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Home My WebLink AboutX2019-0030 - Permitswr City of Newport Beach - Building Division 4' 100 Civic Center Drive, Newport Beach, CA 92660 E ' Permit Counter Phone (949)644-3288' Inspection Requests Phone (949)644-3255 e"nay`' Combination Type - SFP ELEC MECH PLUM II�IIIIIIII�III�III�Illlllll�lllullllllll�lll III COMB Permit: X2019-0030 2 0 1 9 e a 3 0 Project No: 0022-2019 Issued Date: 01/03/2019 Inspection Area : 2 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: 439 EL MODENA AVE NB Description:. Legal Desc.: SFR INTERIOR REMODEL (KITCHEN, BATHROOMS) & REPLACE WINDOWS 457 SF FIRST ADD TO NEWPORT HEIGHTS BILK 26 LOT 15 79 a Owner: ZOE FAMILY TRUST Contractor: OWNERIBLDR Architect: 9 a Address: 439 EL MODENA AVE Address: COX BRYON Address: NEWPORT BEACH, CA 92663 Phone: Phone: 949-874-6363 Phone: State Lie: Applicant: SANCHEZ OSCAR Address: 2452 PACIFIC AVE LONG BEACH, CA 90806 Phone: 562-481-6269 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3 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: Construction Valuation: $68,000.00 Building Permit Fee: $889.00 Plan Check Fee: $773.43 Overtime Plan Ck $0.00 Investigation Fee: $0.00 Record Management: $16.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access.: $0.00 Hazardous Mat $0.00 Building. Green Fee: $3.00 TOTAL FEE: $1,899.23 1 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: O/B Engineer: Lie Expire: Address: Bus Lie: Lie Exp Date: Phone: Workers Compensation Insurance Designer: Carder: Address: Policy No: Expire: Phone: Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $62.23 $35.56 $80.01 HALE RONALD RICHARD 1441 WEST SEVENTH ST SAN PEDRO CA 90732 310-833-2129 State Lic:C-017056 Special Conditions: Ole AUTH ATT W/TRUST DOCS Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist; $0.00 NMUSD Fee: $0.00 Plan Check Fee: $813.43 Fire Department. $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,085.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY: �4 „ APPROVAL TO ISSUE: 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) (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 Pro s ions 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 re than five hundred dollars ($500). g�j( as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, uslness 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 was 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 does not apply 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). ❑ 1 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 overed by this pe 't, I ca not legal sell a structure that I have built as an owner-bui er if it not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, S coon 7044 of the sine and Professions Code, is available upon re es en this a%p I anon is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. / Signature of Property Owner or Authorize ant ate LICENSED CONTRACTOR'S DEC TION I hereby affirm under enalty of perjury that I am licens der provisions of Chapter 9 (commencing with S_�tlon 7000) of Division 3 of the Business and Professio S Code, and my license is in full force and effect. License Mass License No 'T17ate Contractor Signature WQRlI:--RS' CQMPENSATION DECLARATION 7` WARNING: FAILUF!t"O SESURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000j, IN ADDITION TO THI ODST OF COMPENSATION,bAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: El ... I fiave 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 tl pertbtmance of 1fieVork for which this permit is issued. Policy No. pPive and %* iR inairitain 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' compensatic r"ance carrier and policy number are: Unnei Policy Number Expiration Date �Ortify thatpie 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' compens ion laws of California, and agre 1, if I shoutc64 kpRla to the workers' comDEnsaticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of f t to CLARATIO p EG ONSTRUCTION LENDING AGENCY Imby affirm under pej!!Iw& perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider'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. 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 ci/i or coun enter the above -identified property for inspection purposes. 1 }� nn+ m of Prnnarfi, n ,roar nr A,dM1v .d Anonf Pdn} PrnnaAv n%nncr'e nr AiAhnrived An=n k M6��" L A*Ca1J • - nnre ACTION DATE(/ BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE v V 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED UAQMD PERMITFINAL pp gp SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �ap p�� P. OSED OFir�OLITION OCCUPANCYISSUED IIf�EV'11 I s ATIIRF-J/