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Home My WebLink AboutX2019-2796 - Permits��ero4� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2796 .4 •� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 7 9 6 P Project No: 1985-2019 H v Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Issued Date : 0910912019 Combination Type - BLDG Inspection Area : 5 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: 616 POINSETTIA AVE NB Description: DEMO DETACHED GARAGE 400 SF Legal Desc.: CORONA DEL MAR BLK 643 LOT 18 Owner: PAM CAPITAL MANAGEMENT Contractor: OWNER/BLDR Architect: Address: 13600 MARINA POINTE DR # 1208 Address: AUTH AGENT: Address: MARINA DEL REY, CA 90292 RYO SAKAMOTO 1 • ' Phone: 310-591-9402 Phone: Phone: t�S� NO COiV Applicant: SAKAMOTO RYO Con State Lie: O/B Engineer: pUCTIOI�f NOI`E Address: 13600 MARINAPOINTE DR #1208 Lie Expire: Address: MARINA DEL REY, CA 90292 Bus Lie: Phone: 310-591-9402 Lie Exp Date: Phone: wE State Lie C: THE Code Edit: 2016 Worker's Compensation Insurance Designer: IV MNEEr�t/ Er�L,) Type of Construction: Carrier: Address: Occupancy Group: U Policy No: tS ��a"� Added /New sq.ft. Bldg: 0 Expire: Phone: !( ' "> Added 1New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: 7 o4/ No of Units : 0 Front: I . R Bldg Height: 0 Left: I - Bldg Sprinklers: Right: I _ Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $3,000.00 Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $104.40 Additional Fee : $0.00 Plan check Fee : $40.00 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 : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $265.40 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $265.40 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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) iection 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 m 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 rofessions Code) or that he or she is exempt from Iicensure 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 of more than five hundred dollars ($500). ] I, 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 for sale (Section 7044, usiness 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 nprovements 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 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 III, o 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). 7 I am exempt from Iicensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for 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 Iega11i Bill a structure that I have built as an owner -builder if 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 rofessions Code, is available upon request when t s application is bmiited o t wing Web site:http://www.leginfo.ca.gov/calaw.html. / ignature of P.opertv Owner or Authorized Agent D ICECSED CONTRACTOR'S DECLARAT N —� heret`y affirm under penalty of perjury that I arl licensed under provisions of Chapter!) (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force no effect. License Class License No Date Contractor Signature NOPKERS' COMPENSATION DECLARATION NARNING: FAILUPE TO SEURE 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 C07T Or COMPENSATOW, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm u:lUer panalty of perjury one of the following declarations: 1 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 th, Aerformance of the work for which this permit is issued. Policy No. 71 have and cfi'l n.LiF.tain 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 nsrlranre carrier and policy number are: ,;Rrrl=r Policy Number Expiration Date Vame of Agent Phone # :1I certify that, in the perfor ante 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' c pensation laws of California, and agre, :hat, if I should become su Iect to the workers' tom sa ' n rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. d Signature of Applicant Dat SEbi �-o i 7ECLARATION REGA DIN RU TION LENDING AGENCY hereby affirm under p nalty o perjury that there is a construction lending agency far the performance of the work for which this permit is issued (Section 309 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's behalf. I have read this application and the information I have rovided is correct. I agree to comply with all applicable city and county rdinances and state laws vela' g to building construction. I authorize representatives of this city or county to niter the a o-identifle or inspection purposes. �^ Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name D L �/ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDED QMD PERMIT FINAL _ '�'y $7 P / ^ ASBESTOS y6TIFICATiON 15 NOT A LICABLE TO CERTIFICATEOF F00t- ROPOSEDD OLITION OCCUPANCY155UED i SIGNATUR . //�,