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Home My WebLink AboutX2018-1587 - Permitsxvrro4r City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `tit,rnx*`� Combination Type - MFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-1587 x 2 0 1 a 1 5 8 7 Project No: 1222-2018 Issued Date: 06/0612018 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: 1 CANYON ISLAND DR NB Description: MFR REPAIR (E) BALCONY, REMOVE & REPLACE GUARDRAIL Legal Desc.: TR 8445 LOT 1 UNIT 1 GI 2 P OF PROJECT LOCATED ON AP 442-241-01 Owner: VAN ROSSEM JOHN Contractor: M C C CONSTRUCTION Architect: www� Address: 1 CANYON ISLAND DR Address: 928 E ARLEE PL Address: NEWPORT BEACH, CA 92660 ANAHEIM CA 92805 `� Phone: Phone: 714-533.7300 Phone: State Lic: Applicant: MARTINEZ GEORGE Con State Lic: 734151 Engineer: DE LEON ERNEST Address: 928 EAST ARLEE PLACE Lic Expire: 08131/2018 Address: 14726 RAMONA AVE (410-W1) Mel ANAHEIM CA 92805 Bus Lic: BT30062149 CHINO CA 91710 Phone: 909-678.1606 Lic Exp Date: 02128/2019 Phone: 909-517-2451 State Lic:C-067765 Code Edit: 2016 Type of Construction: V-B-SPR Worker's Compensation Insurance Designer: Carrier: AIG PROPERTY COMP. Address: Occupancy Group: R2 Policy No: 06590290 Added /New sq.ft. Bldg: 0 Expire: 0212412019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4,000.00 Building Permit Fee: $337.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $244.60 Additional Fee : $0.00 Plan check Fee : $0.00 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 : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $624.00 Plan Check Fee : $244.60 Fee Due at Permit Issuance : $379.50 PROCESSED BY: / PUBLIC WORKS APPROVAL: (}�� ZONING APPROVAL: 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 :he 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 iot 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 L) 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 exemptfrom 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 legal 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 71044 of the Bus'rrdss and Professions Code, is available upon request when this application is submitted or at the following Web site: http://w .leginfo.ca.gov/calaw.html. Signature,of Property Owner or Authorized Agent _ to LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) Di ii'on e Business and Pro s ion C 4 artd' I� iemi�i full force and effect. License Class _ License No Date Contractor Signature 9 COMPENSATION DECLARATION IARNING:.FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREb 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: J I havgAnd 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 the erfor nce,of the work for which this permit is issued. Policy No. have and aintain 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' compensatiol Isurance came n olicy number arrier oN r Expiration Date ame of Agen Phone# ]I certify that, in the=perjurythat of f his permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa n law 'ofCalifornia, and agre lat, if I should becomensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lPf ignature of Applicanv/ Da tL / IECLARATION REGION NDING AGENCY hereby affirm under there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name n 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 b h I have read this application and the information I have provided is c c I agree to comply with all applicable city and county finances d b I authorize representatives of this city or coun to the ab -i; ti Signature of PropertyOwner or Authorized ✓) ACTION DATE BY DE RATION OF COM REGULATIONS PART 61 PERMIT EXPIRED I I I L_I+5UBMITTEDASBESTO5 PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED 3 to building construction. for inspection purposes. 40 AND AQMD RULE FOR OFFICE USE ONLY ✓/ 1lff 71T