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Home My WebLink AboutX2019-1512 - Permits�r City of Newport Beach- Building Division IIIIII�IIIIIIIII�I�IIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 Permit Counter Phone (949)644-3288.. rµ3 Inspection Requests Phone (949)644-3255 ea •ems c'� " Combination Type - SFP 1 5 1 2 II COMB Permit: • X2019-1512 Project No : 1072-2019 Issued Date : 3/2019 Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 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 Record Management: Job Address: 2021 SANTIAGO DR NB' Energy Compliance: $0.00 CA Seismic Safety: $0.00 Description: SFR NEW DETACHED WOOD DECK 300 SF $0.00. Hazardous Mat ! e t - Legal Desc.: N TR 3801 LOT 23 .$1.00 $0.00 In -lieu Housing Fee: Owner KHOO JOURDAN Contractor AMPLE CONSTRUCTION Architect: BALLENTINE BEN Address: 33021 SEAWATCH Address: 3867 BURCH ST #333 Address: 315 WASHINGTON BLVD .... • DANA POINT CA 92629 NEWPORT BEACH, CA 92660 P/W Plan Check:. VENICE BEACH CA 90292 • a Phone: Phone: 714-454.4305 Phone: 424-835-4338 State Lic:C034881 • a m • `O ° Applicant: BALLENTINE BEN Con State Lie: 957060 Engineer. $0.00 Address: 315 WASHINGTON BLVD Lie Expire: 01131/2021 Address: •' • °O ° VENICE BEACH CA 90292 Bus Lie: BT30057810. $0.00 �. • • •. . ° o ° o Phone: 424-835-4338 - Lie Exp Date: 11130/2019 Phone: State Lir , o • • ° Code Edit: 2016 Worker's Compensation Insurance Designer. •••O °0,0°. Type of Construction: V -B -SPR Carrier: BENCHMARK INS CO Address: ° Occupancy Group:. R31U Policy No: CST5014680 o e oomoco c o 0 Added /New sq.ft. Bldg: 0 Expire: 12115/2019 Phone: • °. • ®• • Added/New sq. ft. Garage: 0 • •• °p`°Oa No of Stories: 2 Building Setbacks Rear: 6 Special Conditions: No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $5.1 Building Permit Fee: $359.00 Plan Check Fee: $261.00 Overtime Plan Ck: $0.00 Investigation Fee:. $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access:. $0.00. Hazardous Mat $0.00 Building Green Fee: .$1.00 TOTAL FEE $663.00 PROCESSED BY: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %.:. Mechanical %: Plumbing %: ZONING APPROVAL: GRADING APPROVAL: Front: 20 Left: 6 Right: 6 0 Fire $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 SJH Trans: $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department- General Service $0.00 Park Dedication : $0.00 Refund Deposit P/W Plan Check:. $0.00 Grading Bond: $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee: $0.00 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 $663.00 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) Iction.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 Ifessions 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, ainess 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 not )ly 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: my signatV9%%1oWI 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 legaih a structuretlhdtt 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 )fasaions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nafbre of PJopaVOwner or Authorized Agent Date :QJSED CQNTRACTOR'S DECLARATION rreby affirm grader penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O)ro 'v's' of the Business and Profs sions C rena"my license is in full force I effect. LiceRSU-11ass License No Date Contractor Signature YRKERS'.COMPENSATION DECLARATION MING: FAILU$F�;T%! CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE rpP COMPERSSATjjpON, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Sepy affirm under penalty of perjury one of the following declarations: I have anrhwNlMllintain 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 'pr"nce of the work for which this permit is issued. Policy No. .. gave and d4ijl,";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 Trance, carrier and policy number are: 'ier Policy Number Expiration Date is of Agent Phone # certify that, in the perfo ante 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 wor rs' compensation laws of California, and agree if I should become su ct to the wor mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant - ate—KJ I"Ir3 tl / `/ A CLARATION REGAR�ING'S.`tSNSTRUCTION LENDING AGENCY Treby affirm under p a y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued 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 co my ordinances and state laws relating to building construction. I authorize representatives of this city or countlto enter ove-identified property for inspegtion purposes. ACTION DATE81� DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 140 PERMIT EXPIRED )SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED Fpq PERMITFINAL CER FICATE OF 'x/17 Jy/' er V3 PROpOSEDO,',�SFNOTIITCATIO NOT APPLICABLE TO OCCUPANCYISSUED SIG�NpAI' Civil Code).