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Home My WebLink AboutX2019-2406 - PermitsCity of Newport Beach- Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII Fire Department COMB Permit: X2019-2406 $0.00 Plan Check Fee: $0.00 Fire Plan Rev Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 4 0 6 Project No : 0055-2019 F; 9 '* tt Permit Counter Phone (949)644-3288 c'%. Requests Phone (949)644-3255 r'u� .Inspection Combination Type - BLDG PLUM Issued bate : 08/0112019 Inspection Area : 1 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: 3505 SEASHORE DR NB Description: DEMO DUPLEX & ATT GAR 1853 SF/6 BEDROOMS. SEWER CAP INCLUDED "CHANGE OF CONTRACTOR". Legal Desc.: NEWPORT BEACH CITY BLK 35 LOT 3 IN Owner: 3505 SEASHORE DR LLC Contractor: SAILHOUSE HOMES INC Architect: mee JEANNETTE BRION S Address: 620 NEWPORT CTR DR #100 Address: 170 NEWPORT CENTER DR #260 Address: �i�;•,,/� 470 OLD NEWPORT BLVD s( •m o NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92663 e o .Sal Phone: 949-645-5854 Phone: 949-281-6045 Phone: 949-645-5854 State Lic:C008012 ':• e e Applicant: RODGERS KATELYNN Con State Lic: 1007531 Engineer: BURKE THOMAS e Address: 470 OLD NEWPORT BLVD Lic Expire: 0913012019 Address: m • 312 OCEAN AVE e. e e e • o NEWPORT BEACH CA 92663 Bus Lic BT30036603 ee o LAGUNA BEACH CA 92851 e m Phone: 949.645.5854 .Lic Exp Date: 08I3112019 Phone: mmoomo momoo 949.494.0776 State Lic:S-005088 • • Code Edit : 2016 " Worker's Compensation Insurance Designer: ` momoo. . Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added/New sq.. ft. Garage: 0 No of Stories: 0 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Fire Department Building Permit Fee:. $0.00 Plan Check Fee: $0.00 Fire Plan Rev 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 : $0.00 Carrier: STATE COMP. INS Policy No: 9213113 Expire: 12129/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: I Front: I Left: I Right: l $0.00 $35.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 IITOTAL FEE: $35.00 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Address: ome moo 0 0 e m000am Phone: m me • .. m o 0 omm- omom Special Conditions: Tight Quarters to haul debris Planning Department- Fire Department Plan check Fee: - Fair Share Fire Plan Rev SJH Trans c Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department-. Park Dedication: $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $35.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 1 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $35.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 1 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 L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, flness 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 net ily 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 exemi licensure under the Contractors' State License Law for the following reason: %y 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 improvement1Dza vered by this permit, I cannot legalll a sfrWcture ttia4J hAW 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,tion f the Business and ,fesyons Code* s`a0ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Properly Owner or Authorized Agent TENSED CONTRACTOR'S DECLARATION �reby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Di 'si 3 of theBusiness and/Prss'ns Co d my license is in full force eif4ct. Liceryae Class License No Date A Contractor Sign)i aRS' CDMPENSATION DECLARATION:NTNG: FAILURE TO.SECUREWORKERS'COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUHOUSAND OLLARS ($100, I, IN ADDITION TO THE R OPOOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm uchr penalty of perjury one of the following declarations: r Ute and wUl,maiptain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provide for. by Section 3700 of the Labor Code, for th, '15"ance of thgw orlefor which this permit is issued. Policy No. have and will maintain workers' cpensat' n i surance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Bance carrier and policy number ar : Dornier Policy Number Expiration Date lame of Agent Phone # :1I certify that, in the performance of he r or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' cc pensation laws of California, and agre, .hat, if I should become ubject to th wor compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGA)hDING CO TRUCTION LENDING ENCY hereby affirm under enalty of per ry that there is a� ruction lending age cy for the performance of the work for which this permit is issued (Section 3097, Civil Cod -ender's Name Lender's Address 3y my signature below, I certify to ach of the following: I am the property owner or a horized to act on the property Diner's al. I have read this application d the information I have providis c r eC I agree to comply with all applicable city and county o Inanca sta law relating to building construction. I authorize representatives of this city or county toe ter the aov -id tified roperty for inspection purposes. / 3i nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Nam - N Date ACTION DATE BY DECIARA ION OF CO LIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGU T NS PART 610E TITLE4 AND AQMD RULE 14 PERMITEXPIRED S BMITTEDASBE OSN TI CATIONTO PERMIT CANCELLED EPA PERMITEXTENDED QMD PERMITFINAL CERTIFICATE OF S—L{-j9 \ A BESTOS yb^FIFI T IS NOT AP BLE TO ,f yll./� ROPO D§'MOLIT N OCCUPANCYISSUED SIGNATURE:/