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Home My WebLink AboutX2019-1853 - PermitsIqy City of Newport Beach - Building Division{IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII $0.00 COMB Permit: X2019-1853 4" Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access ; $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 PAN Plan Check : 100 Civic Center Drive, Newport Beach, CA -92660 X 2 0 1 9 1 8 5 3 $0.00 Project No: 1344-2019. NMUSD Fee:. G+ '. Permit Counter Phone (949)644-3288 "v Ar Inspection Requests Phone (949)644-3255 °x m+a wb Combination Type - MFP ELEC MECH PLUM Issued Date : :2019 Inspection Arearea : 5 - 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: 519 FERNLEAF AVE NB Description: MFR- REMOVE UNPERMITTED LOFT. REMODEL MASTER BATH 150 SF & CEILING WORK IN KITCHEN (119-1195) Legal Desc.: CORONA DEL MAR TRACT BILK 532 LOT 19 POR OF LOT OF PROJECT 934-61 n Owner: SOFFERMAN JULIA & JEFF Contractor: M C M Architect: •.y m. Il Address: 519 FERNLEAF AVE Address: 2238 PORT CARLISLE PL Address: rd v "� '�. r,. • ° • ° ° B CORONA DEL MAR, CA 92625 NEWPORT EACH CA 92660 " `' "'' " ii �.� G"' 6` .° Phone: Phone: 714-803-9204 Phone: State Lie: • ®° . ° ° Applicant: MARR TOM Con State Lie: 869498 Engineer: MORED MEHOIABADI SASAN ®° ° ° e • ° ° Address: 2238 PORT CARLISLE PIL Lie Expire: 12/3112019 Address: 3842 HENDRIX ST ° ° m ° • o NEWPORT BEACH CA 92660 Bus Lie: BT30042113 IRVINE CA 92614 • ° ° ° ° ° ° Phone: 714-803-9204. Lie Exp Date: 0113112020 Phone: 310-433-7927 State Li¢C-075884 ° ° ° . . Code Edit : .2016 Worker's Compensation Insurance Designer. Type of Construction: V-13 Carrier: WIC EXEMPT Address: Occupancy Group: R3IU Policy No: (NO EMPLOYEES) Added /New sq.ft, Bldg: 0 - Expire: Phone: 'Added /New sq. k. Garage: 0 .... No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Valuation: Building Permit Fee: $312.00 Plan Check Fee: $271.44 Overtime Plan Ck: $0.00 Investigation Fee:: $312.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access ; $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,002.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Building Setbacks Rear: I Front: I Left: I Right: I Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $21.84 $12.48 $28.08 Plan Check Fee Special Conditions: 119-1195 Planning Department - Plan check Fee : $40.00 Fair Share: Fire Plan Rev $0.00 SJH Trans : $0.00 In -lieu Housing Fee: General Service $0.00 Public Works Department - $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 $0.00 San Dist: $0.00 NMUSD Fee:. $0.00 Fire Department Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $311.44 Fee Due at Permit Issuance : $691.40 PUBLIC WORKS APPROVAL:. PLAN CHECK BY: APPROVAL TO ISSUE:. 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 Licensee 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 (_) all of or (_) 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 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 apply 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). ❑ I am exempt 'No" under the Contractors' State License Law for the following reason: By jW.V Jnature 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 improvements covered by this permit, I cannot legalh sell a structure tha'ki R9,4e 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 ProfesQons Code, is"ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. E:gr%Lo of Properly Owner or Authorized Agent I Date LIC,EhLSED CONTRACTOR'S DECLARATION ...... Irekby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) f Division 3 of the Business and P ofess'e, apc�tl I sg is in full force and effect. License Bass License No Date Contractor Signal rea1� 0`P.RKHRS' C7af0PENSATION DECLARATION —� NARNING: FAILURE TQSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION To THE QdsJ Gf ;°OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'hereby -affirm undcr.panalty of perjury one of the following declarations: DIVNe and v414majntain 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 ArfoTAance ofl4e.W irk 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' compensatioi nsurance carrier and policy number are: :arrier Policy Number Expiration Date 1 me of Agent Phone # I certify that, in the pert mance 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 works ' compensation laws of California, and agre Ia , should becomes Tett to a work mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /1 ignature of Applicant /te (D r�iECLARATION I=t'DING CONSTRUCTI N LENDING AGENCYhereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3Civil Code). ender's Name Lender's Address y 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 c unty ordinances and state laws relating to building construction. I authorize representatives of this city or counto enter a-' property for inspection purposes. I g nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na eI o vv�, M A-II'Z - to 1CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG TIONS PART 61 OFTITLE 40 ANDAC RULE PERMIT EXPIRED -1 JISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED j ) EpA _ PERMITFINAL I i� I'GNATED ENOLITCOATN TAPPf.I�B � CERTIFICATE OF .�'/'/ I( lr/,,1////J 1/w1 OCCUPANCYISSUED