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Home My WebLink AboutX2019-0240 - Permitsvtt r City of Newport Beach Building Division 100 Ci01c Center Drive, Newport Beach, CA 92660 W Permit CountTr Phone (949)644-3288 v - Inspection Requests Phone (949)644-3255 Combination Type - SFP Ili iiiiiipii0 II COMB Permit: X2019-0240 Project No: 2552-2017 Issued Date : Inspection Area : 8 m - coo0oe 0 mm to ee ° 00000 moccq omme°o m o 0 m o omomoo oomm° PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 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 Planning Department - Fire Department Description:. RENEW EXPIRED PERMIT X2017-3653 - SFR REMOVE (E) UNPERMITTED PATIO, INSTALL NEWIATT PATIO COVER 40 SF (CITY STD) "STOP WORK C2017-0202`.... Legal Desc.: N TR 1500 LOT 31 Plan Check Fee: $0.00 Additional Fee: $179.50 Plan check Fee : $0.00 Fire Inspection: Owner: CASABONNE TIM Contractor:. OWNERIBLDR Architect: a m m m m m 'Address: 7623 BAY DR#301 Address: AUTH AGENT: Address: $0.00 HUNTINGTON BEACH CA 92648 MIKE CHEN� '. Investigation Fee: Phone: - Phone: .Phone: State Lic: SJH Trans; $0.00 Demolition Fee Applicant: CHEN MIKE Con State Lic: O/B Engineer: $0.00 Address: 20212 BAYVIEW AVE Lic Expire: Address: nce NEWPORT BEACH CA 92660 Bus Lic: $0.00 Grading PC Fee: Phone: 949-322-4472 Lic Exp Date:. Phone: State Lia ° Code Edit `. 2016 Worker's Compensation Insurance Designer: mflp Type of Construction: VB Carrier: Address:R.-, Occupancy Group: R3/U Policy No: Disabled Access : Added /New sq.ft. Bldg: 0 Expire: Phone: P/W Plan Check: $0.00 Added /New sq. ft. Garage: 0 Grading Bond: $0.00 No of Stories: 1 Building Setbacks Rear: / Special Conditions: STOP WORK C2017-0202 -; No of Units.: 1 Front: / Bldg Height: 0 Left: / $0.00 Mechanical %: Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parkina Soaces: 0 Fire Hazard Zone : N m - coo0oe 0 mm to ee ° 00000 moccq omme°o m o 0 m o omomoo oomm° Building. Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $179.50 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: . $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $179.50 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $179.50 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE:�- m - coo0oe 0 mm to ee ° 00000 moccq omme°o m o 0 m o omomoo oomm° 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) action 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 ifpssions 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 amore 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, ss 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 hove ants 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 )roved for the purpose of sale). I, as owner BPthe, property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly to an owaanof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). , 4 a exe m et frorj licensure under the Contractors' State License Law for the following reason: mllsignatureberow I acknowledge that, except fo 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, a structure tgat I have built as an owner -builder' it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 044 of the Business and Ifassions Code, i19vailable upon request when is applicatio is s fitted or at t wi site,hitoWwww.leginfo.ca.gov/calaw.html. nature of Rroperty.Owner or Authorized Agent P'-- D `11�11111SED CONTFZACTOR'S DECLARAT N F reby affirm6dridei' penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession ode, and my license is in full force reflect. Lic@dse Class License No. __. Date Contractor Signature COMPENSATION DECLARATION IARNING: FAILUrV.TQXtURE 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 ;OST OPCOMPENSATION,IDAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ac02 affirm under penalty of perjury one of the following declarations: n**have . . I h have and �RiA 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 erformance of the work for which this permit is issued. Policy No. 71 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. My workers' compensatior lsurance carrier and policy number are: ;arrier Policy Number Expiration Date lame of Agent Phone # �I certify that, in thetenaltyof ance 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' mpensation laws of California, and agree int, if I should becomct to the work ' ompens ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of ApplicanD IECLARATION REG RIDING NSTRUCTI N LENDING AGENCY hereby affirm under perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code). ender's Name Lender's Address my signature below, 1 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 count ordinances and state laws relating to building construction. ,-i<� CHG' I authorize representatives of this city or county Vlenler ov -ide tified property for inspection purposes. nature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's N me /.te TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF 17 - OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIFICATION TO ISNOTAPPLICABLE TO