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Home My WebLink AboutX2019-1323 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1323 c4 9� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 9 1 3 2 3 Project No: 0938-2019 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Issued Date : 04125/2019 Combination Type - SFP 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: 341 EVENING CANYON RD N13 Description: SFR FRAMING,SHEAR PANEL & DRYWALL REPAIR DUE TO WATER DAMAGE Legal Desc.: TR 1116 LOT 141 POR OF LOT Owner: LEE JUDY Contractor: Address: 341 EVENING CANYON RD Address: CORONA DEL MAR, CA 92625 Phone: 949-922-4696 Phone: Applicant: LEE JUDY Con State Lie: Address: 341 EVENING CANYON RD Lie Expire: CORONA DEL MAR, CA 92625 Bus Lie: Phone: 949-922-4696 Lie Exp Date: Code Edit: 2016 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X $5,000.00 Building Permit Fee: $152.00 Plan Check Fee: $132.24 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $329.24 PROCESSED BY: ZONING APPROVAL: OWNER/BLDR LEE JUDY O/B Worker's Compensation Insurance Carder: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: I Front: I Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: Address: Phone: Engineer: NG EDWARD T W Address: 979 E MUNCIE AVE FRESNO, CA 93720 Phone: Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone : N State Lie: State Lic:C-038552 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 $0.00 $0.00 $mo $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance: $329.24 -PUB) 1d WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: API'.kUVAL 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 Ipplicant 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 (_) 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 i ovements 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 rov for the purpose of sale). 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 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). 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 legalh sell a structure that I have built as an owner -builder ifS't has not bee constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the usiness and Professions Code, is available upon request whenQhjS applicatipD_isisubmitted q(' at the folio ing Web site:htt://www.leginfD.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent xXX \ LICENSED CONTRACTOR'S DECLARATIONS � I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Da t Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 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 th performance of the work for which this permit is issued. Policy No. 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' Fence carrier and policy number are: Policy Number Expiration Date 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 agre 1, if I should become s/ybject to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1_ nature of Applican?) . � � A� ===� 1=5✓ D zJ n CLARATION RE' fR NG CO UCTION LENDNG CO UCTION LEND G AGENCY !reby affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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. 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 county tgl.enter)the above -identified property for inspection purposes. ACTION DATEkDECeARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLYREGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS P'CTIFICB.TION TCPERMITCANCELLED EPA QMD SBEST05 N TIFICATION 15 NOT APPLICABLE TO PERMITEXTENDED PERMITFINAL �/ CERTIFICATE OF PROPOSED O�4TF �I/OCCUPANCYISSUEDSIGNATURE: �IJ�-h��j�_I_