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Home My WebLink AboutX2019-2525 - PermitsN1rR City of Newport Beach Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660. X 2 0 1 9 2 5 2 54 N Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 a<trnr�"b Combination Type - SFP ELEC PLUM MECH COMB Permit: X2019-2525 Project No : Issued Date: 08/12/2019 Inspection Area : 8 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: 32 ROCKINGHAM DR NB Description:. SFR KITCHEN REMODEL & LIGHTING IN MASTER BATH (800 SF) "NO STRUCTURAL CHANGES" Legal Desc..: NTRI1449LOT40 INSPECTOR Owner: KLINE SHARON Contractor: OWNER/BLDR Architect: Address: 32 ROCKINGHAM DR - Address: KLINE SHARON Address: NEWPORT BEACH CA 92660 Overtime Plan Ck Phone: 949-887-9555 - Phone: 949-887.9555. Phone: State Lie: Applicant: KLINE SHARON Con State Lie: -Ole Engineer: Address: 32 ROCKINGHAM DR Lie Expire: Address: NEWPORT BEACH CA 92660 Bus Lie: CA Seismic Safety: Phone: 949.887-9555 Lie Exp Date: Phone: State LIC: Code Edit: 2016. Worker's Compensation Insurance Designer: Type of Construction:.. VB - Carrier: Address: Occupancy Group: R3IU Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added/New sq. ft. Garage: 0 ° No of Stories: 1 Building Setbacks Rear: I Special Conditions: OWNERIBLDR AUTH ATTACHED .... No of Units : 1 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: / ° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone'. N TOTAL FEE: $2, PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $68.11 $36.92 $87.67 Plan Check Fee Planning Department - Construction Valuation: $80 Building Permit Fee: $973.00 $40.00 Plan Check Fee: $846.51 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;. $4.00 TOTAL FEE: $2, PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $68.11 $36.92 $87.67 Plan Check Fee Planning Department - Plan check Fee: $40.00 Fair Share: $0.00 SJH Trans `. $0.00 In -lieu Housing Feer $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee' 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: o ° ° %0.00' $0.011 ° e $00.00.00 ° °$0.00 $0.00 $0.00 $0.00 $2,060.11 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 ore t an five hundred dollars ($500). Mas 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 7044, Moas 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 imp ovements 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 rim roved for the purpose of sale). - LI 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 propertywho 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 lic'anure 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 improvemento covered by this permit, I cannot legal() sell a structure that I have built as an own rbuilder if it oYbeen constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, action 7044 of the Business and Professions Code, is available upon requeV-whetoIs a a'on is submitted ori the f ffo ing We site:http://www.leginfo.ca.gov/calaw.htmi.Signature of Property Owner or Authorized Dat LICENSED CONTRACTOR'S DECLANI hereby. affirm under penalty of perjury thaensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th performance &f tins work for which this permit is issued. Policy No. I have and-*ifl-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' compensatiol p1gi rice carli.r�o. policy number are: Carrisr • • • Policy Number Expiration Date ''Jath% of Agent • Phone # rfify that; is {ha performance 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 work rs' compensation laws of California, and agree should• come bj ct to the workers' cgmper tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p 6 v Adair he reyby affirm der penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 7, Civil Code). eildePie Namp a .... Lender's Address fy my signature below} I certify to each of the following: • • 1 am the prpp@rjy pawner or authorized to act on the property owner's behalf. • • I•Rave read thls ajiplication and the information I have provided is correct. I agree to comply with all applicable city and county, ordinances and state laws relating to building construction. I authorize representatives of 9fis city or county to pjer the above-icAntifi%cyproperty for inspection purposes. 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