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Home My WebLink AboutX2019-0904 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 h Permit Counter Phone (949)644-3288 inspection Requests Phone (949)644-3255 '"'a,r+xtdv"s Combination Type-. BLDG GRAD ELEC PLUM �� II COMB Permit: X2019-0904 Project No : 0615-2019 Issued Date : 04/17/2019 - Inspection Area : 6 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: 2 SCENIC BLUFF NB Deschtion: DRAINAGE W/ GAS R FI Fr: Tn RRn R PIRFPIT Legal Desc.:. N TR 15818 LOT 15 Owner 2 SCENIC BLUFF TRUST - Contractor: MYERS R S COMPANY Address: 2 SCENIC BLUFF Address: 30012 IVY GLENN DIRVE #145 NEWPORT BEACH, CA 92657 Additional Fee LAGUNA NIGUEL CA 92677 Phone:... Phone: 949.675.7555 - Applicant: WONG PAUL Con State Lie: 685215 Address: 3195B AIRPORT LOOP DR Lie Expire: 03/3112020 COSTA MESA CA 92626 Bus Lie: BT30049074 Phone: 714-352-7572 Lid Exp Dater `11 /3 012 01 9 Cade Edit: 2016 Worker's Compensation Insurance Type of Construction:. Carrier: STATE COMP INS FUND Occupancy Group: Ll Policy No: 91701319 Added /New sq.ft. Bldg: 0 Expire: X03/0712020 _ Added /New sq. ft. Garage: 0 Building Green Fee : No of Stories: 0 Building Setbacks Rear: I No of Units : 0 Front: Bldg Height: 0 TOTAL Left: Bldg Sprinklers: CZ- W e e..A 7- - M Right: Flnod Zone: Use Zone: Parkino Soaces: 0 PROCESSED BY: - ZONING APPROVAL: GRADING APPROVAL: Building Permit Fee:. $938.00 Excise Tax: Plan check Fee ; Plan Check Fee: $0.00 Architect: Additional Fee $0.00 Overtime Plan Ck $0.00 Grading Bonds Fee: .$312.00. Investigation Fee: $0.00.. Grading PC Consultant State Lie: Record Management: $54.00 Grading Permit Fee: ° m Energy Compliance:. $0.00 Grading PC Fee: Phone: CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Disabled Access: $0.00 0 m00000 - Hazardous Mat $0.00. Electrical %: Building Green Fee : $3.00 Mechanical %: Plumbing %: ommo TOTAL FEE : $1,225.08 PROCESSED BY: - ZONING APPROVAL: GRADING APPROVAL: $0.00 Planning Department - $40.00 ($938.00) Plan check Fee ; Fire Plan Rev - Architect: Fair Share $0.00 Address: SJH Trans General Service .$312.00. In -lieu Housing Fee Phone: State Lie: ° 00 0 Engineer:. m... ° m Address: $0.00 $65.66 Phone: State Lie: $0.00 NMUSD Fee: $0.00 $84.42 Designer. 0 m00000 Address: o ° DmOmOm ° m `o mmmeoo Phone: o o o OD00 ommo Special Conditions: CZ- W e e..A 7- - M $0.00 Planning Department - $40.00 ($938.00) Plan check Fee ; Fire Plan Rev - $0.00 Fair Share $0.00 $290.28 SJH Trans General Service .$312.00. In -lieu Housing Fee $375.72 Public Works Department -. $0.00' Park Dedication : $0.00 PM Plan Check: $0.00 $65.66 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $84.42 Plan Check Fee : $172.24 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,052.84 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev - $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,052.84 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) 1 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 ofthe 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improvesthe 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 not ly to an owners ofppoperty 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 Vgipjltensure under the Contractors' State License Law for the following reason: 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 Ystocture tRlNiave 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 fes%ions Code,?s'Mllable upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.govlcalaw.htmi. •ature of Property Owner or Authorized Agent Date :ENSED CONTRACTOR'S DECLARATION feb'y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section t100) of Division 3 of the Business and Profs io , Code, and m r lice s is in full force eMct. License Bass License No Date/ 4 / I'7 / 19 Contractor Signature IIMRS' COMPENSATION DECLARATION AIA&: FAILURE TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE SOROOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm uAderpenalty of perjury one of the following declarations: 1.1?94g and wig paiptain a certificate of consent to self -insure for workers' compensation, issuedby the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl xPriunce of thg terror which this permit is issued. Policy No. stave 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' compensatior {isura_nce carrier and policy number are: )amer Policy Number Expiration Date Vame of Agent Phone # :1I 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 workers' ompensation laws of California, and agre( :hat, if I should become s Tett to the work �erJs'/cgm/pg/nation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Da q I t -7 r/1 `1 )ECLARATION REGA DING ONSTRUCTION LENDING AGENCY hereby 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 309 , Civil Code). -ender's Name Lender's Address 3y 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 cou ordinances and state laws relating to building construction. I authorize representatives of this city or county an er the above -'den£ 'ed arty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name L 1+QI S W EA'3 n/ 4/1-1/1`1 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1 PERMITEXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL lO S S NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF II I ROPOSE DEMOLITION OCCUPANCy15SUED 1It SIGNAT E: