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Home My WebLink AboutX2019-3749 - PermitsrNi„w City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIfIIIIIIIIIIIIIIIIIIIII� II hK 100 Civic Center Dove, Newport BeCOMB Permit: X2019-3749 Perach, CA 92660 Permit Counter Phone (949)644-3288 X 2 0 1 9 3 7 4 9 Project No : 2588-2019 v Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM Issued Date: 1112212019 Inspection Area : 8 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: 79 HILLSDALE DR NB Description: MFR - KITCHEN REMODEL 252 SF **STOPWORW* INSPECTOR Legal Desc.: TR 11785 LOT 5 UNIT 48 OF PROJECT LOCATED ON AP 442-301-69 TOGETHER Owner: MILLER Address: 79 HILLSDALE DR NEWPORT BEACH, CA 92660 Phone: Applicant: DEMARCO CHERYL Address: 9121 ATLANTA #826 HUNTINGTON BEACH CA 92646 Phone: 714-673-6623 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Contractor: DIADEM BUILDING Address: 14 WI NDHAVEN PL ALSO VIEJO CA 92656 Phone: 949-297-6771 Con State Lic: 1037252 Lic Expire: 03/31/2020 Bus Lic: BT30069914 Lic Exp Date: 11/30/2020 2016 Worker's Compensation Insurance VB Carrier: EXEMPT R3IU Policy No: 0 Expire: 0 Building Setbacks Rear: I Front: I Left: I Right: / X Use Zone: Parkinn Snaear Building Permit Fee: $408.00 Plan Check Fee: $354.96 Overtime Plan Ck: $0.00 Investigation Fee: $408.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE . $1,297.56 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $28.56 $16.32 $36.72 Plan Check Fee Architect: DE MARCO CHERYL LYNNE Address: 9121 ATLANTA #826 HUTINGTON BEACH CA 92646 Phone: 714-473-6623 State Lic:00023965 Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $394.96 PUBLIC WORKS PLAN CHECK BY APPROVAL TO IE Fire Department $40.00 Fire Inspection: $0.90 $0.00 Fire Plan Rev -^f�OtOG $0.00 Demolition Fee $0.00 Building Dept Adm $0.d6 General Service $0'.d0 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $902.60 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 rile 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 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 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 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. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 00) Divis n 3 of the Business and Professi de, and m license is i full farce and effect. License Class License No D/ - Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU D DOLLARS I$100,0001, 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: f k ' com ensation issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th I have and .v,I IadLrtaln a certlflcate of consent to self -Insurer wor ers p `ormrnce of the work for which this permit is issued. Policy No. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' have and will rnaimain workers' compensation insurance, ranee carrier and policy number are: Policy Number Date Ia a of Agent _ _ c reify that, in the NLrformance 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 ogre iat r I ^hould beonmesu o e workers' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � � / 6 ;innarvre of Applicen Dates [ / ;EGLAFATION FE AIiDING C STRUC N LENDING AGENCY hereby affirm underpe,lalt erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). .enders Name Lender's Address 3y nIy signature below � certify to each of the following: I am the property owner or authorized tD act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordina as and state laws relating to building construction. I authorize representatives of this city or coun t e abov antproperty for inspection purposes. xc)KA. &QP e Dat 2- d Agen Print Property Owner's or Authorized Agent's Name ii nature of Property Owner or Authorize ACTION DATE BY DEC RATION O COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE9ULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED----F 1 11 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED Ulviu PERMIT FINAL 03/13/26 ASBESTOS NOTIF ATIO APPLICABLE TO CERTIFICATE OF . PROPOS DD ON OCCUPANCY ISSUED left SIGNAT