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Home My WebLink AboutX2019-1287 - Permitsrl City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1287 , 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 T 9 1 2 8 7 Grading Bonds Fee: Project No : 0919-2019 Permit Counter Phone (949)644-3288. Grading PC Consultant Record Management: X, +e Inspection Requests Phone (949)644-3255 Grading Permit Fee: Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 Issued Date: 2019 t'a s Combination Type - MFP $0.00 $0.00 Hazardous Mat $0.00 Electrical %: Building Green Fee : Inspection Arearea : 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 work on Sundays or Holidays Job Address: 304 COLUMBIA ST NB Description: MFR BALCONY REPAIR Legal Dese.: TR 7817 LOT 2 UNIT 39 OF PROJECT LOCATED ON AP 424.041.01 TOGETHER Owner. NEWPORT CREST HOA Contractor: SMITH ANGUS CONSTRUCTION Architect:[ ��^, FEy 0 T Address: 201 INTREPID ST Address: 12342 CANYON TERRACE Address: t NEWPORT BEACH CA 92663 SANTA ANA CA 92705 Phone: Phone: 714-538-1191 Phone: State Lica Applicant;. SMITH ANGUS Con State Lie:. 637440 Engineer: XIAO QIANG Address: 12342 CANYON TER Lie Expire: 02/29/2020 - Address: 1520 BROOKHOLLOW DR #45 SANTA ANA CA 92705 Bus Lie: BT01101101 SANTA ANA CA 92705 Phone: 714-538-1191 - - Lie Exp Date: 09/30/2019 Phone: 714-662-0510 State Lic:S-005289 Code Edit.: 2016 Worker's Compensation Insurance Designer: o°p OO Type of Construction: VB Carrier. .EMPLOYEE SERVICE Address: _ ... Occupancy Group: R2IU Policy No: AMX080003000 Added/New sq.ft. Bldg: 0 Expire: 10/0112019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2, Building Setbacks Rear: I Special Conditions: No of Units : 9 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / C ° ° ° Flnnd 7nnpr I Ise 7nne- Pnrkinn Snacesn Fire Hazard Zone : N Building Permit Fee: $232.00 Excise Tax: Plan Check Fee: $201.84 Additional Fee :. Overtime Plan Ck: $0.00. Grading Bonds Fee: Investigation Fee: $0.00 Grading PC Consultant Record Management: $0.00 Grading Permit Fee: Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access: $0.00 $0.00 Hazardous Mat $0.00 Electrical %: Building Green Fee : $1.00 Mechanical %: $0.00 Plumbing %: TOTAL FEE: $434.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL:. $0.00 Planning Department - $0.00 $0.00 Plan check. Fee ; .:.Fire Plan Rev $0.00 Fair Share $0.00 $0.00 SJH Trans General Service $0.00 In -lieu Housing Fee: $0.00. Public Works Department - $0.00 Park Dedication:. $0.00 P/W Plan Check:. $0.00 $0.00 San Dist: .$0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: �--�' - PLAN CHECK BY: APPROVAL TO ISSUE: o ° 0000� c00000 ° ° ° °$g,(`o. 0000u 0 $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:: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: �--�' - PLAN CHECK BY: APPROVAL TO ISSUE: o ° 0000� c00000 ° ° ° °$g,(`o. 0000u 0 $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) 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 fessions 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 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 (_) 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). 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 ly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 impr vements covered by this permit, I cannot legall3 yell 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 EDble law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web slte:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent P7 Date -ICENSED CONTRACTOR'S DECLARATION r hereby, affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec o 0)Rf Divisip of the Business a d rofessi ns Cod wand my ' ense is in full force Ind effect. License Class License No to 6 Contractor Sig atu a� YORKERS' COMPENSATION DECLARATION +I IARNING: FAILURE TO 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 :OST OF COMPBNSA'R9N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm EITd'er penalty of perjury one of the following declarations: 31 :1ave ana 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, ante oftlSe work for which this permit is issued. Policy No. •ave and will ipgintain 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' compensatior is e"rrler endpolicy number are: D • • Policy Number Expiration Date 6qM of Agent • Phone # 2hdertify that, is the performance oft a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workerg,' compensation laws of California, and agree iaq 04 should p orae sub' tot workers' m ensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. signature p cant V�frAP IBCtgRATIOPI EGARDICONSTRUCTION LENDING AGENCY tm?Bby affirm ufldar penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ml Code). ender's Name Lender's Address ly 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 cou ornces and state laws relating to building construction. 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