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HomeMy WebLinkAboutX2019-1295 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiiIIiIIIINIIICOMB Permit :X2019-1295 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 2 9 5 Permit Counter Phone (949)644-3288 9 Project No : 0919-2019 v .Inspection Requests Phone (949)644-3255 `PaLp�,yrc* ` Combination. Type - MFP Issued Date: 04/24/2019 Inspection Area : 3 PERMITS EXPIRE 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 wo fi a ei Job Address: 19 ODYSSEY CT NB07 Description: MFR BALCONY REPAIR Legal Desc.: TR 7817 LOT 1 UNIT 115 OF PROJECT LOCATED ON AP 424-041.01 TOGETHER Owner:. NEWPORT CREST HOA. Contractor. SMITH ANGUS CONSTRUCTION Architect: Record Management : $0.00 Energy Compliance: Address: 201 INTREPID ST Address: 12342 CANYON TERRACE Address: $0.00 Hazardous. Mat $0.00 NEWPORT BEACH CA 92663 $1.00.: SANTA ANA CA 92705 Phone: - Phone: 714-538.1191 Phone: State Lic: Applicant: SMITH ANGUS Con State Lic: 637440 Engineer: XIAO OIANG Address: 12342- CANYON TER Lic Expire: 02/29/2020 Address: 1520 BROOKHOLLOW DR #46 SANTA ANA CA 92705 Phone: 714-538-1191 . Bus Lic: BT01101101 SANTA ANA CA 92705 e0000 ° .... tic Exp Date: 09/30/2019. Phone: 714-662-0510 State Lic:S-005289 Code Edit: 2016 - Worker's Compensation. Insurance - Designer. Type of Construction; VIB - - Carrier: EMPLOYEE SERVICE Address: Occupancy Group: R2/U Policy No: AMX080003000 Added/New sq.ft. Bldg:. 0 Expire: 10/01/2019 Phone: Added/New sq. B. Garage: 0 o. o° ° No of Stories: 2 Building Setbacks Rear: / Special Conditions: °o+ ... No of Units: 6 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Na..rd 7„ne - u ° 0 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.: Excise Tax: $0.00 Additional Fee : $0.00 - Grading Bonds Fee: $0.00 Grading PC Consultant; $0.00 Grading Permit Fee:. $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 TOTAL FEE: $434.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Electrical %: Mechanical %: Plumbing %°: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - .Park Dedication: $0.00 P/W Plan Check: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: 40.00 $0.00 3n Check Fee : $0.00 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OO Vp00 O Oo00 �OOOO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $434.84 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: Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OO Vp00 O Oo00 �OOOO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $434.84 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) taction 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 e 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 )t 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, property who, through employees' 7usiness and provemen s are not intended essions eor offered for sale. State If, however, the building ocense Law does or imprly to an ovement sner soldfwithin one year of completion, the Ower-Buildeersonal rfwill have therimproves the bu den of proving that itwasnot built d that the orr iproved for the purpose of sale). ] 1, 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 1 am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I 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, 1 cannot legally all 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. Date ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affimy dr1cle?penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S c 700 ) of I islon 3 of the Business a d Professioe�Code, nd my liq se is in full force nd effect. Licen9e�Class License No Dat LR Contractor Sig atur �� `�-- A/ PORjERS'COQIIPENSATION DECLARATION ARNING: FAILURE Td'BECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ON HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 40476E COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hefdby affirm underpenalty of perjury one of the following declarations: 3-1 have and Nfll maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th �erformance o$lhework for which this permit is issued. Policy No. :j.p94e and will4liotain 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' compensatioi Isurance carrier and policy number are: ..... Expiration Date :.alar. _ _ _ _ ' _ Policy Number _. ., .x'2.41 naei a _. ,ertlf that, -in the p rformance 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 agree if I should become..sub o the w�rs' comppirsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proyiei ns. Iture-Omm- icant `)MAR Dat 4 "Z.. 1.► -- f � CLARikTiON"REGARDING'CONSTIFUC I IVN =NUINU AUCIN .T :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 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 owner's behalf. I have read this application and the information I have provided is correct. 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