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Home My WebLink AboutX2019-0727 - PermitsCity of Newport Beach - Building Division a� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 'v 9 Inspection Requests Phone (949)644-3255 Combination Type - BLDG GRAD COMB Permit: X201 Project No : 0486-2019 Issued Date : 05/0112019 Inspection Area :t92 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: 1202 BAYSIDE DR NB Description: SFR SLOPE REPAIR Legal Desc.: Owner: 1202 BAYSIDE LLC Contractor: KAZ INVESTMENTS MGMT INC Architect: - Address: 1202 BAYSIDE DR Address: 2901 W COAST HIGHWAY STE 200 Address: NEWPORT BEACH, CA92662 NEWPORT BEACH, CA 92663 Phone: Phone: 714-787-8097 Phone: State Lie: Applicant: BARD MARTIN Con State Lic: 1023867 Engineer: TRAIN JOHN DINH Address: 470 OLD NEWPORT BLVD Lie Expire: 02128/2021 Address: 11251 GARDENAIRE , NEWPORT BEACH, CA 92663 Bus Lic: BT30068144 GARDEN GROVE CA ' Phone: 949-645-5854 Lie Exp Date: 02/28/2020 Phone: 714-265-1200 State Lic:C-062653 Code Edit : 2016 Workers Compensation Insurance Designer: Type of Construction: Carrier: BENCHMARK Address: Occupancy Group: U Policy No: CST5015203 Added /New sq.ft. Bldg: 0 Expire: 0210412020 Phone: Added /New sq. ft. Garage: 0 ' No of Stories: 0 Building Setbacks Rear: / Special Conditions: ON PRIVATE PROPERTY No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $24,000.00 Building Permit Fee: $466.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $396.72 Additional Fee : ($456.00) Plan check Fee : $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $483.80 SJH Trans : $0.00 Demolition Fee Record Management: $6.00 Grading Permit Fee: $875.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $106.20 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNJ Plan Check: $82.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $1,991.22 Plan Check Fee : $831.97 Fee Due at Permit Issuance : $1,159.25 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: i PLAN CHECK BY: GRADING APPROVAL: 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 to 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 'rofessions 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 of more than five hundred dollars ($500). 7 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, lusiness 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 nprovements 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 nJroved 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 pply 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 licensum under the Contractors' State License Law for the following reason: ly 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 ell 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED COJN'fRACTOR'S DECLARATION ,iei eo, affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of ivision 3 of the Business and /RED sons Code, and Iicens 1 in full force nd effect. Licenses 31ass License No Date I C Contractor Signat VORKERS' COMPENSATION DECLARATION IARNING: FAILURE' rJ'S'ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNOUSAND DOLLARS ($100,000), IN ADDITION TO THE OCT OF COMPENSV9B', DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I ha✓e 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, forth erfpcmance of the work for which this permit is issued. Policy No. Kaye and yvij( 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' ura ce 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 agre t, if I should become su Jett to the workers' compensation pro Isi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant'1' D e_�F'YY.L� CLARATION REGA ING CONSTRUCTION LENDING A CY )reby affirm under p alty of perjury that there is a constructiod lending agency for the performance of the work for which this permit is issued (Section 97, Civil Code). tder'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 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 cou ty ordinances and state I s relating to building construction. I authorize representatives of this city or county o enter the abov=dentifi d roperty, for inspection purposes. nature of Prooertv Owner or Authorized Acent �C Print Property Owner's or Authorized Agent's Name ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED CERTIFICATEOF OCCUPANCYISSUED DATE BY / DECLARATION II REGULAT ONS PART 1 OFF OICOMPLkTITLE 40 AND AQMD RULECE WITH CODE OF FOR OFFICE USE ONLY ZW AK- PROPPOSEDOD MOUTIONION IS NOT APPLICAB TO