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Home My WebLink AboutX2019-3079 - Permits (3)�ewrrq City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3079 �d 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 0 7 9 Project No : 2144-2019 ti Permit Counter Phone (949)644-3288 :y Inspection Requests Phone (949)644-3255 Issued Date: 11/0412019 Combination Type - SFP Inspection Area : 4 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: 7 CRESTWOOD DR NB Description: SFR -WINDOW (4) & DOOR (3) CIO Legal Desc.: NTR 9860 LOT 34 INSPECTOR INSPECTOR Owner: BAIN NORMAN HAROLD Contractor: OWNER/BLDR . Architect: Address: 7 CRESTWOOD DR Address: BAIN NORMAN HAROLD Address: NEWPORT BEACH, CA 92660 Phone: State Lie: Phone: 949-300-5494 Phone: Applicant: HAHN PRYN Address: 34167-D PCH DANA POINT CA 92629 Phone: 949-226-7130 Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $681.00 Plan Check Fee: $505.47 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE : $1,146.47 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: OIB Engineer: Lie Expire: Address: Bus Lie: Lie Exp Date: Phone: Worker's Compensation Insurance Designer: Carrier: Address: Policy No: Expire: Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee BURKE LEO 34167 PACIFIC COAST HWY #D DANA POINT CA 92629 949-226-7130 State Lic:C-067404 Special Conditions: O/B AUTH ATTACHED 0 Fire Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PNJ Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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 $9.09•,., $0.00 $0.00 $0.00 $0.00 $0.00 $545.47 Fee Due at Permit Issuance : $601.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: EE� APPROVAL TO ISSUE: Eo_ 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 appl;—ole 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 Professions 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 not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 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). /V I am exempt from Iicensure under the Contractors' State License Law for the following reason: _ ly my signature below I acknowledge that, except for my personal r idence in which I must have res ell a structure that I have built as an owner -builder if it has nD b an constructed in its entirety by �i 'rofessions Code, is available upon re ues en this applica is sl mitted or at the following .. et signature of Property Owner or Authorz Agent .ICENSED CONTRACTOR'S DE�ION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing nd effect. License Class License No for at least one year prior to completion of tl contractors. I understand that a copy of the -hftp:/iwww.leginfo.ca.gov/calaw.htmi. Tlents covers by this permit, I cannot law, Section 044 of the Business and Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force _Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will mai',Itain 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 a,fim.ance of th3 work for which this permit is issued. Policy No. 31 hale and will maimain 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 isurance carrier ar,d policy number are: Policy Number Expiration Date P nrA,gent Phone # rtify that, iri the pel€dfmance of the worwhich this permit is issueQ shall not employ any person in any manner so as to become subject to the work 'compensation laws of California, and agree f, .f :should subject to the v�r\ke s' ccoompeen-sation F)rDV!Slons of a tion 3700 of the Labor Code, I shall forthwith comply with those provisions r�'-a` .nature of A _ I \� W `fir. ,wv C,& "� ate 2� k`CLARATIOR' ;an RDING CONSTRUCTION LENDING AGENCY Lreby 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 Cod ). �.da.'s Name Lender's Address my signature UEfo6v, 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 ve provl ed is correct. I agree to comply with all applicable city a d c my ordi ces and state laws rel n to building construction. 4 I authorize representatives of this city or o ty to enter r e above-ident�lV11pro ( fI erinspection purposes. �/ \ .'O c yv�a�y - '- - Owner or Authorized v I 1 ACTION PERMIT EXPIRED PERMITCANCELLED PERMITEXTENDED I DATE I BY DECLARATION OF COMPLIAN WITH ODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITL ND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION CERTIFICATE OF �/��5 �I�� DD\ki 01_11Y N. n i�A - LE`TO OCCUPANCY ISSUED �'�� iR�\ f