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Home My WebLink AboutX2019-1769 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1769 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 7 6 9 Project No:0828-2019 Permit Counter Phone (949)644-3288Inspection a Plan Check Fee: $0.00 Requests Phone (949)644-3255 $0.00 Plan check Fee: Combination Type - BLDG GRAD Fire Inspection: $0.00 Issued Date : 06/05/2019 Overtime Plan Ck: $0.00 Grading Bonds Fee: Inspection Area : 8 Fair Share.: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Fire Plan Rev 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: 900 SPRING TIDE DR NB Grading PC Consultant: $0.00 SJH Trans [ - Description:. SFR YARD DRAINAGE *CITY STANDARD* Demolition Fee m m m m Legal Desc.: N TR 15243 LOT 29 $0.00 Grading Permit Fee: $312.00 Owner. LIM SHAWN Contractor. WESTERN OUTDOOR DESIGNS Architect •mora ms Address: 900 SPRING TIDE DR NEWPORT BEACH, CA 92660 Address: - 1210 E BARHAM DRIVE - Address: Grading PC Fee:. Phone SAN MARCOS, CA 92078 Phone: 619-201-9166 Phone: General Service Applicant: VILTE BRIAN Con State Lica. 592071. Engineer. 3r. y �a i t '% 6 VT Address: 1210 E BARHAM DRIVE Lie Expire: 04/30/2021 Address: SAN MARCOS, CA 92078 Bus Lie: BT30033019 " Phone: 619-201-9419 Lie Exp Date: 09130/2019 Phone: .State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: VILTE BRIAN oom+moo a. o o. Type of Construction: Carrier: ZENITH INSURANCE Address: 1210 E BARHAM DRIVE Occupancy Group: U Policy No: Z07249670 SAN MARCOS, CA 92078 . p ... Added /New sq.ft. Bldg: 0 . Expire: 0112412020 Phone: 619-201-9419 $0.00 Added /New sq. ft: Garage: 0 $0.00 NMUSD Fee: $0.00 No of Stories: 0 Building Setbacks Rear: 10 Special Conditions: No of Units : 1 Front: 10 $0.00 Bldg Height: 0 Left: 4 $0.00.. Bldg Sprinklers:.. Right: 4 Plan Check Fee: $0.00 Fee Due at Permit Issuance : Flood Zone: Use Zone: Parking Spaces:. 0 Fire Hazard Zone : N Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 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: $312.00 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 : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00.. TOTAL FEE: $312.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $312.00 PROCESSED BY: - PUBLIC WORKS APPROVAL: ( ' ` `1 ✓ ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION ' 1 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) !ction 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 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 ifessions 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 penally of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 )rovements 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 )roved for the purpose of sale). 1, as ownerdf0ft property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fly to an Amer-& property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ,6a m exempt-Ffolrl licensure under the Contractors' State License Law for the following reason: mftignaturebelow 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 legallt a structure tWt 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 tassions Coi available upon request when this application is submitted or at the following Web.site:http://www.leginfo.ca.gov/calaw.html. nature of Wope-rty Owner or Authorized Agent Date SED Cb�17RACTOR'S DECLARATION affirm;uride� enalt of er u that I am licensed under rovalons of Cha ter 9 commend with Section 7 of Divl i 3 of the Business and Proles ' Code a d is se is in full force Y P Y P 1 fY P P ( 9 ) 1 effect. M;ans4tlass License No Date — $ Contractor Signature )HERS' CCfMPENSATION DECLARATION PNIN : FAILUii€aTOgF(iURE WORKERS' COMPENSATION COVERAGE IS ON LAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP To ONE HuNDREO THOUSAND DOLLARS (5700,0001, IN ADDITION TO THE IT0 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THELABOR CODE, INTEREST, AND ATTORNEY'S FEES. %15)taffirm uRriar penalty of perjury one of the following declarations: ... • . I have and Ad 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 formance of the 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' carrier and policy number are: Policy Number Date ne of Agent rnone n certify that, in the pe ormance of the work f r ich 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 I. if I should becomeu ' t to the work r ' nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant V Date o6 —os— -G% CLARATION REG RIDING CONSTRUCTION LEND) GENCY Ireby affirm under enalty 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 owners behalf. I have read this application and the information I have provided incorrect. I agree to comply with all applicable city and countyor Inances and state aws relating to building construction. �� I authorize representatives of this city or county tr/er the aPb a -id n arty for inspection purposes. v nature of Prooertv Owner or Authorized Acent /� _ rm ro Owner's or Authorized Agent's Name / /Vn 1 Deja _( ACTION DATE I BY r I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT FINAL 'If CERTIFICATE OFj/1�1�L L uROP BEST DEN CTLIFI�CAA7}J/0�N IS NOOWNPPL LE TO OCCUPANCY SUED `/��®I SSIIGNATURE: ef.