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Home My WebLink AboutX2014-1168 - Permits (2)a8wvo City of Newport Beach - Building Division IIIII�IIIIIIIIIIIIIIIIIII II COMB Permit: X2014-11E Oq • T"��' X 2 0 1 4 1 1 6 8 ' P 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 0964-2014 Permit Counter Phone (949)644-3288 U Combination Type - SFP Inspection Requests Phone (949)644-3255 Job Address: 2700 SEAVIEW AVE INS Issued Date : 05/2112014 Description:SFR - REPLACE (E) FRENCH DOOR/WINDOWS W/ NEW SLIDER Inspector Area: 5 Legal Desc.: n @ �-- ""s `� Owner: BURKHART BARBARA Contractor: OWNER/BLDR Architect: Address: 3160 ROUNDWOOD RD Address: H JAKE Address: HUNTING VALLEY OH 44022 Phone: State Lic: Phone: 440-463-8898 Phone: ; Applicant: BURKHART BARBARA Con State Lic: CIS Engineer: SALEM YASSER Address: 3160 ROUNDWOOD RD Lic Expire: Address: 1633 E 4TH ST , HUNTING VALLEY OH 44022 Bus Lic: SANTA ANA CA 92701 Phone: 440-463.8898 Lic Exp Date: Phone: 949-376-5842 State Lic:S-004902 Code Edit : 2013 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: Address: .. Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: , Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: O/B AUTH ATTACHED No of Units : 1 Front: / - - Bldg Height: 0 Left: / Bldg Sprinklers: Flood Zone: Use Zone: Right: / Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8,000.00 Building Permit Fee: $189.00 Planning Department- Fire Department $0.00 Plan Check Fee: $136.08 Excise Tax: $0.00 Plan check Fee : $32.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 Record Management : $6.00 Grading Permit Fee: Grading PC Fee: $0.00 $0.00 In -lieu Housing Fee : Public Works Department - General Service $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Fee Increase: Fee: $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Additional Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Hazardous Mat: $0 0 Plumbing %: $0.00 Building Green Fee: $1.00 TOTA FEE : $364.0 Plan Check Fee : $363.08 �e Bu t Permit Issuance : $1.00 PROCESSED BY: ZONING APPROVAL: PUBLIC WIRKS APPROVAL: PLAN CHE K BY: GRADING APPROVAL: APPROVAL TO U�t VIE:: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSTALL OR VERIFY SMOKEICARSON MONOXIDE DETECTORS/PLUMBING FIXTURES To E UPGRADED 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(s1 (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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 Frililyarn ved for the purpose of sale). 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 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). exempt from Iicensure under the Contractors' We I ns Law for the following reason: By my signatwa below I acknowledge that, except for y perso al r sidence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) Sell a s'ructure that I have built as an owner -builder if It has noti ee onstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and O ss-ons Ccde is available upon request when thi applicatl i bmitted or t the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ture of Property Owner or Authorized Agent . LICENSED CONTRACTOR'S DECLARATION \ I hereby affirm under panalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division f-the usiness and Professions Code, and my license is in full force and effect. License C'ass " License No Date D tractor Signature WORKERS' COMPENSATION DECLARATION ARNINC: 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 `CUSI OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ilereuo 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 Ierrormance of the work for which this permit is issued. Policy No. I 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # DI 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date_ DECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 oAthepro y owner's behalf. I have read this application and the informatioided is correct. I agree to comply with all applicable city and cntes and state laws relating to building construction. I authorize representatives of this city or coune abo -identified roperty fo insp n purposes. nature of Property Owner or Authorized Agent rint Pr perty Owners or Authorized Agent's Name -S tee eCTNN! /).4TF RY DECLARATION OF COMPCLWCEKITH CODE OF tUrt 01-MCE LSt UNRT FEDERAL REGUC4TIONS PART 61 OF T1TLE1!} RLVG AQUDRULC 1403, PFKF,d1T FXPIRFID ❑ I SIIdIdNTFrl7dS11fST!?S Nf1TfTN'4i1llN TO ❑ EPA ❑ ilQAyfC PC,i!✓11T viNCLCCCD aEr77vfIT cYTEVu'OEC� ASBESTOS CATdiNlIS NOT APPLIC/tECE TO ROPC7SED - ON- PERMIT fNlAC CFRirFr,:s4TECF OCCJ.D,SJJiT'.iSSi�Ei� Sf::,VAi Vitt:l : J- ...Roma .C, m C N •� _ ID N p S.a O R � O N .5'• 3 N m m N v�i h m i o D. a Tc a O N :.y-C C •'._~, O O_ R C '.' O t9 N C v-� d U a O 41 N •\• R O D ° N N y m O L N m ZZO 00 ,q `-' �'y•J �° - m e — °'a %' N o'• o m.,4 6 N - o G G N a C tRl1 T N ` G ° a O 7 tU CL_ N jv•l6 C 0 - C i •� � lQ C c F =� U1' N C N L .O � R � O� C � t=C N w U� -X R .J G 3 EmE G O. 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