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Home My WebLink AboutX2020-1969 - Permits (2)tgxl't City of Newport Beach- Building Division 100 Civc Center Drive, Newport Beach, CA 92660 - - Permit Counter Phone (949)644-3288. v 4 Inspection. Requests Phone (949)644-3255 Combination Type- SFP ELEC MECH PLUM III��X 2 0 2�p�0 1 9 6 9�4lll Project D COMB Permit: X2020-1969 Issued Date : 09/02/2020 Inspection Area : 1 PERMITEXPIRES XPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09103/2023 OR PERMIT WILL BE INVALID Con:;truction 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: 412 BELVUE :_N NB Description: SFR - KITCHE N ALT, DRYWALL 720 SF PER CITY STANDARDS I NI.Cz P %.11? � Legal Desc.: N TR 1090 LOT 25 iR-. Owner: COLLINS TIMOTHY C Contractor: ATP BUILDERS INC Architect: Address: 412 BELVUE LN Address: 3600 BIRCH ST #220 Address: Disabled Access: NEWPORT BEACH, CA 92661 Hazardous Mat NEWPORT BEACH CA 92660 Building Green Fee : Phone: 949-673-6955 Phone: 714.434-2567 Phone: Applicant: COLLINS TIMOTHY C Con State Lie: 1013886 Engineer: Address: 412 BELVUE LN Lie Expire: 05/31/2022 Address: NEWPORT BEACH, CA 92661 Bus Lie: BT30056365 Phone: 949-673-6955 Lie Exp Date: 08131/2021 Phone: Code Edit: 2019 Type of Construction: V3 Occupancy Group: R31U 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: Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 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: EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: dumbing %: Rear: I Front: I Left: / Right: I Parkinc Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29.12 $16.64 $37.44 Plan Check Fee : 0 Designer: Address: Phone: Special Conditions: Fire Hazard Zone 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 State Lie: State Lie: $0.00 FeeDdaatPermit PUBLIC WORKS PPROVAL: PLAN CHECK BY: APPROVAL TOISSUE: m _ ma E $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $910.37 o n ommeoo 6 0 mmmm o m me•m. e 44010 c.004 c.; 0 e � acme Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 FeeDdaatPermit PUBLIC WORKS PPROVAL: PLAN CHECK BY: APPROVAL TOISSUE: m _ ma E $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $910.37 o n ommeoo 6 0 mmmm o m me•m. e 44010 c.004 c.; 0 e � acme 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? is applicable item(s) (Section 7031.5, Business and Professlons Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pdorto is 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 Div-3fon 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 al plfcant to a civil penalty of not more than fire hundred dollars ($500). 111, as owner Of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered fol sale (Section 7044, Business and Professions Code: The Contractors' Stats, License Law does not apply to an owner of propertywho, through employees' or personal effort, builds or Improves the pi )party, 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 provir -1 that it was not built or Improved for the purpose of sale). i3 I, as Owner of the property, am exclusively contracting With licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Sta' a License Law does not a�ly 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). I 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 b • this permit, f 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. t understand that a copy of the applicable law, Section 704 a of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:/Ayww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby afrmn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7U of Division 3 of the Business and Prole on ant Try license is in full force and effect License�Class License No Date l� / / o o Contractor Signatu WQRKE56' COMPENSATiON DECLARATION NARNIRM"FALURE Tqq"MCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYERTO CRIMINAL PENALTIES AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLAR ($1011,6131)), IN ADDITION TO THE COST OF cOfv1PENSA71grj,b0AGES AS PROVIDED FOR M sECnON 3713s OF THE. LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I herElgy affirm underpenaity of perjury one of the following declarations: ❑`I have and will "alRtain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 370[ of the Labor Code, for IN afire of the Mik f$r which this permit is Issued. Policy No. I n *and will jnaintftl 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' compensatfor insu ce ¢order and polfoy number are: •.Y „ mer Policy Number_Expiration Date Aimv,vaf A.,nni . .. Phone# that, in ttie'pertorance of the work for which this peri is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation aws of California, and ibuld begdMd 1 bi torthh kene compensation provisions of Section 3700 of the tabor Code, I shall forthwith comply with those provisions. of Applican / - • J� Dat X2/202 0 __,........... ........ .- -- - - -- aisby affirm under penalty of perjury the there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). idel'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 state laws relating to building construction. I authorize representatives of this city or cou N�antV'�%ve-Identified property for inspection purposes. L y Erin Kennedy oat..k9/212020 DATE BY DECLARATION ORTOMPLIANCE wrrH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE CERT/FTRAIALF �3/aD'� pG UASSESTOSNOTIFICATIO/ 1SN�OTAPPUCABLE TO PROPOSED DEMOLITION (y,/ .�. OCCUPANCV155UE'D �/ y7.I SIGNATURE: (rL(r1�j! 11