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Home My WebLink AboutX2019-1623 - PermitsCity of Newport Beach - Building Division IIIIIIIIillllllllll�llllllllilllllllllllllllllll� COMB Permit: X2019-1623 4,. 100 (Nvic.CeQiar Drive; Newport Beach CA 92660 x 2 8 1 9 1 6 2 3 Project No : 1149-2019 Permit Counter Phone (949)644-3288 c-i Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC - Issued Date 1012312019 Inspection Area : 5 `. 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 Ho y Job Address: 4545 PERHAM RD NB Description SFR PIKA ENERGY BATTERY BACKUP Legal Desc : "N.TR 3357 LOT 118 Owner O'TOOLE BRIAN Contractor' MAVERICK CONSTRUCTION Architect: s% Address: 3419 VIA LIDO 9483 Address: 6233 CHERRY AVE Address: NEWPORT BEACH CA 92663 LONG BEACH CA 90805 _ Phone' 949 719-9010 - Phone' _ 800 987-7785 Phone:.' State Lic Applicant: MULLEN TOBY- Con State Lia 806493 Engineer:. 'Address: 6233 CHERRY AVE ' . Lic.Expire: '. 04/3012020 .Address: LONG BEACH CA 90805 Bus Lic. -BT30069454 momo°. Phone: 562-244-5230 - Lic Exp Date: 10/31/2020 Phone: State Lia °mm° AmmO°U Code Edit 2016 Worker's Compensation Insurance Designer: MULLEN TOBY Type, of Construction' : V-B-SPR Carrier: STATE FUND Address:. - 6233 CHERRY AVE: -® e ° . ° c Occupancy Group: R3IU Policy No: 1679572:. LONG BEACH CA 90805 ®° mm ° Added /New sq.ft. Bldg: 0 Expire:. 04/0112020 Phone;.. Added/New sq:. R Garage: 0 No of Stories: 1 Building Setbacks Rear I Special Conditions' No of Units:. 1 - Front:'I mo mm ..o..°o -Bldg Height' 0 Left: I - ° ....... Bldg Sprinklers: Y `,Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone . N Construction Valuation: $26.000.00 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: r. $0.00 : SJH Trans : : $0.00 .Demolition Fee Record Management: $38.00 - -Grading Permit Fee: -- $0.00 In-lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: 1$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 - P/W Plan Check: $0.00 Grading Bond: '$0.00 Hazardous Mat: $0.00 Electrical %: .$61.78 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 : $1,023.42 Plan Check Fee : $439.38 Fee Due at Permit Issuance : $584.04 PROCESSED BY PUBLIC WORKS APPROVAL: ZONING APPROVAL: 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 noRt to t4applicable 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 is 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project. (Section 7044, Business and Professions Code: The Contractors' State License Law does nnf pply to an owner of property who builds. or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the.Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 ivis' n 3 of the Business and Profes de, and my li nse is in full force nd effect. Licq*t f l$ss License No Date Contractor Signature dORKERS' COMPENSATION DECLARATION 14RNINGaFAILUR6T0 SENRE 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 C�T O�COMPENSAf1019,0AMAGES AS PROVIDED FOR IN SECTION 37DG OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heRbY6ffirm under penalty of perjury one of the following declarations: - I I have and will rrlUtain 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 @0"Efrlce of th26worR 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' carrie4 sand policy number are: ' Policy Number Expiration Date 'ARQy that, in,tj a Performa 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 IFI should bE:c� me•sLi the workers' c mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. W,/ Dateiature of Applicant �g ILARATION REG&RDIRIG 9ONSTROCTION LENDING AGENCY reby affirm under penalty 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). der'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 county dinances and state laws relating to building construction. I authorize representatives of this city or coun r he ab v identified property for inspection purposes. Signature of Property Owner or Authorized Ag t Print Property Owner's or Authorized Ag ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART61 OF TITLE 40 AND AQMD RULE '. PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMITEXTENDED OAQMD PERMITFINAL SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF OCCUPANCYISSUED dmROPOSED C DEMOLITION �S SIGNATURE - I/('/? '/? Date ;;; )° #)•-R � �� \ )( [d o< en �k ¢ m \\ \\ )k §\ \\ \� ( L � \ f m � ■ ± } �k � .. � � # :� ] uj ! \ }j) § ® ®) \ ) f 7