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Home My WebLink AboutX2019-1445 - PermitsCity of Newport Beach - Building Division *X2019-1445* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Cornter Phone (949)644-3288 '._ Inspection Requests Phone (949)644-3255 Combination -Type -.SFP COMB Permit X2019-1445 Project No : 1184-2019 Issued Date : 05/2412019 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSU NCE 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: 1504 OCEAN BLVD NB Description: SFR- TIO STONE ON DECK, APPLY BASE MPC POLYMER MODIFIED CEMENT WIARIZONA FLAGSTONE Legal Desc.: TR 518 LOT 2 BLK I SELY 38.6 FT a ty Owner. CHRISTIE LORI -ANN Contractor: STOVALC CONSTRUCTION Architect 8 � �« c.r % oy Address: 1504 OCEAN BLVD Address:. 1775 PLACENTIA AVE11, Address: NEWPORT BEACH, CA 92661 Construction Valuation: COSTA MESA CA 92627 Phone: 949-439-9715 Phone: 714-396-6896 Phone: State Lie: Applicant: STUVALL MIKE Con State Lie: 603955 - Engineer: XIAO QIANG Building Permit Fee: $472.00 - - Address: 1775 PLACENTIA AVE Lie Expire: 1013112020 Address: 1520 BROOKHOLLOW DR #45 .... COSTA MESA CA 92627 Bus Lic: BT00022289 $0.00 SANTA ANA CA 92705 ' ... e Fire Inspection: Phone. .714-396-6896 Lid Exp Date:. 0613012019 Phone: 714-662.0510 State Lic:C-066610 0 000 °°ecr Code Edit: 2016 Worker's Compensation Insurance Designee Investigation Fee:. $0.00. Type of Construction:: VB Carrier: STATE COMP -Address: Demolition Fee Occupancy Group: R3111 Policy No:. 9102542 $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Added /New sq.ft. Bldg: 0 Expire: 06111/2020 Phone: Grading PC Fee: $0.00 Public Works Department - Added /New sq. ft. Garage: 0 General Service $0.00 CA Seismic Safety: O6 WQ Insp. Fee: No of Stories: 2 Building Setbacks Rear: / Special Conditions: $0.00 Disabled Access : No of Units : 1 Front: / PAN Plan Check: $0.00 Grading Bond: $0.00 Bldg Height: 0 Hazardous Mat Left: / Electrical %: $0.00. San Dist: $0.00 Bldg Sprinklers: Right: / Building Green Fee : $1.00 Mechanical %` Construction Valuation: $25.000.00. Building Permit Fee: $472.00 - - Excise Tax: $0.00. Planning Department - - Fire Department Plan Check Fee: $410.64 Additional Fee: $0.00 Plan check Fee: $40.00. 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: $4.00 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 $0.00 Electrical %: $0.00. San Dist: $0.00 Building Green Fee : $1.00 Mechanical %` $0.00 NMUSD Fee: $0.00 $0.00 - Plumbing %: $0.00 $0.00 TOTAL FEE(/$927.64 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $927.64 PROCESSED BY: - PUBLIC WORKS APPROV ZONING APPROVAL: 1 r t�'� PLAN CHECK BY: GRADING APPROVAL: 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 License Law (Chapter 9 (commencing with Section 7000) of bivision 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 sabjects 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 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). 1, as owner of the property, am exclusively contracting with licensed Contractors toconstructthe project (Section 7044, Business and Professions Code: The Contractors'. State License Law does not ap ly to an owner of property who builds or improves thereon, and who contracts for theprojectswith 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: 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 legalll 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 Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm underppenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 o Ivl Io 3 of the Business and Professions licen In full force and effect. License Gass - License No Date '1 —( Contractor Signature ...: VItQRKE-RS' COMPENSATION DECLARATION NARNING: fAILUREQO VECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE CO T OFA OMPENSATIOFF DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. gert4y,01ffirm undeY penalty of perjury one of the following declarations: ❑.I have and wild maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th 3plaA of the&ork'for which this permit is issued. Policy No. ... Ad . and will tain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol ricBm- a carrier and potty number are: Policy Number Expiration Date if ceIrfify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 1at,V11should b&Mp. Subject to the Pvorkem�jmp� provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I G signature of Applicant _ Date IECLARATION REGA NG CONSTRUCTION LENDING AGENCY hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tinder's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owneFor authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. authorize representatives of this city or county to$jid Ifs erty for inspection purposes. •i,...�n,�. ..F n,..ne� �. A„ehn.hod Aocot f'l/��.!/ Print Pronertv Owner's or Authorized ADent's Name ,O 11,41Ke SMv01-11 Da1?'c=5 U-1 DATE BY`DECLARATION OF I REGULAT ONS PARTOMPLIANCE WITH CODE OF 61 OF IITLE 40 AND AQMD RULE I FOR OFFICE USE ONLY PERMIT EXPIRED UI SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL %Vt3-\�J r� U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 1 PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: