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Home My WebLink AboutX2019-2999 - Permits�pwrrq� City of Newport Beach - Building Division of� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 p Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2999 x 2 6 1 9 2 9 9 9 Project No : 2094-2019 Issued Date : 10102/2019 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: 1829 PORT MARGATE PL NB Description: SFR ADD WINE CLOSET (34 SF) Legal Desc.: NTR 6621 LOT 54 INSPECTOR Owner: RUIZ CHRIS Contractor: BROWN CONSULTING 8 CONSTRUCITON Architect: WITTEVEEN RONALD GARY Address: 1829 PORT MARGATE PL Address: 1961 E MIRALOMA AVE #C Address: 20032 SANTIAGO CANYON RD NEWPORT BEACH, CA 92660 PLACENTIA CA 92870 ORANGE CA 92869 Phone: Phone: 714-223-0531 Phone: 714-642-3248 State Lic:C030197 Applicant: WITTEVEEN RONALD GARY Con State Lic: 725404 Engineer: Address: 20032 SANTIAGO CANYON RD Lic Expire: 07/3112020 Address: ORANGE CA 92869 Bus Lic: BT30064971 Phone: 714-642-3248 Lic Exp Date: 1013112019 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STARSTONE NATL INS CO Address: Occupancy Group: R3/11 Policy No: T20180146 Added /New sq.ft. Bldg: 34 Expire: 07/0112020 Phone: Added /New sq. ft. Garage: 0 -. No of Stories: 2 Building Setbacks Rear: 10' Special Conditions: No of Units : 1 Front: 21' Bldg Height: 32 Left: 5' Bldg Sprinklers: Right: 5' Flood Zone: X Use Zone: PC-3 Parking Spaces: 2 Fire Hazard Zone : N Construction Valuation: $6,120.00 Building Permit Fee: $784.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $607.00 Additional Fee : $0.00 Plan check Fee : $200.00 Fire Inspection: $0.0P. Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.uo Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $8.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $66.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.80 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNV Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $54.88 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: $1,7 .93 Plan Check Fee: $297.33 Fee Due at Permit Issuance : $1,455.60 PROCESSED BY: PUBLIC WORKS APP VAL: C ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: _� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat 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(^` (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 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 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 im roved for the purpose of sale). 1, 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 exempt from 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 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 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 709949 Divisio 3 of the Business and Pr feq sins Siyde, an my " ense is in full force and effect. License Class License No D �2-1 Contractor Signature )iJ/r WORKERS'COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIBNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under panalty of perjury one of the following declarations: I have and will me'ntain 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 YEIRrmance of the wurk for which this permit is issued. Policy No. Ye 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 sor ce came, and policy number are: •art!Pr Policy Number Expiration Date NPmP of Agent Phone # Dui dfy 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, i`' chould become subject to thg workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant�Wo-&c ' ` \ DaWe r�1-7-7 DEi,LARATION PEGAFIDING CONSTRUCTION LEND G AGENCY I h„ fJ�y affirm wlder _o Aialty 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 on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or Count nter t ab v -id ,led property for inspection purposes. Signature of Property Owner or Authorized Age Print PropertyOwners or Authorized Agent's Name kIS L /U ACTION DATE BY DECLARATION OF CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATION5 PART 61 OF TITLE 40 AND AC MD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LJEPA PERMIT EXTENDED OMD PERMITFINAL 1_ V5_ L ZASSESTOSNOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOUTIO OCCUPANCY ISSUED SIGNATURE: