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HomeMy WebLinkAboutX2019-1292 - Permits1 City of Newport Beach - Building Division "X20191292* COMB Permit: X2019-1292 Address: 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0919-2019 1 0 y ,, Permit Counter Phone (949)644-3288 714-538-1191 u.. 4Y Inspection Requests Phone (949)644-3255 Disabled Access: it'.,,r,�4,ow� , Combination Type - MFP Issued Date : 04/2412019 .Building Green Fee : $1.00 Inspection Area : 3 $0.00. Park Dedication : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 $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 Job Address: 3 KAMALII CT NB NMUSD Fee: Description: MFR BALCONY REPAIR Legal Desc.; Owner. NEWPORT CREST HOA Contractor: SMITH ANGUS CONSTRUCTION Architect: Address: 201 INTREPID ST Address: 12342 CANYON TERRACE Address: INSPECTOR NEWPORT BEACH CA 92663 SANTA ANA CA 92705 Phone: Applicant: SMITH ANGUS Address: 12342 CANYON TER Record Management :. SANTA ANA CA 92705 Phone:. 714-538-1191 Code Edit 2016 Type of Construction: VB Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: $232.00 Plan Check Fee: $201.84 - Overtime Plan Ck $0.00 Investigation Fee: $0.00 Record Management :. $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 .Building Green Fee : $1.00 PROCESSED BY: Phone: .714.538.1191 Con State Lie: 637440 Lie Expire: 02/29/2020 Bus Lie: BT01101101 Lie Exp Date: 09/30/2019 TOTAL FEE: $434.84 ZONING APPROVAL: GRADING APPROVAL: _ Worker's Compensation Insurance Carrier: EMPLOYEE SERVICE Policy No: AMX080003000 Expire: 10101/2019 Building Setbacks Rear: / $0.00 Front:. / SJH Trans `. Left: / $0.00 Right: / Use Zone: Parkino Soaces: 0 Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Phone: State Lie Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 Plan check Fee: SANTA ANA CA 92705 Phone: .714-662-0510 State LIc:S-005289 Designer: Address: Phone: Special Conditions: $0.00 Planning Department - $0.00 $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 PAN Plan Check.: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00. $0.00 OpVV o e 0000 e oec oomo 0 0o v 0 0 0 00 000 r c0�0 0 0 c 000m0 c o e e 0 0 000 0 a 0 o e cc a 0ocv oe 0occo a o c 0 "'4 Ep OC p f ((rr 0c000 o$L6� 0 $a:99 0000c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $434.84 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building. Dept Adm General Service Refund Deposit Grading Bond: OpVV o e 0000 e oec oomo 0 0o v 0 0 0 00 000 r c0�0 0 0 c 000m0 c o e e 0 0 000 0 a 0 o e cc a 0ocv oe 0occo a o c 0 "'4 Ep OC p f ((rr 0c000 o$L6� 0 $a:99 0000c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $434.84 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 ) o D'visior} of the B ines and ProfessiopT; f..ode�pnd my Iegnse is in full force and effect. License Class License No to ! Cont ctor S nature Jd�I�U^ INORKERS' COMPENSATION DECLARATION NARNING: FAILURE.TQEECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPRNeSAATIIOIR, DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heresy affirm nd e nrer penally of perjury one of the following declarations: ve auviol maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for bySection3700 of the Labor Code, for th once of ttje work for which this permit is issued. Policy No. 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' carllarindpolicy number are: Policy Number of Agent Date •. gggify that, in'the perfo a of 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 if �shoul �l;e�cpq subj t t the o kers' connyp�e�nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / r�/ 1I /yam �,.. n✓r�wlfnun I- rA,n/ J 1I7A}P. �T �4� 4 — L ! IrebAa#tt'rm ult4i'penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued 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 owners behalf. I have read this application and the information I have provided is correct. Civil Code). I agree to comply with all applicable city and county,14KdInaVqs and state laws relating to building construction. 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