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Home My WebLink AboutX2019-1480 - Permitsono City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 nrsarow;' Combination Type- BLDG GRAD iiiii iii�i�i�iii�iiiiiiiiigiiiii II Project No Permit: er 42-2o s019-1480 Issued Date : 0 712 512 01 9 Inspection Area ; 5 Code Edit: -2016 Type: of Construction: Occupancy Group: - U 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 Building Permit Fee: $554.00 Plan Check Fee: $917.00 Overtime Plan Ck: $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 Record Management: Construction Hours: Monday - Friday 7:00 a.m. to 5:30 p.m. and Saturday from 8:00 a.m; to 5:00 p.m. No work on Sundays or Holidays Energy Compliance:. Job Address: 620 SEAWARD RD NB $0.00 o ° ° ° $0.00 Description: SFR TEMPORARY SHORING & DRAINAGE Building Green Fee : . $8.00 Mechanical %: Legal Desc.: TRACT NO 1237 LOT 166 AND TRACT NO 14795 LOT 16 $0.00 Owner: HOROWITZ ADAM &ALLAN Contractor: OWNER/BLDR Architect: '1 Vry Park Dedication : /°�°o�� - ^g p�,�:O°�°° Address: 620 SEAWARD RD Address: HOROWITZ ALLAN Address: ° 'dd" ° NEWPORT BEACH, CA 92660 $0.00 Phone: Phone: 949-702-2481 Phone: State Lic: 0 00 °O ° o 0 00000 Applicant: HOUSEAL BARRY Con State Lie: OIB Engineer: HOUSEAL BARRY Address: 33 SARTEANO DR Lie Expire: Address: 33 SARTEANO DR ° NEWPORT COAST CA 92667 Bus Lie: NEWPORT COAST CA 92657 Phone: 949-916.1740 Lie Exp Date: - Phone: 949-916.1740 State Lic:C-028761 Code Edit: -2016 Type: of Construction: Occupancy Group: - U 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 Building Permit Fee: $554.00 Plan Check Fee: $917.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance:. $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : . $8.00 TOTAL FEE: $3,221.50 PROCESSED BY: ZONING APPROVAL: Workers Compensation Insurance Carrier: Policy No: _ Expire: Building Setbacks Rear; I Front: I Left: I Right: / Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant.: $1,064.36 Grading Permit Fee: $312.00 Grading PC Fee: $233.64 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 GRADING APPROVAL: GAZ -()-) Plan Check Fee Designer: Address: Phone: Special Conditions: OWNER/BLDR ATTACHED 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 PAN Plan Check : $82.50 Grading Bond: San Dist: $0.00 NMUSD Fee: $0.00 $996.25 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: oo0coo 0 00 0 0 0 0 0000 anoo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,223.25 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 applicabl*ikem(s) ction 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 applicaort 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 fessions 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 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, dress 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 rovements are *% 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�purppue of sale). ••• Id as owner of tF groperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 9y�f(, an owner ) property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). •• I em exempt from licensure under the Contractors' State License Law for the following reason: 'TrAslgnature balow I acknowledgethat, except for my personal resi 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 gtructure jRat j'i've built as an owner -builder if i as not beewforlatucted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 44 of the Business and fessions Code -is available upon request when thapplicatios t the following Web site:http://www.leginfo.ca.gov/calaw.html. a/t nature of Proparty.Owner or Authorized Agent Dat ENSED OblI RACTOR'S DECLARATI AMy affirm unrjer 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 effIct. Licegse Cuss License No Date Contractor Signature IRKERS' CONI'WF.NSATION DECLARATION !rJIq FAILURE3'Q SEVRE 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 "COMPENBATIQN, NAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm urid-ewr penalty of perjury one of the following declarations: 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 Drmance of the work for which this permit is issued. Policy No. 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' compensa rance carrier and policy number are: Policy Number Date Vame of Agent Phone # :1I certify that, in the pert rmance of a wof for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agre .hat, if I should become s bject to Is' corn ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date �1 DECLARATION REGA DING C ST/R 10 NDING AGENCY hereby affirm under p nalty of perjurq chat re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner' alf. I have read this application and the information I have provide ' c9Jp ect. I agree to comply with all applicable city and county ordIna9P6,s pr6state laws relating to building construction. I authorize representatives of this city or county enter, e = en " roperty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name /�"�f/W �J Z' Date 7 ACTION ) DATE BY DECLARATION COM NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GeULATION 61 OF TITLE 40 AND AQMD RULE PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL �' / t/ // SBESTOS NOTIFICAT APPLICABLE TO CERTIFICATE OF 'IQ]GI/!y 'dt l (// PRO $ 101: T OCCUPANCYISSUED SIGNATU�