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Home My WebLink AboutX2020-1784 - Permits�gwro City of Newport Beach - Building Division o+ 100 Civc Center Drive, Newport Beach, CA 92660 n Permit Counter Phone (949)644-3288 o q Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM COMB Permit: X2020-1 Project No: 2708-2019 Issued Date : 08/0712020 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 08/08/2023 OR PERMIT WILL BE INVALID 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: 23 HARBOR ISLAND NS Description: DEMO SFR &GARAGE 3948 SF.�fBEDROOMS. SEWER CAP INCLUDED Legal Desc.: TR 802 LOT 23 ALL -INC BET SAME & HIGH TIDE LINE - Owner: PICKUP TOOL Address: 23 HARBOR ISLAND NEWPORT BEACH, CA 92660 Phone: Applicant: DYER J C COMPANY INC Address: 1540 S COAS7 HWY #205 LAGUNA BEACH CA 92651 Phone: 714-809-3258 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Contractor: DYER J C COMPANY INC Address: 1640 S COAST HWY #205 LAGUNA BEACH CA 92651 Phone: 714-809-3258 Con State Lic: 586784 Lic Expire: 03/31/2022 Bus Lic: BT98042174 Lic Exp Date: 02128/2021 2-)19 Workers Compensation Insurance V-B Carrier: EVERST NATIONAL R3/U Policy No: 7600012640201 0 Expire: 01101/2021 0 Building Setbacks Rear: I Front: I Left: / Right: I Construction Valuation: $9,000.00 Building Permit Fee: $ 14.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL PEE : $1,495.26 PROCESSED BY: ZONING APPROVAL: Architect: Address: Phone: State Lic: Ad& ONST %CTI p Address: N A Phone: State L JOISC Designer: Address:ON 7� `, SAI ��D7`1 Phone: ! S Special Conditions: TIGHT QUARTERS TO HAUL DEBRIS Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee : $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical W $0.00 San Dist: $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 Plumbing %: $10.26 Fire Department,��y ;: "' � +'r Fire lnspectionA $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $26.00 General Service $217.00 Refund Deposit $1,127.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,496.26 HUHLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: _ _ APPROVAL TO ISSUE: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by Ina checkmark(s) I have placed next to the applicable Bemis) ;Seetlon 7031.5, Business and Professions Code: Arty oily or county that MgLres a permit to construct, after, improve, demolish, or repair any structure. prior to its issuance, also requires the appncantfor :ne permit to file a signed statement that na or sne is licensed pursuant to the provisions of the Contractors' State license Law (Chapter g (commencing with Section 7000) of Division SDI the Business and Professions Code) or that he or she Is exempt from ncensure and the basis tar the alleged exemption, Any violation of Section 7031.5 by any applicant for a permit subjects the .ippl1cant to a civil penalty of lot more than live hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or f) portions of the wont and the structure is not intended or offered Ior sate (section 7044, Busfri and Professions Code: The Contractors' State License taw does not apply to an owner of property who. through employees' or personal effort, builds or improves the property, provided that the mpravements are not Intended or offered for sale- lf, however, the building or Improvement Is sold wimp, one year of completion, the Owner-BuAderwTl Rave the burden of pro'vmg that it was not built or .mproveo for me purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractor's to construct me project (Section 7044, Business and Prolessfots Code: The Contractors' Slate License LAW does not vpply 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). I am exempt from kcensura 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 Cry gets pefmg, I cannot legally sell a structure that I have built as an owner -bundler it It has not been constructed to its entirely by licensed eoniractOl's. I understand that a copy of the applicable law, Section 7t144 of the Business and Professions Code, Is avallethle upon request when this application IS submitted or at the toltowing Web she:httpY/www.leginfo-ca.govrcalaw-heal. Signature of Property Owner or Authorized Agent Date _ LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty Of Dartury,.(itat 1 am licensed under provisions of Chapter n (aap�mmancing with Section 7000) o1 D ision 3 of the Business and ProtessmnatC , a K ficense is in full force and effect. License Glass .� License No .Sij(R]i F1' Dat e7Jozcontractor sigrraat NORKERS' COMPENSATION DECLARATION NARHING: FAILURETO SECURE WORKERS' CONPENSATM COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIWNAL PEHALTE'SANO CIVIL FPIES UP TO ONE HUNDRED THOUSAND DOLLARS(Vil eDO), IN ADDITION TO THE hereby affirm _, fry of perjury one of the following declarations: I n � Main a Cedincate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 37n0 of the Labor Code, for art ;°. work for Which this permit is issued. Poecy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cate, for me perOrmance or the work for which this Perna Is Issuedd. Nty workers' compensationl rance tamer and policy number are: _ -Alice 1srkncc- policy �(yoUy�{ayl Expiration 011� far E P(u01 aj. to of Agent Phone p certify that, in the performance of the work for Which this permit is iSSUed. I shelf not employ any person in any manner so as to became subject to the workers' Compensation taws of California, aid afire It I should become subject to the workers' compersatlon provisions of se ion 0700 of ine Labor Cone, I shag forthwith comply with those provisions. Mture of Applicanhe /-'� ��✓�0'Ffl'ce �tila/)�ja/1) oat /�8�7�adav hereby affirm wider penalty of perjury that there is a eonsgtwllan landing agency for the performance of tie work for whim, this permit Is issued (Section 3097, ONO CQ*Q,)_ ender's Name Lender's Address y my signature below, I MMfy to each of the fORowing: I am the property owner or autborized 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 wMi as applicable city and County ordMances and state taws renting to bUporng construction. I authorize representatives of this city ar coU t enter the above-Wengiled prop for inspection purposes. 11 i ature of Properly Owner or AUmotized Agent C ( Print Property Owners or Authorized A er1Ts Na e U nA- F 1CION DATE BY DECLARATICXF4 OF COMPLIANCE" H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART e1 OF TITLE 40 AND AQMO RULE 1403 'rfRNlT EXPIRED1 LJ I suaMITIED ASBESTOS NOTIFICATION TO PERNITFINAL D U ASBESTOS NOTIFICATIONS NOT ,PPUCA LL To C£RTIFICATEOF f ly 2j PROPOSED D`ENIOUTN,N OCCUPANCY ISSUED SIGNATxL URE: I—) _ ___.