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Home My WebLink AboutX2020-3001 - PermitsCity of Newport Beach - Building Division ,A 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII II COMB Permit: X2020-3001 x 2 0 2 0 3 0 9 1 Project No:0535-2019 -. Issued Date : 12123/2020 NO CONSTRUCTION NOISE Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/24/2023 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. LCtto�or6::0A0 p.m. No work on Sundays or Holidays JobAAVENB Description: MFR DELTA 4,1 INSTALL ROOF 160 SF OVER 2ND FLR DECK @ UNIT'B' ON SATURDA 1 S Legal Desc.: CORONA DEL MAR BLK 643 LOT 18 Owner: PAM CAPITAL MANGAMENT INC Contractor: OWNER/BLDR Architect: ENSIGN G ROBERT Address: 616 POINSETTIA AVE Address: RYO SAKAMOTO Address: 2214 PORT LERWICK PL - - CORONA DEL MAR, CA 92625 NEWPORT BEACH, CA 92660 Phone: Phone: 310-591-9402 Phone: 949-721-0736 State Lie C006217 e Applicant: ENSIGN G ROBERT Con State Lie: O/B Engineer: ROSS SCOTT WILLIAM Address: 2214 PORT LERWICK PL Lie Expire: Address: 1800 E 16TH STREET #B NEWPORT BEACH, CA 92660 Bus Lie: SANTA ANA CA 92701 T'1 Phone: 949-721-0736 Lie Exp Date: Phone: 714-835-2800 State Lic:C-045309 Code Edit: 2019 Worker's Compensation Insurance Designer: ^ Type of Construction: V-B-SPR Carrier: Address: " Occupancy Group: R3/U Policy No: Added Mew sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 2 Building Setbacks Rear: 5' .- Front: 20' Special Conditions: HIGH DENSITY AREA 0 Bldg Height: 0 Left: 3' Bldg Sprinklers: Y Right: 3' Flood Zone. X Use Zone: Parkino Spaces: 0 Fire Hazard Zone : N Construction Valuation: Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.55 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $348.87 Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $46.26 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $348.87 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) 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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, finess 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 INements 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 irk d for the purpose of sale). - - I, 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 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). M 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 permit, I cannot legally sell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety b licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when hi plicatio ISIs submitt or 110 Web site:http://www.le info.ca.gov/c law/.html. Signature of Property Owner or Authorized Agent / Dalanl_ 2 2, Zd 2-0 LICENSED CONTRACTOR'S DEC LARATI N I hereby affirm under penalty of perjury that I am licensed u r provisions of Chapter 9 (commencing with Secti— " 0) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No G_._ = Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 th1 performance of the work for which this permit is issued. Policy No. 131 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' compensatior insurance carrier and policy number are: Carrier Policy Number Expiration Date ame of Agent Phone # certify 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 agree that, if I should become Wbject to the workers9onmponsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant t �r/ o4_ DECLARATION REG CONSTRU ION LENDING AGENCY I hereby affirm under penalty 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 owner's behalf. I have read this application and the information I have provided is correct. / I agree to comply with all applicable city and cou ty ordinances and state laws re ng to building construction. I authorize representatives of this city or coun enter th'acabbovve-' a inspection purposes. e`/!! l l / Ftinnafirre of Pmnertv Owner or Authorized ADent �6� Print Property Owner's or Authorized Agent's Naa R ez /r n7 /�t✓<� D '�3• �l� ACTION DATE BY `CRIMAATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA - PERMITEXTENDED DAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO ` CERTIFICATE OF T0- PROPOSED DEMOLITION - OCCUPANCYISSUED SIGNATURE: