -.$232.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $201.84 Additional Fee: $0.00 Plan check Fee :. $0.00 Fire Inspection: $0.00 Overtime Plan Cki $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 WQ Insp. Fee: $0.00 Park Dedication `. $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous at $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee.: $1.00 Mechanical W $0.00. NMUSD Feer $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $434.84 Plan Check Fee: $0.00 Fee Due at Permit Issuance ; $434.84 PROCESSED BY: :. PUBLIC WORKS APPROVAL: ZONING APPROVAL: V PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: J 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 items) (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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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 im 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 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 legall) 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 COp17RACTOR'S DECLARATION I hereby affirm ^09r.Rehalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Se tion 70 ) of I ision 3 f the Bu esa and Professio s C de, lice s is In full force IQVepo. License Class License No � �� Co aver Signature WORKERS' CO110ifVSATION DECLARATION 4AIWIN56FAILURE 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 MOST Oi COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3105 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebyaffirm µ. node6 ftalty of perjury one of the following declarations: . ' I fi9ve and;jll 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 th mance of the work for which this permit is issued. Policy No. Nave 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' compensatiol e carrierand policy number are: ,arrler ' ...... Policy Number Expiration Date )lame'of Agent _ _ _ Phone # I certify that,%OLperformance of the 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 agre khat, if I should become subje fo the vl(ilrcers' corMpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proviaiorls4— CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby 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 correct. I agree to comply with all applicab city and cQ�nty ornces and tate laws relating to building construction. /'� I authorize repress _ is-city.o�cou -tr5{y }enteite-abov tified property for inspection purposes. �_/�� nature of Prooertv O er or Authorized AGent �1 C.`- Print Prooertv Ownar's or Authorized-AGarP�TSam—e I� `L ACTION DATE By DECLARATION OF I I REGULATIONS PA TO 1 OF IIT E 40 AND QMD RULE CE WITH CODE OF AL I FOR OFFICE PERMITEXPIRED LJISUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA CERTIFICATE 7/1t/ l `% //r—PROF BE�STOS NO DEMOLITION TIOt)fI PPV%AAA 1 TO CERTIFICATE OF G l/�tl-SPIROPOSED DEMOLITION It t/A/, OCCUPANCY ISSUED l'11 L WCrn 0 x Lo x CD U a z 0C 0 113 Z Z w mm 00 Aporn mF-� LL O 0 yX U Q w O Fi U N- W � WlfjAm� �'V�' Zc; -,Of ®J•°'o W Pa - U W _o O > C W :n h o W ° c j m 00 Y Vo O o N m o 13 "0 t wo 3 'C N n N O C m0 zz a) O N h U E Qa) �� oa)� emu v o N mYU) ma la V mu u o f °� 3 m 1 5 .z N 'X a) 3 U) e- M Nate.+ d 'O '0a) t'~�Q C O L m n C C .fl c E •x 3 a n a) N O a) t a) m N O = 1 L o too amid ani me 'RO!G oE0 y L* o Cl)e oco y= 3CQm �cr NU O 4k U N ay o o 3 p)° ma N A U y o O o �: 0 3 E p -0 c) v 0�' L. 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