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X2018-3840 - Permits
rrr,$ City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 rw Permit Cr�unter Rhone (949)644-3288 c Inspection Requests Phone (949)644-3255 w4tros#' Combination Type - SFP ������4IIII COMB Permit: X2018-3840 Project No : Issued Date: 12119/2018 Inspection Area : 3 PERMITS EXP/RE t80 DAYS AFTER ISSUANCE Job Address: 6807 SEASHORE DR NB , p.m. OR LAST VALID )NSPECTION. Construction Hours: Monday -Friday 7:00 a.mto 6:30 and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Description: SFR REMOVEIREPLACE (E) SIDING W/HARDIE SIDING Legal Dese.: SEASHORE COLONY TR LOT 7 BLK H SELY 45 FT Owner: SOUTH KEN/AMY Address: 6808 W OCEAN FRONT Record Management: NEWPORT BEACH CA 92663 Phone: 949-280-5859 Applicant: O W NER/BLDR Address: SOUTH AMY Phone Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $472.00 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: $473.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor Address: Phone: Con State Lie: Lie Expire: Bus Lie: Lie Exp Date: OWNERIBLDR Die Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lie: Special Conditions: LIQUEFACTTION AREA Planning Department - Fire Department Plan check Fee $0.00 Fair Share : $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $473.00 a©o ooa o00 00 000 o br. o c o AJBL eY'VORKS APPROVAL a o e e o PLAN CHECK BY: o o c o e Q E p0P4btVAL TO ISSUE: o c c :. ec < v am co �o o u coo 00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $473.00 a©o ooa o00 00 000 o br. o c o AJBL eY'VORKS APPROVAL a o e e o PLAN CHECK BY: o o c o e Q E p0P4btVAL TO ISSUE: o c c :. ec < v am co �o o u coo 00 OWNER -BUILDER DECLARATION m the Lawthe I hereby affirm under penalty of perjury that I a exe mpt f rcounly that requiirres a permon construct, ra terf improve,ldemolish, r repair lany structure, prior to its iss ceadnce also requirenext to the s the eapplicant for action 7031.5, Business and Professions Any Y 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 an ofessions 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 It 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, I, as owner of the property, or my employees with wages as their sole compensation, will do (_) U P Iisiness and Professions provemen s are not intended or offered for sale. State howlever,the buLaw ilding ooes or imprlovement sy to an nsold er fwithin one year of completioerty who, through n, the Owner Builder wi I have the burden of provingt that itpwas dnot builted that torr ryproved for the purpose of sale). d Contractors to construct ly to an owner of p1, as owner of the roperty who builds exclusively contracting thereon, h license who contracts for the projects with a licensed. Contract r pursuant to he Contractors' State License e project (Section 7044, Business and Professions Code: The rLaw). State License Law does not I am exempt from licensure under the Contractors' Stat icensa Law for the following reason: all a stry my ucture that I have built as anathat,ownere-builder f irtnhas n obal n constructed which esidence in it enti ety by I tensed contractors I unde understand that a copy of the applicable aw,lSection —covby eredhis BuAs.inessermit, I nandlegall 'rofessions Code, is available upon request whe t s appl c i submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.html. Dat C ',ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARAT N ten^ hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secttiioa^ of Division 3 of tConractor Signature fessions Code, and my license is in u force and effect. License Class License No VORKERS' COMPENSATION DECLARATION WFUL AND 1ARNINoST F COMPENSATION,ILURETOSECURE WORKERS'COMPENSATION AMAGES AS PROVIDED FOR IN SECTION 3T IS UNLA THE LABOR CODEX INTEREST, AND ATTOR EY'S FEES. RIMINAL PENALTIES AND CIVIL FINES IIP TO ONE HUNDRED THOUSAND DOLLARS iE'I00,000i, IN ADDITION TO THE hereby affirm under penalty of perjury one of the following declarations: 1 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 th )erformance of the work for which this permit is issued. Policy No. :1I have 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' compensatlo nsurance carrier and policy number are: Expiration Date Policy Number Phnne It p4 of Agent oy an arson to ;Cf I (fy should becomt, in the ehe esubj ct to thrformanc f ork for provisiis issued, I ons ons of Sec6onn any man 11not 3700eoft1 Labor Code,oy any person ll hall forthwith complyn any manner so as to bwith hose Provisions. ons. workers' compensation laws of California, and agree DatN, l/I �� 1 (� nature of Applicant / vi CLARATION REGAR ING CO T C ION LENDING AGENCY reby affirm under penalty of perjurythat there is a construction lending agencyforthe Lenders Address of the work form hich this permit is issued (Section 3097, Civil Code). Ider's Name my signature below, I certify to each of the following: %nb wner's behalf. I am the property owner or authorized to act on the I have read this application and the information I hd is correct. I agree to comply with all applicable city and countes and state laws elating to building construction. oses I authorize representatives of this city or county)oove-iden' led property forinspection nt Prooertv Owners or Authorized Agent's Nam /'-- EXTENDED CERTIFICATE OF OCCUPANCYISSUED DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••• •• ••• ••• ••• I SUBMITTED ASBESTOS NOTIFICAIFIONdTO •• NOTAPPLICABLE: O • ••• i o i • •• ••• • • •• •• ••• 0 C V L mC o Ec 0N w ° O ID N o j m C Im N > O O'E C N O ` C CL O. y°- a Q m ` N > w m a a c °- __ C p m > ' a c c = L T N m a�a y O O (D C C la a E m T :p a) E o'80 O C > O O` C D y m L lYa Q N J = y O m 0 T O J a a o - 9-0c E> a m m 7 0 N _ y N = ay N m c°: Eyc Lm3.-a`)wJ E(DOa a a) a°m= m c c o 0) aL a� p y _ mE° o c m r m mmm T3aamJ _ �o >O a 0 O N a m w 03caa2Zycaa)0 T y E O> 3 y O) O w N U T a m m C y C m tfJ = C c a ca o m° m Ecm 3 m) c ami¢0. 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