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Home My WebLink AboutX2019-0494 - PermitsCity of Newport'Beach - Building Division *X20190494* COMB Permit: X2019-0494 ' 100 Civic Center Drive, Newport Beach, CA 92660 j - Project No: 0362-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)844-3255 Combination Type ;SFP _ Issued Dote : 2019. Inspection Area 5 Area : 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 r 0 Job Address: 3729 OCEAN BLVD NB Description: SFR REPAIR (E) DECK 400 SF Legal Desc.: CORONA DEL MAR LOT BLK A SELY 155.39 FT -EX NWLY55.89FT- L 0 Owner: SPENCER AMY THE CDM: Contractor: - MATTSON &MATTSON CONST Architect: RAY ALAN LEE . Address: 3729 OCEAN BLVD - Address: 2137 E WILSON AVE Address: 580 EXPLOROR ST#B CORONA DEL MAR, CA 92625 ORANGE CA 92807 BREA CA 92821'-- Phone: Phone: 714-628-9425 Phone: 714.493.1262. State Lic:CO26029 -Applicant: RAY ALAN LEE. Con State. Lie: 772811 Engineer. -.Address: 580 EXPLOROR ST#B Lie Expire: 1213112019 Address: - BREA CA 92821 Bus Lie: BT30052509�. Phone:: .714-493-1262. Lie Exp Date; 0913012019 .-, •_. ;' Phone: State Lie: _ Code Edit: 2015 Worker's Compensation Insurance Designer: Type of Construction: VI3 Carrier: EVERST NATIONAL INS Address: Occupancy Group: R31U Policy No: 7600014965181 .... Added /New sq.ft. Bldg:. 0 Expire: 06/01/2019 Phone: Added/New sq. ft. Garage: 0 fO ° o°°uao No of. Stories: 3 Building Setbacks Rear: I Special Conditions: LANDSLIDE AREA No of Units : 1 Front: / 0 0 Bldg Heights 0 Left:/ Bldg Sprinklers: Right: / Flood Zone:. X : Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $50.000.00. Building Permit Fee $746.00 Excise Tax: $0:00 Planning Department- Fire Department , 0000 Plan Check fee:. $649.02. Additional Fee: $0.00 Plan check Fee: $40.00 - Fire Inspection: $0.V Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev :40. 00® Investigation Fee: $0.00. Grading PC Consultant: $0.00 SJH Trans : - $0.00 Demolition Feey ° o ° . 1 ° Record Management: $6.00 Grading Permit Fee: $0.00 In-lieu Housing Fee : $0.00 Building Dept Adm o $8•`011° Energy Compliance: $0.00 Grading PC Fee: $0.00.. Public Works Department - General Service - $0.'01) 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 %: $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00. $0.00 - Plumbing%: .$0.00 - $0.00 TOTAL FEE: $1,443.02 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $1,443.02 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 be tow 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 r air 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 (Chapie, .L (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 4y any' applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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). 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 pply to an owner ofpropertywho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7 I 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 legall) 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.htm]. signature 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 SeGti 000) of 'vision 3 of the B 'n s a en�Ismll force nd effect. License Class License No DDS Contr cto I/ORKERS' COMPENSATION DECLARATION '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 ($700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: have and Irill4giptain 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 LwApae of tht9't"k for which this permit is issued. Policy No. • •e and will main%in 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 ance carrier 2tld policy number are: sr. 0 Policy Number Expiration Date s of Agent • :.. •: Phone # 911ify that, jrytjie y� 6mr ance 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, 6t yhould beon ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ••2—r S-- s liture on !IIfA. r. eby'affirm drIti 01nalty 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) fBPy4 Name Lender's Address W signatur® 591@wl certify to each of the following: ... I am the property .owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. 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