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Home My WebLink AboutX2019-4020 - Permits�x,wrry City of Newport Beach - Building Division r 104 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-4020 x 2 0 1 9 a 6 2 0 Project No : 1534-2019 Issued Date : 0110712020 Inspection Area : 4 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: 912 ALDER PL NB Description: SFR -DELTA 1, ADD 60 SF TO (E) GARAGE, ADD DORMER @ DINING/LIVING ROOM Legal Desc.: N TR 4705 LOT 3 I Q P Ir%-r p1 Owner: WOOTEN DAVID C Contractor: Address: 912 ALDER PL Address: NEWPORT BEACH, CA 92660 Phone: Phone: Applicant: CONTRERAS FELIPE Can State Lic: Address: 3837 E 7TH ST Lic Expire: LONG BEACH, CA 90804 Bus Lic: Phone: 562-879-3756 Lic Exp Date: Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 60 Added /New sq. ft. Garage: 60 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: Building Permit Fee: $784.00 Plan Check Fee: $607.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $42.00 Energy Compliance: $0.00 CA Seismic Safety : $1.04 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1,00 FEE : $1 PROCESSED BY: ZONING APPROVAL: CP MC CLARY CONSTRUCTION INC Architect 1013 LINDEN PLACE Address: COSTA MESA CA 92627 714-271-1055 Phone: 513053 Engineer: 10/3112021 Address: BT00004228 08/3112020 Phone: Worker's Compensation Insurance Carrier: STATE COMP INS FUND Policy No: 1300846 Expire: 0610112020 Building Setbacks Rear: 6' Front: 6' Left: 6' Right: 6' Designer: Address: Phone: State Lic DIXON ALEXANDER 2742 REGWAY AVE LONG BEACH CA 90810 562-426-5453 State Lic:C-032963 Special Conditions: REV19-2117 Use Zone: Parking Spaces: 0 Fire H� i Excise Tax: $0.00 Planning Department - Additional Fee: $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 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 PAN Plan Check : $41.25 Electrical %: $54.88 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 17 Fire Department $160.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $808.25 Fee Due at Permit Issuance : $882.92 PUBLIC WORKS PLAN CHECK GRADING APPROVAL: V I APPROVAL TO 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 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 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 -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). ❑ I am exempt from Iicensure 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:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED COp T, RACTOR'S DECLARATION ff I hereby affirm •J:Icer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectIo 70 of D is' n 3 of the Business an o essions y license is in full force and erect. License' lass License No Date Z� Contractor Signature WORKERS' COMFENSATION DECLARATION rJARN•,NG: FAILURE -0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($t 0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: � Iiave and will mcintain 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 ''cr nce of the work for which this permit is issued. Policy No. IIa e 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' compensatior .,u iue carrier and p)licy number are: Policy Number ie u? Agent Date 01 certify that, in`the performance of the work for w ' his -permit -is ' ued, 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 ompensation ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Signature of Applicant Da o c`J (/b-j/t. a DECLARATION REG RDING C TIO E NG AGENCY f!! I hereby affirm under enalty of per ryt ere 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 couny ordi antes and Ste ws relating to building construction. I authorize representatives of this city or co e s ov I is ro for inspection purposes. Signature of Property Owner or Authorized Agent P1iat-Property Owner's or Authorized Agent's Name Date40A ACTION DATE BY LARATI C WITH CODE OF FEDERAL FOR OFFICE USE ONLY TIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED iNU I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED QM D PERMIT FINAL AS ESTOS N ION IS A LICABLE TO CERTIFICATE OF II/zo PR )POS MOLITI / j OCCUPANCYISSUED SIG URE: