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Home My WebLink AboutX2019-2490 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII1I1 Jill COMB Permit: X2019-2490 100 Civic Center Drive, Newport Beach, CA 92660 X 0 1 9 2. 4 9 Project No _ Permit Counter Phone (949)644-3288 .Inspection Requests Phone (949)6443255 Combination Type - BLDG Issued Date: Area : 2tl19 �1rt1xi Inspection Area 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: 423 BOLERO WAY NB -. _ . r /'1Tr'1 ire Description: BLOCK WALL INSIDE P/L 6'x 17'6" LF PER CITY STANDARDS Legal Desc.:. TR 4692 LOT 38 TOGETHER WITH AN UND 1/98 INT IN LOT 99 Owner: WHIRITY TERRANCE Contractor: OWNER/BLDR - Architect: Address: 423 BOLERO WAY Address: Address: NEWPORT BEACH, CA 92663 Phone:. 773-716.9864 Phone: Phone: State Lic: Applicant: WHIRITY TERRANCE Con State Lic: OIB Engineer: ...... ee°ee Address: 423 BOLERO WAY Lic Expire: Address: NEWPORT BEACH, CA 92663 Bus LIC: Phone: 773-716-9864 Lic Exp Date: Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: .... Type of Construction: Carrier: Address: "O° Occupancy Group: U Policy No: °aa ° Added /New sq.ft. Bldg: 0 Expire: Phone: • ° m ° ° ®• ° ° Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: 10 Bldg Height: 0 Left: I OOO°O Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: 81.600.00 Building Permit Fee: $412.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $102.25 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: .$0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00. WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat Electrical %: % .00 San Dist: $0.00 G 0 BuildingGreen Fee : 1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 FEE: $517 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $0.00 Fee Due at PUBLIC WORKS APPVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $517.25 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 License 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 nn o).mpre than five hundred dollars ($500). s owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 im 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 ;11777 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 uslness and Professions Code, is available upon request when this applic n is submilte a e (low' Web site:http://www.leginfo.ca.gov/calaw.html. C /9 Signature of Property Owner or Authorized Agent, Ln Date O LICENSED CONWACTOR'S DECLARATI Ihereby,affirm unbl5rdenalty of perjury that I am) censed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force CIT( Tlb¢t. LicgrtsgOlss License No Date Contractor Signature NQRKERS' COMPENSATION DECLARATION JAR7! VQrFAILURE TCPSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSAdlO$L•DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heieby,affirm undsr I; salty of perjury one of the following declarations: :.I Li;ve and gvill,lil9ihtain 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 th1 3e_rformance of the work for which this permit is issued. Policy No. 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' carriej @2q gilicy number are: Policy Number Expiration Date ••.. c9rKP 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 agref I, if I hould become su�bject�t/gihe workers' co�r5ppens on rove 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (', nature of Applicant X.C��G�-'�� /✓� Date d CLARATION REG RDING CONSTRUCTION LENDING AGN Y Ireby affirm under enalty of perjury that there is a construction ending 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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or cou�ty to^enter a above -!dent' ' rop y for inspection purposes. nature of Prooertv Owner or Authorized Acent 7�-� P� r Print Prooertv Owner's or Authorized ADent's Name ACTION DATE BY DECLARATION OF I I REGULATIONS PART 61 O TCOMPLIAIITLE 4O AND AQMD RULE ITH CODE OF AL FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 0EPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED r%✓ j9 'S0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Date 9 N.