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Home My WebLink AboutX2019-3078 - Permitswt City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIII�IIIIIIIIIIIII II COMB Permit: X2019-3078 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 0 7 8 Project No 'r Permit Counter Phone (949)644-3288 00YYYii c'" at Inspection Requests Phone (949)644-3255 �'.r �,�� Combination Type - MFP Issued Date : 09/27/2019 Inspection Area :'X "'1, 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: 3121 W COAST HWY NB St: 1 FI: 7 Unit: 7-A Description: MFR -WINDOW CIO (9) LIKE. FOR LIKE Legal Desc.: TR 919 LOT L ELY1/2 INSPECTOR Owner: THIRET GEORGE Contractor: OWNERIBLDR Architect: Address: 3121 COAST HWY W #7A Address: Address: NEWPORT BEACH CA 92663 Phone: Phone: Phone: State Lie: .... Applicant: THIRET GEORGE Con State Lie, O/B Engineer: Address: 3121 COAST HWY W #7A Lie Expire: Address: ®° ° • m ° • ° ° <' NEWPORT BEACH CA 92663 Bus Lie: a . Phone: 303-882-1111 Lie Exp Data: Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: b< . • • • " Type of Construction: I -A -SPR Carrier. Address: Occupancy Group: R21U Policy No: Added /New sq.f . Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0• _ , No of Stories: 8 Building Setbacks Rear: I Special Conditions: No of Units : 28 Front: / , Bldg Height: 0 Left: / ° Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $392.00 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 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: $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 WO Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee: $1.00Mso "cal %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbin %: $0.00 $0.00 TOTAL FEE : K93.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $393.00 PROCESSED BY: PUBLIC WORKS APPROVA 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 next to the applicable item(s) Iction 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 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 ifessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 r 0`vements 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 $oved for the purpose of sale). 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 11y 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). I am exempt from licensure under the Contractors' State Lice Law for the following reason: my signature below I acknowledge that, except for my pers a esidence in whichdM r at least one year prior to completion of the improvements covered by this permit, I cannot legal, a structure that I have built as an owner -builder if it has n en constructed in its ontractors. I understand that a copy of the applicable law, Section 7044 of the usinesyand ifessions Code, is available upon request whe thi p lic on! ub d tttp://www.leginfo.ca.gov/calaw.html. nature of Prgptitt90wner or Authorized Agent Date :ENDED CONTRACTOR'S DECLARATIO netyyaffirm under penalty of perjury that I am li ensed under provisions o Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full farce 1 effect. Licew%lass License No Date Contractor Signature WORK€RS' COMPENSATION DECLARATION WARNING: FAILURE 70 SEEMRE 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•ds7 OF ¢OMPENSIaTSON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I•her2dy affirm 1yrldel; 8 %natty of perjury one of the following declarations: Q I have and 611' 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 1 dhl*olrhnce of the work for which this permit is issued. Policy No. pw.. ,-•• I havQ 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' compensatio insurance carrier ane policy number are: .., •• rier • • Policy Number Expiration Date a •of Agent •••• Phone# I ce ify that, in the performance of ork for which this per it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire that, if should become Iect to th orkers' compensatio visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ature of Applican - Da DECLARATION REG RDING STRUCTION LE DIN AGENCY I hereby affirm r penalty o erjury th there's a c ruc on lending agency for the performance of the work for which this permit is issued (Sect' 097, Civil Code). Lender's Na Lender's Address By my signatu a Blow, I c6 1 to each of the owing: I am the pro arty owner or authorized to act on the property owner's behalf. I have read this application and the information I have rovided is correct. I agree to comply with all applicable city and county, inances and staV laws relating to building construction. I authorize representatives of this city or county o ter the above -id Mail property fo pection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam ate ACTION DATEBY DECLARATIO F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIO S PART 630E TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EMENDED I I L 1AQMD PERMIT FINALASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF Z/' PROPOSED DEMOLITION OCCUPANCYISSUED l /1/I�) SIGNATURE: