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Home My WebLink AboutX2019-0641 - PermitsfiP1r�4 City of Newport Beach - Building Division 1111111111111111 Permit 100 Civic Center Drive, Newport Beach, CA 92660 II 't Permit Counter. Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "urvrb Combination Type- MFP ELEC MECH PLUM COMB Permit: X2019-0641 Project No: 0329-2019 Issued Date: 02/28/2019 Inspection Area : 4 Construction Hours: Monday Job Address: 9LA - Friday�7:00 arm. to 6.30 Investigation Fee: ROCHELLE NB Description: MFR- MASTER BATH AND GUEST BATH p.m. and Saturday from 8.•00 a.m. to 6.00 P.M. No work on Sundays or Widays REMODEL Legal Desc.: TR 9858 LOT 12 UNIT 69 OF PROJECT LOCATED (ADDL SCOPE) rte` ON AP 461.131,39 TOGETHER $0.00 Owner: PIKE ROBERT Contractor: Address: 9 LA ROCHELLE ALL PHASE CNTRCTRS & BLDRS7NC Architect: NEWPORT BEACH, CA Address. 206 VILLA NOVA ROAD Address: Nj Phone 808.651-6222: COSTA MESA CA 92026 Parkin S aces: Applicant: MAROLTJAMES Phone: COST 6-5511 Phone State Lie: ` Address: 206 VILLA NOVA RD COSTA MESA, CA 92626 Con State Lie: 722975 Engineer: Lie Expire: 03)3112020 ASGHARPOUR REZA Phone: 714.458-3608 Address: Bus Lie: BT30066063 77570 SPRING FIELD LN $0.00 $0.00 Lie Exp Date: 02/2912020 PALM DESERT, CA Code Edit: 2016 Type of Construction V Phone: Worker's Com ensation Insurance. p 760-380-9998 :. State Lio:C-067613 °"° m ° State B B B -B Occupancy Group: R3/U Carrier: Designer. WC EXEMPT Address: B Added /New sq.ft. Bldg:. 0 Policy. No: (NO EMPLOYEES) Added/New sq. ft. Garage:p N Expire: Phone: mm "ma o of Stories: 1 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone Building Permit Fee: $232.00 Plan Check Fee:. $0.00 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 TOTAL FEE: $319.40 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Building Setbacks Rear: / 69 y o ° BO ° Front: I a Special Conditions: mococ e � Left: /. ocaccy � b a B ° m Right: / $0.00 Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Excise Tax: Additional Fee: $0.00 $0.00 Planning Department -4 Fire Department Grading Bonds Fee: $0.00 Plan check Fee : Fair Share : $40.00 Fire Inspection: Grading PC Consultant: $0.00 SJH Trans : $0.00 Fire Plan Rev Grading Permit Fee: $0.00 In -lieu Housing Fee $0.00 Demolition Fee Grading PC Fee: WQ Insp. Fee: $0.00 Public Works Department- $0.00 Building Dept Adm $0.00 Park Dedication : $0.00 General Service Electrical %: $16:24 Plan Check: $0.00 Refund Deposit Grading Bond: Mechanical %: $9.28. San Di SarrDist $ . 00 Plumbing %: $20.88 NMUSD Fee: $0.00 Plan Check Fee: B m m 69 y o ° BO ° a a mococ e � cBacec ocaccy � b a B ° m $0.00 $0.007 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit issuance : $319.40' PUBLIC WORKS APPROVAL: PLAN CHECK BY:. APPROVAL TO ISSUE: y applicable item(s). OWNER -BUILDER DECLARATION applicant for I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below b the suck in mark(s) I have placed next to the Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any struture, prior to its issuance, also requires the � ofe nc he permit tofile a, Code)sig that hastatement e she is that he or she is licensed pursuant to the from licensure and the basis forprovisions of the exemConption. Any violation ractors' State lof Section 7031.5 cense Law tby any appler 9 e ant orr a permit subjects the applicant tota civil penalty ohe Business f lot more than five hundred dollars ($500). all of or ortions of the work, and the structure is not intended or offered for sale (Section 7044, throw h employees' or personal effort, builds or improves the property, provided that the ❑I, as owner of the property, or my employees with wages as their sole compensation, will do (_) (_) P Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, 9 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 to proving that it was not built or im roved for the purpose of sale). Er p ly to an owner of pofessiol 11 as owner of the roperty who operty, am exclusively contract thereon, licensed Contractors to construct the project (Section 70441, Business and and who contracts for the projects with a licensed Cont actor Pursuant to he rContra tors' State License a Code, The rLaw)s' State License Law does no uilds or I am exempt from licensure under the Contractor' State License Law for the following reason:of the applicable law, Section 7044 of the Business and y my sell a structure that I hnature belowave acknowledge nbuilt as an owner -builder except for f it hasenot been constructed nl its entirety by licensed contracto s. I understand that a copy completion of the smprovements covered by thss permit, I cannot legal) Professions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.htm . Date Signature of Property Owner or Authorized Agent i e is in full force LICENSED CONTRACTOR'S DECLARATION Da,_ �iLl��1�� Contractor Signature I hereby affirm under penalty of perjury that I am licensed under L cense INons of Chapter 9 (commencing with Section 70 0) of yvl 5o`no the Business and Professio sCO a L! effect. Li tense Class G TO THE WORKERS'.CQQQdtPENSATION DECLARATION aARKN I FAILU 15/T E DAMAGES AS PROVOMPENSATION IDED FOR IN SECTION COVERAGE370610F THE,LA-UL AND BOR CODE, SHALL NTER ESTE AND ATTORNEY'S FEES' RIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUND OUSAND DOLLARS ($taD,ODei, IN ADDITION I hereby affirm) dndef penalty of perjury one of the following declarations: shave and will r�laintain 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 erfgrmance OF the v;nrk for which this permit is issued. Policy No. ' nave and yuill,ryaintain 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' compensatlo yrpnce ca is r a .&policy number are: Expiration Date Policy Number Phone # fy tha{, "In the p' should ggpome ct to the worker' compensation law the work for which this permit is issued. I shall not employ any person in any manner so as to become subje'sof allfo�a, and ogre) worke,I;O>e do revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date ignature of Appllb'allt ` ' -` DECLARATION REGA G CONSTRUCTION LENDING AGENCY hereby affirm under p ally of perjury that there is a construction lending agency for Lenders Addaress of the work for which this permit is issued (Section 3097, Civil Code). ender's Name 1y my signature below, I certify to each of the following: 1 am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have p 'ded is correct. I agree to comply with all applicable city and county in ces and state laws relating to building construction. / G I authorize representatives of this city or county to ter o -1 its property for inspection Pro arty, Owner's or Authorized A ant's NamePrint C Si nature of Propert Owner or Authorszed A an ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED PERMIT FINAL [ ASBESTOS NOTIFICATI IS NOT APPLICABLE TO CERTIFICATE OF '� 'L�7 1/ P OPOSED,DEMOLITIC,.�,i�"/� SIGNATU' EM ((�� OCCUPANCYISSUED