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Home My WebLink AboutX2019-1284 - PermitsCity of Newport Beach- Building Division��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII $232.00 COMB Permit: X2019-1284 .100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 9 1 2 8 4 $0.00 Project No : 0918-2019 H Permit Counter Phone (949)644-3288 0 Energy Compliance: $0.00 "s. Inspection Requests Phone (949)644-3255 - $0.00 Disabled Access: `er4,y.uv,�'� ` Combination Type -MFP Hazardous Mat Issued Date: 04124/2019 Building Green Fee : $1.00 Inspection Area: 3 PERMITS EXP/RE 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: 109 COLUMBIA ST NB WQ Insp. Fee: $0.00 Description: MFR BALCONY REPAIR $0.00 Legal Desc.: TR 7817 LOT 4 UNIT 251 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER PAN Plan Check: $0.00 Owner NEWPORT CREST HOA Contractor: SMITH ANGUS CONSTRUCTION Architect:: R Address: 201 INTREPID ST Address: 12342 CANYON TERRACE Address: V I V v NEWPORT BEACH CA 92663 SANTA ANA CA 92705 $0.00 Plumbing %: 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 SANTA ANA CA 92705 Bus Lie: BT01101101 - SANTA ANA CA 92705 Phone: 714-538-1191 Lie Exp Dater 09/30/2019 Phone: 714-662-0510 State Lio:S-005289 ...... Code Edit: 2016 Worker's Compensation Insurance Designer. mem® e Type of Construction: VB Carrier: EMPLOYEE SERVICE Address: Occupancy Group: R21U Policy No: AMX080003000 Added /New sq.ft.. Bldg: 0 - Expire: 10101/2019 Phone: Added /New sq. H. Garage: 0 No of Stories: - 2 No of Units : 6 Bldg Height: 0 Bldg Sprinklers: 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 11 TOTAL FEE : $434.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Building Setbacks Rear: / Front: / Left: / Right: / 0 Special Conditions: Fire Hazard Zone : N Excise Tax: $0.00- Planning Department- Fire Inspection: Additional Fee : $0.00 Plan check Fee Demolition Fee Grading Bonds Fee: $0.00 Fair Share: General Service Grading PC Consultant : $0.00 SJH Trans : .Grading Bond: Grading Permit Feer $0.00 In -lieu Housing Fee: $0.00 Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 $0.00 PAN Plan Check: $0.00 Electrical W $0.00 San Dist: '$0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee: 0 o mo Fire Department $0.00 Fire Inspection: $0.00 .Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm omem General Service Refund Deposit ° .Grading Bond: 0 o mo e° e 0 oo°o co°oo 0 o °0000 0 00 omem m ° o ° $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 Fee Due at Permit Issuance : $434.64 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) lection 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). 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, 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 nproved 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 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 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S 7000) vl Ion of the Busin as and Professi o and m i rise is in full force nd effect. License Class License No Date Contract r Signature 1ORKEWt"MPENSATION DECLARATION ARMING: FAILBREYO 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 OS? OF COMF5NSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ;elby affirm iiiii penalty of perjury one of the following declarations: �1.have 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 rmance of thrtgork for which this permit is issued. Policy No. I� ve 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' compensatio' once camel' and policy number are: tamer ".. Policy Number Expiration Date me of Agent ' Phone # ceQify that! 17thIl berformance 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 ti should becomg Suq(,]EpI to workerSI compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / mature of Abicark 1\ `\t cnnA 11U1+� a �Y' �- CLARAT G CONSTRUCTION LENDING AGENCY ;reby 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 3 97, Civil Code). lder'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 applicable city and countd state laws relating to building construction. 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