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Home My WebLink AboutX2017-2071 - Permitsway, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP Job Address: 1342 BISON AVE Description: ALTERATION PRI Legal Desc.: PM 326-48 PAR 1 Owner: IRVINE CO Address: 550 NEWPORT CE Planning Department - NEWPORT BEACF Phone: Applicant: LIU ROBERT Address: 199 W HILLCREST Overtime Plan Ck: THOUSAND OAKS Phone Code Edit : 2016 Type of Construction: V -B Occupancy Group: M Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y e e `°°COMB Permit: X2017-2071 x 2 0 1 7 2 6 7^ 1 psDjRct No: 1444-2017 • • " e o ••e e• eeo °eo eo s o e. • Issued Date : 08/10/2097 ° Inspection Area : 7 e e m EXPIRE 180 DAYS AFTER ISSUANCE OR :t (W99- 2093 SF, C SUITE If applicable: ® • e THOUSAND OAKS CA to Wtlom: S1 Engineer: Address: Phone: Designer: Address: Expire: 1/11/2 017 Phone: Se 1ZfD El ion ScanoI i plan Left: started) Rh: (no work started) Use Zone: Parkins Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 General Service $0.00 Refund Deposit $0.00 Building Permit Fee: $367. Excise Tax: $0.00 Planning Department - Plan Check Fee: $319.29 Additional Fee : $0.00 Plan check Fee: Insp. Overtime Plan Ck: $0. Grading Sends ee: 40u.uu ralMnare. Investigation Fee: $0. Record Management: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check: $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 Plumbing %: $0.00 TOTAL FEE: $728.79 PROCESSED BY: ZONING APPROVAL: Plan Check Fee 5 Or Holidays 31 �� $0.00 $0.00 $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $319.29 Fee Due at Permit Issuance : $409.50 PUBLIC WORKS APPROVAL: V PLAN CHECK BY: I GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION••; I hereby affirm under penalty of perjury that Ism exempt Brom the Cogtracjors' 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 CtI ff P�gy;pitP pf coudy Amt requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for ie 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 of more than five hundred dollars ($500). • • • , . • • • ,' , I, as owner of the property, or my emplo)+gps witdl wages a; their sofa clpTWeDs4tion, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, se lusiness and Professions Code: The Contractojs' Sjate Lic§nLa•w does -not aftf 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,fiowev&,, the SGilding or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nf�roved for the purpose of sale). J 1, as owner of the property, am exclusively contracting with licensed Contractorsto construct the project (Section 7044, Business and Professions Code: The_ Contractors' State License Law does not pply 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).. 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. Iunderstand that 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:/Aw .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 of Chapter 9 (commencing with Sect! gml 00) f ivis' n 3 of the Business and Profes ions nd license is in full force nd effect. License Class License No Date) 6 Contractor Signature YORKERS' 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 HUNDREDT OUSAND DOLLARS ($100,000), 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: 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 the ormance of the work for which this permit is issued. Policy No. NU ave 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' compensation [Wrrance carrier a d policy number are: arrier A'f'-g&1:!j t�5 Jr'rsyi'g Policy Number � I 7 3 7 Z6 i- Expiration Date V �f Zo / 'ame of Agent e- Phone # :1I certify that, in the performance of the 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 agree hat, if I should become subject to the r ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. V,// 7 signature of Applican Date )ECLARATION REG R INGS UCTION LENDING AGENCY hereby affirm and penalty of p rju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 1 Code). . -ender's Name Lender's Address 3y 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 torr t. I agree to comply with all applicable city and county ordinances a to laws relating to building construction. I authorize representatives of this city or county to enter the ab ntified property for inspection purposes. 4✓L /6 signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na!96 Date ACTION DATE BY DECLA TIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG U TIONS PART61 OFTITLE 40 ANDAOMD RULE - - 140 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO - PERMITCANCELLED EPA PERMIT EXTENDED LJAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: