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HomeMy WebLinkAboutX2019-1294 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1294 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 2 9 4 Project No : 0919-2019 Permit Counter Phone (949)644-3288 er inspection Requests Phone (949)644-3255 Issued Date : 2019 srrX Combination Type - MFP - Area : 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 or Holidays Job Address: 15 KAMALII CT NB Description: MFR BALCONY REPAIR Legal Desc.:. TR 7817 LOT 4 UNIT 265 OF PROJECT LOCATED ON AP 424.041-01 TOGETHER Owner NEWPORT CREST HOA Contractor SMITH ANGUS CONSTRUCTION Architect, Address: 201 INTREPID ST Address: 12342 CANYON TERRACE Address: NEWPORT BEACH CA 92663 SANTA ANA CA 92705 Phone: ` - Phone: 714-538-1191 Phone: State Lie: Applicant: SMITH ANGUS Con State Lie: 637440 Engineer: XIAO QIANG Address: 12342 CANYON TER Lie Expire: 02129/2020 Address: 1520 BROOKHOLLOW DR #45 o ©o o SANTA ANA CA 92705 Bus Lie: BT01101101, SANTA ANA CA 92705 ° 0000® Phone: 714-538.1191. Lie Exp Date: 09130/2019 Phone: 714-662-0510 State LiaS-005289 o 0000 ° o°°oca. Code Edit 2018 Worker's Compensation Insurance. Designer: °OO° e Type of Construction: VB Carrier: EMPLOYEE SERVICE Address: Occupancy Group: R21U Policy No:. AMX080003000 oo a aO e Added /New sq.ft. Bldg: ' 0. Expire: 1 0/0112 01 9 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 4 Front: I ° 00000 Bldg Height: 0 Left: I ° o°ou.0 Bldg Sprinklers: Right: 7 ° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $9.800.00 00 0000 000 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 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 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 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 %: $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: CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: L.hC 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 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 is 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 '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 a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 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, lusiness 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). .l 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 pply 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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, 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION nnnnnn hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit Sectl usines n 700 ) of i ision 3 of s nd Profession ode, and my I' se is in full force nd effect, LICe06e Class License No ^1 gnaturs TION DECLARATION NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPYO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TOT OF COMP2NSAMON, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .by affimt under penalty of perjury one of the following declarations: have and A$ 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 :[nance'oi the work for which this permit is issued. Policy No. ivJ •• and vAIl�rraintain 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' compensal Ince carrier and policy number are: Ir Policy Number Expiration Date of Agent• • •. rtify thall,.in the pi I shodl(j j/$gdme 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 flee worker ' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision L' j 2LOATFON REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which Ider's Name Lender's Address my signature below, 1 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 cou ordi nces and state laws relating to building construction I authorize representatives of this city or county to the aboveci&entified property for inspection. purposes. is issued (Section k09yCivil Code). 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