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Home My WebLink AboutX2019-1575 - Permits,:wrray City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1575 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 7 5 Project No : 1880-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 05I1712019 Combination Type - BLDG PLUM 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: 1119 DOLPHIN TER NB Description: DEMO SFR & GARAGE 2067 SF. 3 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: N TR 1700 LOT 1 Owner. DOLPHIN LLC Address: PO BOX 7067 NEWPORT BEACH, CA 92658 Phone: 949-698-2256 Applicant: WILSON TYLER SCOTT Address: 24471 CHRISANTA DRIV MISSION VIEJO, CA 92691 Phone: 714-754-4040 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: JACK W MITCHELL Address: 2902 CALLE HERALDO SAN CLEMENTE, CA 92673 Phone: 949-498-3127 Con State Lic: 988218 Lic Expire: 1113012019 Bus Lic: BT30055847 Lic Exp Date: 07/31/2019 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Rear: I Front: I Left: I Right: I Use Zone: Parkinq Spa Architect: Address: Phone: Engineer: Address: State Lic: Phone: State Lic: Designer: i 4 Address: i .I+ ""a Phone: Special Conditions: RB HOLT TO HAUL DEBRIS Fire Hazard Zone : N Construction Valuation: $20,000.00 ,R'uiiding Permit Faa: $0.00 Excise Tax: $0.00 Planning Department - Pon (heck Fee: $0:30 Additional Fee : $0.00 Plan check Fee: Overtima Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share hvcs:ig,.tion Fee: , $0.00 Grading PC Consultant : $0.00 SJH Trans Peco-d Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Fnerry. Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Cisabled Access $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 B,tile.inQ Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 T07AI- FEE : $1,929.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Ir\i4-l'i Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $210.00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,929.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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) (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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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-Builderwill have the burden of proving that it was not built or im 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 ap 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). 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 Iegallt 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 the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ' ' io f the Business and Profas �oilS CI de, my lice a is in full force and effect. License Class License No Date Contractor Signature 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 TH SAND DOLLARS (E100,000), IN ADDITION TO THE COST 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: 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 the )erformance of the work for which this permit is issued. Policy No. :1I 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' compensation nsurance carrier and policy number are: 'Dif Policy Number Expiration Date gent Phone# 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 cold become s ' ct to heworker 'comp nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.of Applican )ECLARATION REGAR N CONSTR TION LENDING AGENCY hereby affirm under pen t 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). -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 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 city or cou t r the ab v entified property for inspection purposes.- I signature of Property Owner or Authorized Age t Print Property Owner's or Authorized Agent's Na e ��'1/�Pif /" Date ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTI FICATION TO PERM/TC4NCELLED EPA PERMIT EXTENDED bJAQMD PERMITFINAL IIAS13ESTOSNOTIFICATIOA IS NOTAPPLICABLE 10 CERTIFICATEOF PROPOSEDDE�1I I N OCCUPANCYISSUED f, 1� IGNATI IRS./'