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Home My WebLink AboutX2019-3103 - Permits11ly� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIillllllllllllillll llllllllll� COMB Permit: X2019-3103 '6 Investigation Fee: $0.00 - Record Management: $2.00.. $0.00 Energy Compliance: $0.00 WQ Insp. Fee: CA Seismic Safety: $0.00 San Dist: tea' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 1 9 3 $0.00 Project No: 1861-2018 Building Green Fee[ Permit Counter Phone (949)644-3286 Inspection Requests Phone (949)644-3255. .Uombination Type - MFP - .Issued Date : 1010112019 Inspection Area : 1 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6;30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 925 W BALBOA BLVD NB Description: MFR `ADD'L SCOPE" REPLACE (4) CARPORT COLUMNS, (3) CARPORTS TOTAL Legal Desc.: N TR 234 BLK 9 LOT 19. Owner: S & S PROPERTIES Contractor: BRIAN STAUNTON Architect:f.I F'ECTO R Address: 16216 KITTRIDGE ST Address' 7950 YORKTOWN #15 Address: , rt V - VAN NUYS, CA 91406 HUNTINGTON BEACH CA 92648 Phone: - Phone: 435-229.5423 Phone: State Lic: Applicant STAUNTON BRIAN Con State Lic 960321 Engineer: PHILLIPS, CRAIG. RICHARD em®em° Address: 18400 SANTA LEONORA CIR Lic Expire: 0413012021 Address: 2123 VESTAL AVE ° FOUNTAIN VALLEY CA 92708. Bus Lic BT30062384 LOS ANGELES CA 90026 mm°o Phone 435-229-5423 Lic Exp Date: 03/31/2020 Phone: State Lic:C-069673 Worker'sCompensation Designer: C C®tlSTRUC Type fConstruction:EVERETPgEMIER on Address: loN - onV1 Occupancy Policy No �Gm° ° ° . VS Added /New sq.ft. Bldg: 0 Expire: 1 012 31201 9 Added /New sq. $. Garage: 0 No of Stories: 2 Building Setbacks Rear: / No of Units: 3 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: Flood Zone: .2% Use Zone: Parking Spaces: 0 eA 1 nn /\I\ Building Permit Fee: $168.00 Plan Check Fee: $146.16' TOTAL FEE: $357.16 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Overtime Plan Ck: $0.00. $0.00 Investigation Fee: $0.00 - Record Management: $2.00.. $0.00 Energy Compliance: $0.00 WQ Insp. Fee: CA Seismic Safety: $0.00 San Dist: Disabled Access : $0.00 -$0.00 Hazardous Mat $0.00 Building Green Fee[ $1.00 TOTAL FEE: $357.16 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: .$0.00 Additional Fee `. $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 Plan Check Fee Phone: m m 000moo momoo Special Conditions: RE 3 p VO tHE WEEKEND ..... mp1, , ° Fire Hazard Zone:N Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 P/W Plan Check ; $0.00 San Dist: $0.00 NMUSD Fee: -$0.00 $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 $357.16 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: $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 $357.16 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 4the Business and Professions Coda) 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—-;.ltyPenaof not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 improved for the purpose of sale). ❑ 1, 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 legall) 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 ttn%f 04nalty of perjury that I am licensed under provision of ��(rhaPPter 9 commencing with Serrrct�io```n 7000) f D' isi 3 of the usiness and Prof s on Code, an m e IS,; f 1 farce IV.*Pt. Liceq%%� lass License No � G, /') 7,�� _ o tractor Signature _ t� 6L$1.) WORKERS' MUPRINSATION DECLARATION "\ 4ftIN%FAILURE Tq SECURE 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 aOSTON COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm urr er IsInalty of perjury one of the following declarations: .... I fiaveand v�jll majptain 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 mance of khe-work for which this permit is issued. Policy No. a'Ve and will unaintain 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 091r3A(2) carrier jand pglicy number are: Carrier ' "" • • Policy Number Expiration Date 99me %Agent Phone # :1... 1 certify that, irttfiepertormance of the work for which thispermit`is'is'sued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and ogre :hat, if I should b�s_ppe jject to the workers' co ensation g�ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant ! 7ti C111 � 75L u nY r�1 Y Date �c� f r l 2ZO DECLARATION REGARDING CONSTRUCTION LENDING AGENCY TTS—�— hereby 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). ender's Name Lender's Address ly 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. 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