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Home My WebLink AboutX2020-0191 - PermitsCity of Newport Beach - Building Division a. 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 v `fi Inspection Requests Phone (949)644-3255 �'.,<xsnuhsg. Combination Type - SFP ELEC iiiiiiiini1ii II COMB Permit: X2020-0191 Project No: 2971-2018 Issued Date : 01/2212020 Inspection Area : 4 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: 1991 PORT TRINITY CIR NB Description: SFR ATTACHED 130 SF TRELLIS, LOW VOLTAGE LIGHTING "ADD'L SCOPE" Legal Desc.: N TR 7031 LOT 14 Owner: COHEN MICHAEL & BETH Contractor: MDZA LANDSCAPE ARCHITECTURE I PLANNING Architect: Address: 1991 PORT TRINITY CIR Address: 2320 SECOND AVENUE Address: $0.00 NEWPORT BEACH, CA 92660 $0.00 CORONA DEL MAR CA 92625 $0.00 Phone: 702.249-1292 Phone: 949-697-2358 Phone: State Lie: Applicant: MDZA LANDSCAPE ARCHITECTURE Con State Lie: 603661 Engineer: Address: 2320 SECOND AVENUE Lie Expire: 0613112021 Address: Refund Deposit CORONA DEL MAR CA 92625 Bus Lie: BT3000B793 Grading Bond: Phone: 949-697-2358 Lie Exp Date: 0413012020 Phone: State Lic: ° m Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $10.000.00 Building Permit Fee: $359.00 Plan Check Fee: $261.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: FALLS LAKE Policy No: FLA002719 Expire: 12/04/2020 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I 'arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $25.13 $0.00 $0.00 Plan Check Fee Designer: DILLEY MICHAEL Address: 2320 2ND AVE CORONA DEL MAR CA 92625 Phone: Special Conditions: REV2020-0113, DELTA 2 0 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee: $40.00 Fire Inspection: Fair Share : $0.00 Fire Plan Rev SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm Public Works Department - General Service Park Dedication : $0.00 Refund Deposit P/W Plan Check : $0.00 Grading Bond: San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $686.13 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: • n mommmo m o oomon 0 00000 000mm0 c o ,. 0 u ome000 C c muco ILDER DECLARATION 11, 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(b) iection 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 is 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 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, Business 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 nproved for the purpose of sale). 7 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 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 1 am exempt from licensure under the Contractors' State License Law for the following reason: y 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.htmtss ignature of Property Owner or Authorized Agent Date .ICENSED COTTRj4CTOR'S DECLARATION I� hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Divi 3 of the BProfessions Cos? , and Jy ' in (ull force nd effect. License'Class License No Dg Contturee � JbWIZIiRS' CONIPIEASATION 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 ($100,000), IN ADDITION TO THE PST O� QOMPENSATRIN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hgreby affirm un tle rpe=lalty of perjury one of the following declarations: 3 i have and wil'maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th I*"ance of tht vVIC for which this permit is issued. Policy No. re and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol rhm carrier and policy number are: e : e.mer : •� •�: Policy Number Expiration Date 3afn4gent Phone 7F Mify th t h.1h9;4rformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wor ers' compensation laws of California, and agre if,l sh u become subject ffffo tF�e wfQQjr C(((��r compens on^provis-igon�s of ection 3700 of the Labor Code, I shall forthwith comply with those provisions. r111re ADDIir•.an� � � .1 �� te— , L� �� :reby affirm under penalty of perjury that there is a construction lending agerrcyfor the performance of the work for which this permit is issued (Section 307, Civil Code) ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable c' and county ordinances and state laws relating to building construction. I authorize representatives of this gity or county to inter t ab�-.ice d_entifipd pr$Rerty for inspection purposes. / r DATE ` BY DECLARATION OF REGUULAT ONS PART 61 OFF TTLEN AOMD RULE COMPLIANCE�Wo CODE OF AL FOR OFFICE USE ONLY PERMITEXPIRED ii9 LJISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA OCCU�ANCY SUED �`' I ' SIGOF NATOR DEMOLITION ION IS NOTAPPLICABLE TO 22