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Home My WebLink AboutX2012-1928 - Permits�ywrrlQ �� '' City of Newport Beach Building Division COMB Permit No: X2012-' PROJECT NUMBER: 1432-2012 PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection RequestsFFelephone (949)644-3235 0c�t"'�"�� Combination Type - SFP/ / / / Job Address: 20 SURFSPRAY BLUFF NB Description: INSTIL GLASS GUARD RAIL/ HAND RAIL @ STAIRWAY & 2ND FLOOR OPENING Inspector Area: 6 Owner: PRESTIGE TRUST Address: 20 SURFSPRAY ELF NEWPORT BEACH, CA 92657 Phone: Applicant: BADER MIKE Address: 19 CHIMNEY LANE LADERA RANCH CA 92694 Phone: 949-395-3170 Code Edit : 2010 Type of Construction: V-B-SPR Occupancy Group: R3/U 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: Issued Date: 08/27/2012 Construction Valuation: $7,000.00 Building Permit Fee: $171.60 Plan Check Fee: $123.55 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $16.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat: $0.00 Building Green Fee : $1.00 TOTAL FEE: $312.15 Legal Desc.: Contractor: BADER HOME CONSTRUCTION Address: 19 CHIMNEY LN LADERA RANCH CA 92694 Phone: 949-395-3170 Con State Lic: 941589 Lic Expire: 12131/2013 Bus Lic: BT30036307 Lic Exp Date: 07131/2013 Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 497-0001667 Expire: 06101/2013 Building Setbacks Rear: / Front: I Left: I Right: / Use Zone: Parkins SDaces 0 INSPECTOR Architect Address: Phone: State Lic Engineer: AMATI BASIL Address: 202 AMBLING DR BREA CA 92202 Phone: 714-257-9616 State Lic:C-052030 Designer: Address: Phone: Special Conditions Fire Hazard Zone : Solar System PC : $0.00 Planning Department - Excise Tax: $0.00 Plan check Fee Fair Share 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 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00' $0.00 Plan Check Fee : $123.55 Fee Due at Permit Issuance : $188.60 PROCESSED BY: gU PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: ::4 L) u PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. i DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) indicated below by the checkmark(s) I have placed next to the applicable items) (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 U 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-Builderwill have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner off 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 apply 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). ❑ 1 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 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:hftp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date _ICENSED CCN7RACTOR'S DECLARATION I hereby affirm under p=nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C s, and my license is in full force and effect. -7 J e Jcd��se Class _ License No Date L l ` ontractor Signature hURKERS' COMPENSATION DECLARATION r` 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 (E100,000), IN ADDITION TO THE COST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm 'rider penalty of perjury one of the following declarations: I I,ave 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 thI Nance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date 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 if I should become subject tolthe%vo ers' coR+p��r\tion—pro,,vlsi/(}\s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,/ 7 7� Iature of Applicant � ��IG�V ` Date �C IF —� ` r `ram' •I Aonnnu oor_ onuln_ n eronrr,nu�unwn_ nn_vury 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 county ordinances qnd state laws relating to building construction. I authorize representatives of this city or county t enter the abov identife Signature of Property Owner or Authorized Agent roperty f r inspection purposes. 'nt Property Owner's or Authorized Agent's Name AC7I00V DATE BY DECLARATION OF COMPLIANCE MIRTH CODE OF FEDERAL REGULATIONS PART 61 OFTIME40 AND FOR OFFICE USE ONLY AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: PERMIT EXPI RED PERMIT CANCELLED ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICARON IS NOT APPLICABLE TO PERMIT EXTENDED PERMIT FINAL PROPOSED DEMOLITION. CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: