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Home My WebLink AboutX2020-2633 - PermitsCity of Newport Beach - Building Division o � 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v C Inspection Requests Phone (949)644-3255 rur s`P Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2633 x 2 0 2 0 2 6 3 3 Project No: 1070-2020 Issued Date: Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVAL 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: 1307 MARIAN LN NB Description: SFR - RE -ROOF 27 SQ. T/O COMP, USE (E) SHEATHING, INSTALL COMP. RIR STUCCO WITH SIDING (3/8" PLYWOOD W/ 6-6-12 NAILING) Legal Desc.: N TR 1645 LOT 27 Owner: HARRINGTON TIMOTHY Address: 1307 MARIAN LN NEWPORT BEACH CA 92660 Phone: 714-335-2447 Applicant: WELCH JASON Address: 419 E 19TH ST COSTA MESA CA 92627 Phone: 949-230-7945 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $40,000.00 Building Permit Fee: $416.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE : $418.00 IS:161914I.9=1111: 6 ZONING APPROVAL: Contractor: WELCH JASON Architect: Address: 419 E 19TH ST Address: COSTA MESA CA 92627 Phone: 949-230-7945 Phone: State Lic: Con State Lic: 904363 Engineer: YAGHI SHUCRI Lic Expire: 10/3112021 Address: 112 E. CHAPMAN #D Bus Lic: BT30061686 ORANGE CA 92866 Lic Exp Date: 01/3112021 Phone: 714-997-9120 State Lic:C-043205 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Rear: I Front: I Left: I Right: I Use Zone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Additional Fee: $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share : Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 P/W Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee IN' Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $418.00 _ 'PUEf IC WORKS 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) Gtion 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 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 roved for the purpose of sale). 1, 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 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). U 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 by this sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of I Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perju that I am m licensed under provisions of Chapter 9 (commencing with Section 7000) of 'vision 3 of the Business and Professions Code and my I and effect. License Class License No Data 1 Contractor Signature' * WORKERS' COMPENSATION DECLARATION I� rmit, I cannot Business and NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 3^SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES 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: ❑ 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 performance of the work for which this permit is issued. Policy No. ❑I 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' compensatiol insurance carrier and policy number are: trier Policy Number Expiration Date N,a of Agent Phone # CJl c ify that, in 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' compensation laws of California, and agre that, " I should become subject to th kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dal DECLARATION REGARDI N R 11 LE DING ENCY hereby affirm under pe of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and county ordi ces and state ws relating to building construction. I authorize representatives of this city or county to ISMo bo I n Ie roperty for inspection purposes. Signature of Property Owner or Authorized Agent / Print Property Owner's or Authorized Agent's Nam Date 1 1 ACTION DATE BY D LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ql� EGULATIONS PART61 OF TITLE 40AND AgMD RULE ly 1403 PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CER7IFIC4TEOF OCCUPANCY ISSUED SUBMITTED ASBESTOS X MSBESTOS NOTIFICATION 15 NOT APPLIC BLE TO mrwuDDEIIIlOLRR (' SIGNATURE.