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Home My WebLink AboutX2019-3518 - PermitsCity of Newport Beach- Building DivisionIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3518 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 5 1 8 Project No rs Permit Counter Phone (949)644-3288 es lar Inspection Requests Phone (949)644-3255 - P'+kawia�"�° Combination Type.- SFP Issued Dater 1110412019 Inspection Area : X 2 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: 209 MARINE AVE NB Description SFR REMOVEIREPALCE (E) 7 SQ OF B.U.R, CLASS'B'MIN Legal Desc : BALBOA ISLAND SEC 4 BLK 12 LOT24 Owner WOODS JR. GEORGE CGEO Contractor: ADELE CONSTRUCTION INC Architect:'y�/y C4' Address: 116 APOLENA AVE Address: P O BOX 81058 Address: l•/py i NEWPORT BEACH, CA 92662 RSM CA 92688 - '6•- Phone: Phone. 714.793-8498 Phone:. Stat Applicant: PAULIADELED CONST. Con State Lie: 802795 Engineer: Address: PO BOX 81058 Lie Expire. > 01/31/2020 Address: RSM CA 92688 Bus Lie: BT30069621 +y�'�� Phone. 714-493.8496 tic Exp Date: 11/3012020.. Phone: a Lie: /0 Code Edit: 2016 Worker's Compensation Insurance Designer: +� Type of Construction: V13 'Carrier: CALIF INS COMP Address: r' Occupancy Group: R3/U Policy No 4688667101 Added lNew sq.ft. Bldg: 0 Expire: 04/01/2020 Phone: / Added /New sq. ft. Garage: 0 J' No of Stories: " 1 Building Setbacks Rear: / Special Conditions: HIGH DENSITY NoofUnits : `. 1 Front: / LIQUEFACTION AREA Bldg Height: 0 Left: / Bldg Sprinklers: N. Right: /. Flood Zone: X. - Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8.000.06 Building Permit Fee: $324.00 Excise Tax: $0.00 - Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee = $0.00 ' Plan check Fee : : $0.00 Fire Inspection: $0.00 OvertimePlan 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: $0.00 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 P/W Plan Check i $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 : $325.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance $325.00 PROCESSED BY: ,`. PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: L a 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 he 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. 'rofessions 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 lot 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 isnot intendedor offered for sale (Section 7044, 3usiness 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 mprovemenls 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 mproved 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 ipply 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: 3y 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:hftp://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions-gf C�hagte�r.2,Lq>rmencing with Section 0) o Division 3 of the Business and Pr fes ' ns e, and my linen in f II force - Ind effect. License Class License No KD�L / "1 S Date Contractor Signature YORKERS' COMPENSATION ECLARATION /ARNING: FAILURE TO 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will 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 th1 emance of the work for which this permit is issued. Policy No. have and will((mmaintain 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' compensatior Isurance carrier i'C'pglicy numbepefe: \ r�% ,ry ler ! 'umber Expiration Date is of Agent o if Phone # certify that, in the performanc o e work for which tF . p mitis issued, I hall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ag if I should becom su 'act to a workers' compensatio is' s of tion 3700 of the Labor hall forthwithcomplywith those provisions. latureofApplican a, %%. )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 3y, my signature below, I certify to each. of the following: Iam the property owner or authorized to act on the property owner's behalf. I have read this application and the information) have provided is correct. I agree to comply with all applicable city and county ord' nces and state laws relating to building construction. I authorize representatives of this city or ounty he above' tified property. for inspection purposes.. signature of PropertyOwner or Authorized Age rint Property Owner's or Authorized Agent's N ACTION DATE P bECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE. 1403 •• • - • •. ••• ••• PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NOTI FICATI0N TO :. • s•• . . ..� .• �• PERMITCANCELLEO EPA. • • PERMITEXTENDED QMp PERMIT FINAL ASBESTOSN TIF�ISPILICABLE TO CERTIFICATEOF PR POSED DE OLI r•• •• • • • ••• OCCUPANCYISSUED I ( SIGNATU • + w —s Q § � LO\ �� )ma) z § / \ � 5= a e %z\\ 0 \ 00)7 Q )■\\ � oo$B -\\\ . \mo ST E� k § k\\ � §< O � § /( \ � fƒ 5 2@ E 5 } ` § U § \ %w q3 Q § � �> �� )ma) § \k \kf00 t 0 7® a2§%& -\\\ . 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