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Home My WebLink AboutX2019-1156 - Permitswtr, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1156 ' a' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 : 1 1 5 8 Project NO :0828-2019 Building Permit Fee: ,. 9 Permit Counter Phone (949)644-3288 $0.00 Planning Department - - Fire Department Inspection Requests Phone (949)644-3255 Plan Check Fee: $201.84 Additional Fee: $0.00 'ex4rr+rc.: Combination Type -.BLDG $40.00 Fire Inspection: Issued Date: 04/1712019 Overtime Plan Ck $0.00 Grading Bonds Fee: Inspection Area : 8 Fair Share : $0.00 PERMITSEXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 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 Grading PC Consultant: Job Address: 900 SPRING TIDE DR NB SJH Trans : $0.00 Demolition Fee Description: SFR 5' HIGH WATER FEATURE Record Management: $4.00 mmom $0.00 Legal Desc.; N TR 15243 LOT 29 $0.00 Building Dept Adm $0.00 ; Owner. LIM SHAWN Contractor: WESTERN OUTDOOR DESIGNS- Architect: F; Public Works Department - Address: 900 SPRING TIDE DR Address: 1210 EBARHAM DRIVE Address: ��`` t(O ° NEWPORT BEACH, CA 92660 'SAN MARCOS, CA 92078 $0.00 Park Dedication : $0.00 e • o Phone: Phone: 619.201-9166 Phone: State CiC a m`tf'ei mom`' ' as PIN Plan Check: $0.00 Grading Bond: A ° mM1 Applicant: VILTE BRIAN Con State Lie; 592071 Engineer: $0.00 San Dist: ' $0.00 Address: 1210 E BARHAM DRIVE Lie Expire:.. 04/30/2021 Address: °• m ° ° ° ` ° ° SAN MARCOS, CA 92078 : - Bus Lie: BT30033019 $0.00. m Phone:. 619.201-9419 Lie Exp Dater 09/3012019 Phone: State Lie: • ° O' ° ° Plumbing %: $0.00 Code Edit : 2016 Worker's Compensation Insurance Designer: VILTE BRIAN. Plan Check Fee Type of Construction: Carrier: ZENITH INSURANCE Address: 1210 E BARHAM DRIVE Occupancy Group: U Policy No: 207249670.. SAN MARCOS, CA 92078 Added /New sq.ft. Bldg: - 0 Expire: 01/24/2020 Phone: 619-201-9419 - Added /New sq. ft. Garage: 0 ZONING APPROVAL: No of Stories: 0 Building Setbacks Rear: 10 Special Conditions: No of Units : 1 Front: 10 Bldg Height: 0 Left: 4 i Bldg Sprinklers: Right: 4 Flood Zone: Use Zone: Parkins Spaces: 0 Fire Hazard Zone : N Construction Valuation: 910.000.00 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: $4.00 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 PIN 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 : $478.84 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $478.84 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY:. GRADING APPROVAL: APPROVAL TO ISSUE: i 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 U 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 improved for the purpose of sale). ❑ I, as owner of Nhe p*raperty, 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 %n owner $f (trtSperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). �7 Tam exempt1roir►licensure under the Contractors' State License Law for the following reason: By4ny gjgnature belb*l acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) S111 a sytrUcture that 4 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:htlp://www.leginfo.ca.gov/calaw.htmi. Sjghatufgof ProM*'Cher or Authorized Agent Date LtCENSED CO,NTP,#PTOR'S DECLARATION ' I ItOreByiffirm ullq& penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of 'vis! 3 of the Business and P/fe C e is in full forceam4 affect. License Class License No Date -� ' Contractor SignatuVtt09 f(gZS'COtNPEJSATION DECLARATION WARNING: MAILURETOSEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUa3ECT AN EMPLOYER TO CRININ PENALTIES AND CIVIL FINES UP TO ONE HUNDOUSAND DOLLARS ($100,000(, IN ADDITION TO THE CQ.ST,qF"MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 119e�rill"dffirm uqW Vel:alty of perjury one of the following declarations: .... I 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 IN pe ormance of the work for which this permit is issued. Policy No. ave 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 insur ce carrier and policy number are: Carrier Policy Number Expiration Date Name of. Agent Phone # I certify that, in the perfor a of tWwork or which this e ' sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become su o the workers' o Ion o ection 3700 of the Labor OdeI ;;hall,forthwith comply with those provisions. p provisions Signature of Applicant Da -1 ! DECLARATION REGA ING CONSTR I hereby affirm under p ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). Lender's Name Lender's Address By 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 county. rdceps a d state I lo -building construction. , I authorize representatives of this city or countyto nt Is p party for action purposes. Signature of Property Owner or Authorized Agent Pri t Property Owner's or Authorized Agent's Nam 1 ACTION DATE BY DECLARATION OF COMPLIANCE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXP/RED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED OEPA PERMITEXTENDED OMD PERMITFINAL CERTIFICATE OF ,.IG �� ESTOS OTIF 10 IS NOT POSEDD O OCCUPANCYISSUED SIGNATURE: