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Home My WebLink AboutX2017-2760 - Permitswu City of Newport Beach - Building Division i� 100 Civic Center Drive, Newport Beach, CA 92660 Record Management : Permit Counter Phone (949)644-3288 4r Inspection Requests Phone (949)644-3255 verru s9 Combination Type - SFP IIIIIIIIIIIIII�IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII IICOMB Permit: X2017-2760 x 2 0 1 7 2 7 6 0 Project No : 2771-2016 Issued Date : 09/20/2017 Inspection Area : 2 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: 2229 CLIFF DR NB Description: SFR EXTENDING DECK *ADDITIONAL SCOPE* 27.6 SF (DELTA 2) Legal Desc.: TR 919 LOT A NWLY 110 FT SELY 475 FT NELY 150 FT ry kk ria Owner: COOK RUSSEL &KATHLEEN Contractor: TONY VALENTINE CONST INC Architect: JEANNETTE BRION S Address: 2229 CLIFF DR Address: 2435 E COAST HWY #2 Address: 470 OLD NEWPORT BLVD NEWPORT BEACH CA 92663 CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92663 ` a Phone: Phone: 949-723-6449 Phone: 949-645-5854 State Lic:C0080112 Applicant: JEANETTE BRION Address: 470 OLD NEWPORT BLVD Record Management : NEWPORT BEACH, CA 92663 Phone: 949-645.5854 Code Edit : 2016 Type of Construction: V -B Occupancy Group: Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Building Permit Fee: $127.00 Plan Check Fee: $0.00 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 11 TOTAL FEr. $128.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 467553 Lie Expire: 04/30/2018 Bus Lic: BT00021099 Lie Exp Date: 0212812018 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1794693 Expire: 07101/2018 Building Setbacks 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: / Right: / �arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Engineer: Address: Phone: Designer: Address: Phone: DEIHIMI DAMIR HOSSEIN 23172 PLAZA POINTE DR STE 145 LAGUNA HILLS CA 92653 949.954-7244 State Lic:C-078194 Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PMI Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee PUBLIC WORKS AP R PLAN CHECK BY: APPROVAL TO ISSUE: Issuance mma® o Demo o ¢o ! ! OGYtl cC N c cm ( tl ommm .moa�m ! m 0.00 0.04 am $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $128.00 ommmo, c o umoaoo O Oamo� Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Issuance mma® o Demo o ¢o ! ! OGYtl cC N c cm ( tl ommm .moa�m ! m 0.00 0.04 am $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $128.00 ommmo, c o umoaoo O Oamo� 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 not 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 improvements 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 mproved for the purpose of sale). ❑ 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 property who 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 licensure 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 improvements covered by this permit, I cannot legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti n 700 of Division ✓ 3 of the Business and Pr�(a o� Co 9 and my license is in full force and effect. License Class License No Da Contractor Signature o ^ {'� �• WORKERS' COMPENSATION DECLARATION v , NARNING: 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 COMPENSA190N,0AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - ;ereby affirm undarpenalty of perjury one of the following declarations: nd wil irnaillain 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 thi De rr nc of the MN for which this permit is issued. Policy No. hase� d 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' ranc carrierand.o'olcv number are: Agent Policy Number Date in the 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 workers' compensation laws of California, and become ubject to th orkers' c m ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Y -i Da 9- C9 •— UYVATION.RiEr.AftDING CONSTRUCTION LENDING AGENCY Meb@ affirm uDq& p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3067. 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 city and county ordinances and sta aws relating to building construction. ` authorize representatives of this city or county to en r the a - entified property for inspection purposes. 1 /P� mature of Prooertv Owner or Authorized Ape �� Print Property Owner's or Authorized Agents Named �Q" ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY C REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED QMD PERMITFINAL CERTIFICATEOF ///,,,//f - - ��• ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION _ OCCUPANCYISSUED SIGNATURE: