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Home My WebLink AboutX2018-2008 - Permitstiwoq City of Newport Beach - Building Division 't d 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 iy m Inspection Requests Phone (949)644-3255 c''isr�nar> Combination Type - MFP ELEC PLUM MECH IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II X 2 0 1 8 2 0 0 8 COMB Permit: X2018-2008 Project No Issued Date : 0710212018 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: 603 FERNLEAF AVE NB St: 1 FI: 1 Unit: 112 _ Description: MFR - REMODEL DETACHED UNITIKITCHEN AND BATH (NO COMMON WALLS) Legal Desc.: CORONA DEL MAR BILK 532 LOT 3 r r��I/� 1`!) r /VA Owner: GARVIN MICHELLE Contractor: OWNERIBLDR Architect: Address: 503 1/2 FERNLEAF AVE Address: GARVIN MICHELLE Address: CORONA DEL MAR CA 92625 Phone: State Lic: Phone: 949-423-4158 Phone: Applicant: GARVIN MICHELLE Con State Lic: OIB Engineer: Address: 603 1/2 FERNLEAF AVE Lic Expire: Address: CORONA DEL MAR CA 92625 Bus Lic: Phone: State Lic: Phone: 949-423-4158 Lic Exp Date: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: Address: Occupancy Group: R311.1 Policy No: Phone: Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 2 Building Setbacks Rear: I Special Conditions: Ole FORM ATT No of Stories: Front: I No of Units: 1 Left: I Bldg Height: 0 Bldg Sprinklers: Right: 1 Use Zone Parkino Spaces 0 Fire Hazard Zone : N Flood Zone: Construction Valuation: $8 700.00 Building Permit Fee: $202.00 Excise Tax: $0.00 $0.00 Planning Department - Plan check Fee : $37.50 Fire Department Fire Inspection: $0.00 Plan Check Fee: $175.74 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 $0.00 Demolition Fee Building Dept Adm $0.00 Record Management: $2.00 Grading Permit Fee: $0.00 $0.00 In -lieu Housing Fee : Public Works Department- General Service $0.00 Energy Compliance: $0.00 Grading PC Fee: WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $14.14 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $8.08 NMUSD Fee: $0.00 $0.00 Plumbing %: $18.18 TOTAL FEE : $458.64 Plan Check Fee : $458.64 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PROCESSED BY: PLAN CHECK BY: ZONING APPROVAL: APPROVAL TO ISSUE: GRADING APPROVAL: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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 (_) all of or (_) 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 improved for the purpose of sale). ❑ I,_ 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 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 legalli 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 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature NORKERS' 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 ($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: 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 thI )erformance 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' rance carrier and policy number are: Policy Number Expiration Date of Agent 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date_ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). e mysignature sir's Name y gnature below. I certify to each of the following: Lender's Address 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 county to enter the above -identified property for inspection purposes. ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized ADent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED 1 UI SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED I I IrDA PERMITFINAL P? ❑ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF ,3U PROPOSED DEMOLITION OCCUPANCY ISSUED ar-MATII Inv.