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Home My WebLink AboutX2019-2143 - Permitsr r City of Newport Beach - Building Division Permit: X2019-2143 Address:. '- �IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII ANAHEIM CA 92801 Phone: 714-775-1820 Code Edit: 2016 $0.00 Policy No: Investigation Fee: $0.00 I�COMB Record Management: $0.00 Fire Plan Rev Energy Compliance: 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1. 4 3 CA Seismic Safety: Project No :. Use Zone: Parking Spaces: 0 Disabled Access: Permit Counter Phone (949)644-3288 In -lieu Housing Fee: Hazardous Mat $0.00 Inspection Requests Phone (949)644-3255 Grading PC Fee: $0.00 '1`rrt�Kvc� Combination Type - SFP Issued Date : 0711012019 WQ Insp. Fee: $0.00 Park Dedication : Inspection Area : 4 Refund Deposit PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. P/W Plan Check : $0.00 Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Grading Bond: Job Address: 3607 SAUSALITO DR NB San Dist: $0.00 Description: SFR DET. GARAGE TIO (E) 5 SQ, INSTALL BORAL ESR#1647, 5.7psi, CLASS 'B' Mechanical W $0.00 LegalDesc.i N TR 6229 LOT 4 Owner: STEDMAN ROBERT Contractor: HOYT ROOFS INC Architect:,.w Address: 3607 SAUSALITO DR Address: :1809 N ORANGETHORPE PK Address: NEWPORT BEACH CA 92625 ANAHEIM CA 92801 Phone. Phone:. 714-773-1820 Phone: State Lic: R Applicant: TAKEO/HOYT Address:. 1809N ORANGETHORPE ' ANAHEIM CA 92801 Phone: 714-775-1820 Code Edit: 2016 Type of Construction: VB Occupancy Group:. U Added /New sq.ft. Bldg: 0 Added /New sq.. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Green Fee : ;$1.00 TOTAL FEE: $325.00 Con State Lie: Construction Valuation: 94,000.00 . Lie Expire: Building Permit Fee: $324.00 ' BT30001509 Plan Check Fee: $0.00 11/30/2019 Worker's Compensation Insurance Overtime Plan Ck: $0.00 Policy No: Investigation Fee: $0.00 07/2412019 Record Management: $0.00 Fire Plan Rev Energy Compliance: $0.00 Left: /. CA Seismic Safety: $0.00 Use Zone: Parking Spaces: 0 Disabled Access: $0.00 In -lieu Housing Fee: Hazardous Mat $0.00 Building Green Fee : ;$1.00 TOTAL FEE: $325.00 Con State Lie: 606111. Lie Expire: 12131/2020 Bus Lie: BT30001509 Lie Exp Date: 11/30/2019 Worker's Compensation Insurance Carrier: REDWOOD. Policy No: HOWC910462 Expire: 07/2412019 Building Setbacks Rear:.I Fire Plan Rev Front: / $0.00 Left: /. Right: / Use Zone: Parking Spaces: 0 Engineer: Address: Phone: Designer:. Address: Phone: State Lie: Special Conditions: LANDSLIDE AREA Fire Hazard Zone : N. Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Grading PC Fee: $0.00 Public Works Department - General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit P/W Plan Check : $0.00 Grading Bond: Electrical %: $0.00 San Dist: $0.00 Mechanical W $0.00 NMUSD`Fee: $0.00 Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check fee : $0.00 Fee Due at Permit Issuance: $325.00 PROCESSED BY:. PUEII`,'C WORKS APPROVAL: .ZONING APPROVAL oPLAN CHECK BY: GRADING APPROVAL: ` °" APPROVAL TO ISSUE:, u c ccc c �� cc OWNER -BUILDER 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) 1 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 is 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 of more than five hundred dollars ($500). 1, 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, lusiness 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 nprovements 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 nproved 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 improvements covered by this permit, I cannot legally ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 1 is'on 3 of the Business and Prj1fessJpns C I,and my I'cen is in full force nd effect. License Class License No Date Contractor Signatur VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIB , PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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' egformance of the work for which this permit is issued. Policy No. have and will main( I�ii�'torkers' 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' rance carrier and D cv neunber are: A"-) _ Date re of Agent ( A — \,] l/ 2t`' _ Pnone # certify that, in the performance 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' ect topthhers' compens pr Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / �/I�/�� iature of Applicant �_,_ / J . Da.?L •I AonnnM 0cnndnIMn rnKI TonrrinM I�r Ar.'P1JrV sreby 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 owners behalf. I have -read this application and the information I have provided is correct. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. authorize representatives of this city or county tgepter Jove -id .�p}�Ge rty for inspection purposes. _ ��,A. — C1 Si nature of Property Owner or Authorized Agen �/ Print Property Owner's or Authorized Agent's NaUhj LWC1-1 ` Dak r I -t r ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATIQW T • i � • • • • • : � PERMIT —CANCELLED EPA PERMIT EXTENDED QMD • • • i • PERMITFINAL 1� ASBESTO'�+SFIN,,yOOTIFICATION IS NOT APPLICA"BLE TO-.* CERTIFICATE OF 3 DPROPOSED �+��/ll_LIT �� ?1d') -• ••• OCCUPANCY ISSUED SIGNATURE: -!