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Home My WebLink AboutX2019-0267 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-0267 - err 100 (Mvic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 2. 6 7 Project No : 0197-2019 Investigation Fe Phone e Permit644-3288 Rf:618r8 kanagerflent : ` $20.00 c"i', sped on Requests Phonqter 4t (949)644-3255 CA Seismic Safety:, $12.53 f'a a Combination Type - SFP ELEC MECH PLUM Hazardous Mat Issued Date : 03/15/2019 P+PaM1P $4.00 Inspection Area : 8 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:. 20262 ORCHID ST NB Description:" SFR - ADD 489 SF BED/BATH. ALTERATION @ KITCHEN 200 SF Legal Desc.: N TR 1500 LOT 31 Owner: CASABONNE TIMOTHY Contractor: OWNERIBLDR Architect: Address: 20262 ORCHID ST Address: CHEN MIKE Address: NEWPORT BEACH, CA 92660 Phone: 714-943-2269 Phone: 949.322-4472 Phone: State Lie: Applicant: CHEN MIKE Con State Lie: Ole Engineer: ESPINOZA MANUEL Address: 20212 BAYVIEW AV Lie Expire: Address: 12109 WOODRUFF AAVE NEWPORT BEACH CA 92660 Bus Lie: DOWNEY CA 90241 Phone: 949-322-4472 Lie Exp Date: Phone: 562/622-6927 State Lic:C-055526 Code Edit: 2016 Type of Construction:. V -B Occupancy Group: R3/U Added /New sq.ft. Bog.,,, 489 AddeU,/IVe,q sq. ft.' Garage, 0 No 0fi9taaies: 1 No of Units t A BId6tl; iigbf it ood Zone? c Cpnstraction Valtidtfonr $96.420.00 TOTAL FEE: $3,9Q7.40 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: 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: 25 Front: 20 Left: 5 Right: 5 5arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $102.97 $58.84 $132.39 Plan Check Fee Designer Address: Phone: M x Special Conditions: 0 Planning Department - Plan check Fee Fair Share : SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $123.75 San Dist: $603.00 NMUSD Fee: $0.00 Fire Department Buiiding`Permit F`eY° "C1,471.00 Fire Inspection: P fanOhack Fee: $1,,098.92 Overtime Plan Ck: $0.00 Investigation Fe $0.00 $0.00 Rf:618r8 kanagerflent : ` $20.00 Energy Compliancb. CO $0.00 CA Seismic Safety:, $12.53 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $3,9Q7.40 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: 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: 25 Front: 20 Left: 5 Right: 5 5arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $102.97 $58.84 $132.39 Plan Check Fee Designer Address: Phone: M x Special Conditions: 0 Planning Department - Plan check Fee Fair Share : SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $123.75 San Dist: $603.00 NMUSD Fee: $0.00 $3,987.40 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fire Department $160.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $3,987.40 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 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%pplicable 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 L) 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 wa`s not built or improved 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 d%s not a p 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). am exempt from licensure under the Contractors' State License Law for the following reason: By! y 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 legal) I 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 off the Business and Professions Code, is available upon request whey ttj'Is application is submitted or b follo in Web site:http://www.leginfo.ca.gov/calaw.html. ,^J 3 /�J �l Signature of Property Owner or Authorized Agent (r/�1 LICENSED CONTRACTOR'S DECLARATIO - " I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 IN performance of the work for which this permit is issued. Policy No. .0:00. •°° I have 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. gy workers' cor5RgrpggO insurance carrier and policy number are: .. ,. •. 'er Policy Number Expiration Date NaI(n of Agent Phone # • _ c ify that, 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 Is*; ot9lifornia, als&agre that, 1 1 should become subject to the-orkew=e ip salon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • ° ° Sig nature of Applicant.�D i�-r��J;• •' °°L' DECLARATION REGPY6 NG CONSTRUCTION LEN f G AGENCY I hereby affirm under penalty 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). • • • • • ° Lender's Name Lender's Address • • • • ° By,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. ..... 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count o enter the_above-��,fified property for inspection purposes. /^ Sinnatura of Prnnarfv Owner nr Authnrizerl ADeV ! _- Print ProOertv Owner's or Authorized ADent's NamB /� 1� `C GC 2- 1�.e,,__ Date OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO OF l'- IT I I /�I I `7uncncFD DFIwOT 1TI nN ION I�APPLICABLE TO