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X2018-1779 - Permits
Owner: SULLIVAN JAMES/LESLIE Address: 3 OAK TREE DR - NEWPORT BEACH CA92660 Phone: Applicant: SULLIVAN JAMES/LESLIE ; Address: 3 OAK TREE DR- NEWPORT BEACH CA9240 Phone: 949-633-1300 Code Edit : 2016 r r Type of Construction: V-B 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: Flood Zone: .. Construction Valuation: $1,500.00 Building Permit Fee: $97.00 _ Plan Check Fee: $84.39 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 TOTAL FEE: $230.62 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 1oi 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 Combination Type - SFP PLUM *X2018-1779* COMB Permit: X2018-1779 Project No: Issued Date: 06111/2018 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: 3 OAK TREE DR NB Description: SFR BATHROOM REMODEL 36 SF "CITY STANDARD" Legal Desc.: N TR 16389 LOT 17 �I • •0 e••�f+ l� eeeooa os • o • e o • o e emmemo a °° e e eoao Contractor: 0 W N ER/BLDR Date: Phone: 5 / ! ? Con State Lid: 04 E3LICEX' Bus A'n'-'lns' Lic Dateer's C p I�e Carrier Policy No. Ex' ing SE XFr Left: / Right: I Architect: Phone:: , State Lie: it Engineer: %r AddresE] •, r _ : Phone: pp State Lia: Mgn0P whor : - - - Address: REDI Conditions: O/B.FORM ATTACHED Fire Hazard Zone : N �&b.can$0 Planning De t- Fire Plan check Fee: ditional Feq;n,�rk epartment (no Vgg0starteC l a Inspection: Sta�Q p) Grading Bond§§'FP`e b`06" Fair Share : \ ` $0.00 Fir�Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee gv Gr ring Permit Fee: $0.00 In -lieu Housing Fee: Mg PG -Fee: WO Insp. Fee: $0.00 Park Dedication Plan Check-_$n $0.00 Building Dept F - G€&a-BrSeervl $0.0IrsS= DenPIN nn Electrica °/I °: -. $0.00 San Mechanical %: 0.00 NMUSD Fee: $0.00 Plumbing %: $8.73 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: N • .•.°°° 0 0 0 e°00pp ° e . 000eco ee e e o 0 o m oo•u 00 0 $0.00 $0.00 t, $0.00 F $0.00 $0.00 $0.00 4 $0.00 $0.00 $230.62 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 rfessions 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, siness 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 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 goved 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 ify.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: my signature below I phfer�ypeF&@na!ta d_anc Ich I must have resided for at least one year prior to completion of the improvements covered y this permit, I cannot legal) I a structure that 1*fla built as an owner -builder if' has not b n constr to nits entirety by licehse&ddi lratters?4mnderstand that acopy of the applicable law, Section 44 of the Business and rfessions Co(19"is aw ilable vest when is applic s birplod or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signatuje of Proi5erVO ner ol°�Pdtil@fi�ed-Ag Dat �KiENBED CQTjT I _pe TOR'S DECI A ON '^-� Ma: ihereby'affirm end ally o Fill t I m li ed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force 9dd.ef[�t. Licensie Cl s as D�t Contractor Signature NORAERS' GO�IiP SAT DN DE RA ON .. tl/CP♦iIING•FAILURE T(YSEC P IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000), IN ADDITION TO THE E WO NSATI L, SC:TL POST O►COMPENSI,TICSN, MAGES FORT N soOR D�� NfhOm• 416" ffirm Imes, i• ally of perjury one of the following declarations: — 3�iPlzve'and wIn", I tain rtifica of co . ti i ; by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th fFQddlce of thewor eery troll for w ch i it is dhave and will 'min XPNSc in w ensa u quired Inc 37, �, o h ab ode, for the performance of the work for which this permit is issued. My workers' compensatiol *t anti) arriera d. icy nu & 34 43 •,. ;sorrier « • • Policy Number Expiration Date Jame of Agent Phone# 3[ certify that, in the p hat, if I should become o e th e1 Is p Is ' sued, I shall note Ile y n,jn any km�oanner so as to become subject to the workers' compensation laws of California, and agree ubj w k c ron ri ction 3700 o the bo o J;po-rJ;h t ly ta@Io p visions. I^" SignatureofAppliban ® �Date )ECLARATION RE A hereby affirm uncle p DING CONSTRU CY �ofm wC+� FF��-,,,-J ` alty of perjury that there is a construction lending agency for the performanc e r I rtWO)mit is issued (Section 3 97 Civil Code). -ender's Name Lender's Address 3y my signature below, e e following: 1'• I am the property ner or authorized to act on the property owner's e a . I have read this ap lication _ and the information I have provided is correct. agree to comply II a li•,p cable city and count o�lrr 'Inances ftUShate-IaWs-relaHRg-to•buikAng..cDDst[uctigr�.!'15�, initials: �� ,� I authorize representatives o this cic�`fi y Or cou eRNf1e&praee�-'^r_�nsnwrf'nn n rpgse�s�..�W/�� �� Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorize gen sI D ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Al RULE PERMITEXPIRED I5 VICI 141 (I LJISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED �EPA PERMITFINAL BESTO NOTIFICATION I OTAPPLICABLE TO CERTIFICATEOF PROPOSED EM OCCUPANCYISSUED - SIGNATU a 'WO 11 O� E m d w o c L O� Y T o c m L c m g E > L J ,�00 m 'm `o `mo `0 �� Eo m mm .0 'o mE d LLy oc € nyw333 0= O a c 3Jo o m� Eo c.. mm> ° OromEo wa °'` m =o cm Lo00 —� a of cm° Z mm�r1°N �c we m c� N>.o 3N�m aJ a) m m a c a O N C C m 3 m c o o E o 5 °= �° y c � 2 L.. !i ',•�° a N Q O F w O 'O IS w a) '> J y C O m mm Q >,DiamiCC �� ° o .y0E SEya wo �°� > r d d � ,�` 'C a'a 0 '— m w '2 w co U� J 'O .O ao m o m ._ T m Om= m . 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