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Home My WebLink AboutX2019-0745 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII� COMB Permit: X2019-0745 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 7 4 5 H 'e Permit Counter Phone (949)644-3288 Project N0; 2441-20113 s Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date: 0310612019 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:. 58 BALBOA COVES NB Description:. SFR T/O TILE AND REPLACE WI COMP SHINGLES CLASS "B" 20 SQS Legal Desc.: N TR 1011 LOT 58 Applicant: JONES CHRIS Address: 20362 SANTA ANA AV #17 NEWPORT BEACH CA 92660 Phone: 714-668-1190 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq:. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Con State Lie: 909473 Engineer: Lie Expire:" Owner: HEARN SHANNON Contractor: JONES CHRIS GENERAL CONTRACTOR Architect: BT30064873 $0.00 Lie Exp Date: ' 1 0/3112 01 9 Phone: Address: 58 BALBOA COVES Address: 20362 SANTA ANA AVENUE #17 Address: EXEMPT Address: NEWPORT BEACH CA 92663 NEWPORT BEACH, CA 92660 +F Phone: SJH Trans : Phone: 714-668-1190 Phone: State Lic: + o Applicant: JONES CHRIS Address: 20362 SANTA ANA AV #17 NEWPORT BEACH CA 92660 Phone: 714-668-1190 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq:. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Con State Lie: 909473 Engineer: Lie Expire:" 01/3112020 - Address: Bus Lie: BT30064873 $0.00 Lie Exp Date: ' 1 0/3112 01 9 Phone: Worker's Compensation Insurance Designer: Carrier: EXEMPT Address: Policy No: $0.00 Grading PC Consultant : Expire: SJH Trans : Phone: Building Setbacks Rear: / Front: / Left: / Right: I State Lie: Special Conditions: SUB CONTRACTORS AGREEMENT ATTACHED Fire Hazard Zone : N Building Permit Fee: $324.00 Excise Tax: $0.00 Planning Department - $0.00 Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: Demolition Fee Overtime Plan Ck:. $0.00 Grading Bonds Fee: $0.00 Fair Share : General Service Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : .Grading Bond: Record Management: .$0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: .$0.00 Park Dedication : $0.00 Disabled Access: $0.00 - PM Plan Check :. $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 Plumbing %: $0.00 11 TOTAL FEE: $325.00 Plan Check Fee PROCESSED BY: c�iDV `r - ZONING APPROVAL: GRADING APPROVAL: • ns••mo • • c o e• • •oa"�F�` oo •oo et' m4�ssa� ee o. 4 3 O C G[eOfj° G O c o®coax m os e o a e m oe•o mccc $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:. $0.00 $0.00 $325.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 .Grading Bond: $0.00 $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:. $0.00 $0.00 $325.00 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 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 not more than five hundred dollars ($500). - ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7x44, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided ",hatthe improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. , ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Coft1s, available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html. Signature of Prope$ty0°wner or Authorized Agent Date IINIMNSED CONTRACTOR'S DECLARATION rhereb^ffirm Srl&g p9nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) o Di isicn 3 of the Business and Profe sions C �, y license is in full force jr%effeit. License Class License No Date A Contractor Signature AfORRERS' Cpg11PJENSATION DECLARATION rf4ftIN%FAILURI!TC,WbRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE aOSTO6 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ••• Iheceby affirm undrar•penalty of perjury one of the following declarations: • •• �ttlave and wild,maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the 3eYformance of the work for which this permit is issued. Policy No. JI havT and w$Irmainjain 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 Q3dtarRg carrier gqd policy number are: 02f12r' Policy Number Expiration Date Kat.of Agent Phone # certify that, in the perforXgfance 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 worker compensation laws of California, and agre :hat, 'f I should become sujfject to thW*g0fers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant Z�� [gite—Z IECLARATION REGAVDIRG CO)KTRUCTION LENDING AGENCY hereby affirm under p Bally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 367, Civil Code) Ender's Name Lender's Address ly my signature belofN, 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 havp provided is correct. I agree to comply with all applicable city and coun ordinances_ and state laws relating to building construction. I authorize representatives of this city or county enter t1le�tl identified property for inspection purposes. / ACTION PART 63 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS PERMITCANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCVISSUED APPLICABLE TO FOR OFFICE USE ONLY