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Home My WebLink AboutX2019-1286 - Permitsfor City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I� II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 2 8 6 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP COMB Permit: X2019-1286 Project No: 0919-2019 Issued Date : 0412412019 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: 6 KAMALII CT NB Description: MFR BALCONY REPAIR Legal Desc.: TR 7817 LOT 4 UNIT 273 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER Owner NEWPORT CREST HOA Contractor: SMITH ANGUS CONSTRUCTION Architect: k^^p� Address: 201 INTREPID ST Address: 12342 CANYON TERRACE Address: INS�"' 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 OIANG ° • e • e ° Address: 12342 CANYON TER Lie Expire:. 02/29/2020 Address: 1520 BROOKHOLLOW DR #45 eeee ° meeece SANTA ANA CA 92705 - Bus Lie: BT01101101 SANTA ANA CA 92705 • oomo • ° Phone: 714-538-1191 Lie Exp Date:. 09/30/2019 Phone: 714-662-0510 .State Li¢S-005289 e m Code Edit: 2016 Worker's Compensation Insurance Designer o' •• o ° Type. of Construction:. VB Carrier: EMPLOYEE SERVICE .Address: ° e• ° o Occupancy Group: R21U Policy No: AMX060003000 Added /New sq.ft. Bldg: 0 Expire: 10/01/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: ° ° • ° ° ° No of Units: 4 Front: / °_°•'° _ ° Bldg Height: 0 Left: / Bldg Sprinklers: Right: I �. ° •••,; Flood Zone:. Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $9.800.00 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: .$40.00 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 : $24.00 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: $498.84 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $498.84 PROCESSED BY: ! ' PUBLIC WORKS APPROVAL: ZONING APPROVAL: L/ PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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' Slate 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). U I, 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). ❑ 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 legalll 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.html. Signature of ProperjyOwner or Authorized Agent Date LICENSED CQy-[13ACTOR'S DECLARATION f hereby affirm u n• drr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiFENALTI�ESAN f the Busin s and Professions Cbde, atop m ^Ie is in n full force anti enact. License Class License No DeContract r Ignature Id1--y'- —_i 06d I ..Cl NORKERS' COJAPENSATION DECLARATION NARKING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAD CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE C9ST Of COMPENPATIV,, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :hcYPgVaffirm u&br pEnalty of perjury one of the following declarations: ... �A. .!�ve 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 th prance of thewor% for which this permit is issued. Policy No. 4. :tm: and will mair(jain 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 usuranae carrierenc policy number are: 'aanial•• • Policy Number Expiration Date Varese of Agent • • • Phone # :1I certify that, in the performance 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 work IS' compensation laws of California, and agre .hat, if I should become sub to thrkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f / Signature of A plicaf� �'"\t LMA IA// t� Y� 4 4 7 OECLA 10 CARDING CONSTRUCTIONLENDING AGENCY hereby Irm un er 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). -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 cou rdi ces and ata a laws relating to building construction. I authorize representativ a-eitpor county t an r above -id property for inspection purposes. -- 3ignature of Property Ow rAuthorized Agent - Print Property Owner's or Authorized Agent's Ng ¢ ate .y ACTION DATE eY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I UISUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA TI)S NOTIFICA1 CERTIFICATE OF Z/4 �" I�� GNA`TURE EMOLITION OCCUPANCYISSUED ` 9 Lr) o, °D W 0 3 co O E Uo Z O o U M a am) ZZA 0 p O v rn � d � n A O a m J3- O R x a ur a Amoy d' V A w o OJT P7—sem H cc VWo o �WNh 0 0 v W W U O > O o N J N c O m N .L R w o m� N w M(D O y o Em Ui N 7 7 0 d,p O N N o fn C w c m m p o EJQ)CL o w ' c (Do mm oa> rri E m NE mL� m �ma0 .cc a N E o U m S �� a, o to x. 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